Ciclesonide Nasal Spray

What is this medication?

CICLESONIDE (sye KLES oh nide) treats allergy symptoms such as sneezing, itching, or runny or stuffy nose. It works by decreasing inflammation in the nose, making it easier to breathe. It belongs to a group of medications called nasal steroids.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Omnaris, Zetonna

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

• Glaucoma
• Infection, such as herpes, chicken pox, fungal infection, tuberculosis
• Recent surgery or injury of the nose or sinuses
• An unusual or allergic reaction to ciclesonide, other steroids, other medications, foods, dyes, or preservatives
• Pregnant or trying to get pregnant
• Breast-feeding

How should I use this medication?

This medication is for use in the nose. Take it as directed on the prescription label at the same time every day. Do not use it more often than directed. Make sure that you are using your nasal spray correctly. Ask your care team if you have any questions.

Talk to your care team about the use of this medication in children. While this medication may be prescribed for children as young as 6 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medication?

• Ketoconazole

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not get better in 4 weeks or if they get worse.

This medication may increase your risk of getting an infection. Stay away from people who are sick. Tell your care team if you are around anyone with measles or chickenpox.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible:

• Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
• Crusting or sores inside the nose
• Frequent or severe nosebleeds
• Low adrenal gland function—nausea, vomiting, loss of appetite, unusual weakness or fatigue, dizziness
• Sudden eye pain or change in vision such as blurry vision, seeing halos around lights, vision loss
• Thrush—white patches in the nose or mouth
• Whistling through one or both nostrils that does not go away

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

• Change in sense of smell
• Change in taste
• Headache
• Irritation inside the nose or throat
• Nosebleed
• Worsening ear pain

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children and pets.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep right side up. Do not freeze. Throw away any unused medication after 120 sprays or 4 months after removing from foil pouch, whichever comes first.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.