This medicine is a corticosteroid used to treat nasal allergy symptoms. It may also be used for other conditions as determined by your doctor.
Follow the directions for using this medicine provided by your doctor. AN ADDITIONAL PATIENT INFORMATION LEAFLET, including detailed instructions for use of this medicine, is available with this medicine. Ask your doctor, nurse, or pharmacist any questions that you may have about this information. THIS MEDICINE IS ONLY FOR THE NOSE. Do not spray this medicine directly onto the nasal septum (the wall between your nostrils). BEFORE USING THIS MEDICINE FOR THE FIRST TIME, you must prime the device. Do not prime the device every day. To prime this medicine, remove the protective dust cap from the device. Hold the device upright between your thumb and forefinger (the canister should be on top, pointing down). Spray 4 times into the air, away from your eyes and face. After the first priming, the dose counter should read 120. IF THIS MEDICINE HAS NOT BEEN USED in more than 7 days, re-prime it by spraying 2 times. Clear your nose before using this medicine by blowing it gently. TO USE THIS MEDICINE, remove the cap from the device. Tilt your head forward slightly. Carefully insert the tip of the spray container into one nostril, keeping the bottle upright. Point the tip slightly away from the nasal septum (wall between your nostrils). Using a finger from your other hand, press against the opposite nostril to close it off. Hold your breath and squeeze the spray container to release 1 spray. Continue to hold your breath for 5 seconds, then breathe out slowly through your mouth. Remove the device from your nostril. REPEAT THESE STEPS in the same nostril or in your other nostril, as directed by your healthcare provider. Do not blow your nose for 15 minutes after using this medicine. Wipe the nasal tip with a clean, dry tissue or cloth after use. Keep the device clean and dry at all times. Always replace the cap when finished. DO NOT USE THIS DEVICE with a canister of medicine from any other inhaler. Do not use the canister with a device from any other inhaler. Do not remove the canister from the device. STORE THIS MEDICINE at room temperature, between 59 and 86 degrees F (15 and 30 degrees C) in an upright position, away from heat, moisture, and light. Do not freeze. Do not expose the container to temperatures above 120 degrees F (49 degrees C). Contents are under pressure. Do not use or store near heat or open flame. Do not puncture, break, or burn the canister, even if it appears to be empty. KEEP THIS MEDICINE out of the reach of children and away from pets. THROW THE BOTTLE AWAY AFTER 120 SPRAYS (not counting the 4 sprays used to prime the device). Do not use this medicine after the device reads 0. You may no longer receive the correct amount of medicine with each spray. Do not transfer any remaining medicine to another bottle. USE THIS MEDICINE ON A REGULAR SCHEDULE to get the most benefit from it. Using this medicine at the same time each day will help you remember to use it. IF YOU MISS A DOSE OF THIS MEDICINE, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking other corticosteroid medicines (eg, prednisone). DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including a herpes infection in the eye or any other bacterial, viral, fungal, or parasitic infection; a very runny nose; active or inactive tuberculosis (TB), or if you have ever had a positive TB skin test; allergies; pregnancy; or breast-feeding. Tell your doctor if you have recently had a sore on the nasal septum (the wall between your nostrils), other nasal sores, nasal surgery, or a nasal injury. Tell your doctor if you have not had chickenpox or measles and you have not been vaccinated against them, or if you or a family member have had cataracts, increased pressure in the eyes, or glaucoma. Contact your doctor or pharmacist if you have any questions about taking this medicine.
SIDE EFFECTS that may occur while using this medicine include headache or mild nasal discomfort. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience loss of taste or smell; nasal irritation; nosebleeds or soreness; redness or white colored patches in your mouth or throat; severe or persistent nasal discomfort; shortness of breath; symptoms of infection (eg, fever; chills; aches; sore throat; unusual tiredness, nausea, or vomiting); or vision changes. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; skin redness or swelling; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness; or wheezing. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
IF OVERDOSE IS SUSPECTED, contact your local poison control center or emergency room immediately. Symptoms may include increased thirst or urination; muscle weakness; or unusual weight gain, especially in the face.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. IF YOU WILL BE USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, be sure to obtain necessary refills before your supply runs out. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.