Mometasone nasal (Nasonex)

uses

What is nasal mometasone used for?Nasal mometasone is commonly used to treat the following.Symptoms of seasonal allergic rhinitis, such as stuffy nose, runny nose, and sneezingSinus inflammation with nasal polyps (chronic rhinosinusitis)Nasal mometasone may also be used for other conditions as determined by your health care provider.How does nasal mometasone work (mechanism of action)?Mometasone is a corticosteroid. It reduces inflammation in your nasal passages. This may help it reduce allergy symptoms.How is nasal mometasone supplied (dosage forms)?Brands and other namesNasonexDosage forms and strengths50 mcg per nasal spray How should I store nasal mometasone?Nasal mometasone should be stored at room temperature, between 68 F to 77 F (20 C to 25 C). It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C) for shorter periods of time, such as when transporting it. Store in a cool, dry place. Protect it from light.

how to use

nasal spray

drug interactions

Does nasal mometasone interact with foods or drinks?There are no known interactions between nasal mometasone and foods or drinks.It is unknown if drinking alcohol will affect nasal mometasone.Does nasal mometasone interact with other medicines (drug interactions)?Always tell your health care provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.In particular, make sure that you discuss if you are using any of the following before using nasal mometasone.A corticosteroid, such as dexamethasone, methylprednisolone, or prednisone, which is a medicine for certain inflammatory conditions, asthma, or COPD Any medicine with cobicistat in it or a protease inhibitor, such as atazanavir (Reyataz), nelfinavir (Viracept), or ritonavir (Norvir), which are commonly used to treat HIV or AIDSItraconazole (Sporanox, Tolsura) or ketoconazole, which are used for fungal infectionsClarithromycin, which is a medicine used for bacterial infectionsNefazodone, which is a medicine used to treat depressionSome other medicines may alter the blood levels of nasal mometasone. Tell your health care provider about all medicines that you take or have recently taken.This may not be a complete list of medicines that can interact with nasal mometasone. Always check with your health care provider.

side effects

What are the most common side effects of nasal mometasone?The most common side effects of nasal mometasone are listed below. Tell your health care provider if you have any of these side effects that bother you.HeadacheInfection with a virusSore throatNosebleedsCoughThere may be other side effects of nasal mometasone that are not listed here. Contact your health care provider if you think you are having a side effect of a medicine. In the U.S., you can report side effects to the FDA at www.fda.gov/medwatch or by calling 800-FDA-1088. In Canada, you can report side effects to Health Canada at www.health.gc.ca/medeffect or by calling 866-234-2345.What are the serious side effects of nasal mometasone?While less common, the most serious side effects of nasal mometasone are described below, along with what to do if they happen.Severe Allergic Reactions. Nasal mometasone may cause allergic reactions, which can be serious. Stop using nasal mometasone and get help right away if you have any of the following symptoms of a serious allergic reaction.Breathing problems or wheezingRacing heartFever or general ill feelingSwollen lymph nodesSwelling of the face, lips, mouth, tongue, or throatTrouble swallowing or throat tightnessItching, skin rash, or pale red bumps on the skin called hivesNausea or vomitingDizziness, feeling lightheaded, or faintingStomach crampsJoint painNasal Problems. Nasal mometasone may cause severe problems with your nasal passages, such as sores in your nose (nasal ulceration) and nasal septal perforation, which is a hole in the cartilage that separates your nostrils. Tell your health care provider right away if you have any of the following symptoms of nasal problems.Crusting in your noseNosebleedsRunny noseWhistling sound when you breatheEye Problems. Nasal mometasone may increase pressure inside the eye and cause or worsen narrow-angle glaucoma, which can lead to blindness. It can also cause cataracts (clouding of the eye lens). It is important to have regular eye exams while using nasal mometasone. Tell your health care provider right away if you have any of the following symptoms of glaucoma or cataracts.Loss of vision or vision changesEye pain or rednessSevere headache or vomitingVision that is cloudy, blurry, foggy, or filmySeeing bright, colorful circles around lights (vision halos)Infections. Nasal mometasone can increase your risk of infections, including serious infections. Call your health care provider right away if you have an infection or any of the following symptoms.Burning or stinging when you pee Cough or coughing up bloodFever, sweats, chills, or muscle achesShortness of breathDiarrhea or stomach painWeight lossWhite patches or redness in your nose or throatIncreased Stress Hormone (Hypercorticism). Long-term use of nasal mometasone can lead to hypercorticism, a condition when your body has too much stress hormone, also called cortisol. Call your health care provider if you have any of the following symptoms of increased stress hormone.AcneEasy or frequent bruisingMore or thicker hair on your body and faceRounded or moon-like face Ankle swellingHump or a fatty pad between your shoulders Stretch marks on your stomach, thighs, breasts, or armsReduced Adrenal Function. Long-term use of nasal mometasone can cause your body’s adrenal glands to stop making as much cortisol (the stress hormone). This is known as adrenal insufficiency. This is especially a concern if you have been taking a corticosteroid by mouth, such as prednisone, and you stop it and switch to nasal mometasone. Adrenal insufficiency can get worse if your body is under stress because of fever, surgery, or trauma. Tell your health care provider if you have any of the following symptoms of adrenal insufficiency.Nausea and vomitingWeakness, tiredness, or lack of energyLow blood pressureSlowed Growth in Children. Nasal mometasone may slow down growth in children and adolescents who are still growing. Talk with the health care provider if you have any concerns about how your child is growing.

overdose and misseddose

What should I do if I accidentally use too much nasal mometasone?If you or someone else has used too much nasal mometasone, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222.What should I do if I miss a dose of nasal mometasone?If you miss a dose, use it as soon as you remember as long as it is the same day as the missed dose. Do not use double or extra doses.

warnings and Precautions

Who should not use nasal mometasone?Allergies to Ingredients. People who are allergic to any of the following should not use nasal mometasone.MometasoneNasonexAny of the ingredients in the specific product dispensedYour pharmacist can tell you all of the ingredients in the specific nasal mometasone products they stock.What should I know about nasal mometasone before using it?If nasal mometasone was prescribed to you by a health care provider, use it as prescribed. If you are using over-the-counter nasal mometasone, follow the instructions that come with the product. Ask your pharmacist or other health care provider to show you how to correctly use, prime, and clean nasal mometasone. Follow the “Instructions for Use” or any patient information that comes with it. For best results, use nasal mometasone regularly.Do not share nasal mometasone with other people, even if they have the same condition as you. Sharing a nasal spray can spread germs or may cause harm.Keep nasal mometasone out of the reach of children. If a young child is prescribed nasal mometasone, an adult should help them use it. Nasal mometasone is only for use in your nose. Do not spray it into your eyes or mouth.Avoid spraying nasal mometasone directly on the wall between your two nostrils (nasal septum). This helps get more of the medicine where it needs to be so it can work well. Shake nasal mometasone well before each use. This helps to make sure you get the right amount of medicine each time.What should I tell my health care provider before using nasal mometasone?Tell your health care provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them determine if nasal mometasone is right for you.In particular, make sure that you discuss any of the following.Current and Past Health Conditions. Tell your health care provider if you have any of the following.Nose sores (nasal ulcers), nasal surgery, or an injury to your noseEye infections or vision problems, such as blurry vision, cataracts, or glaucomaHave been near someone who has chickenpox or measlesTuberculosisCurrent infections that have not been treated, including a herpes eye infectionOther Medicines and Supplements. Nasal mometasone may interact with other medicines and supplements. Before using nasal mometasone, tell your health care provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details.Pregnancy. It is not known if or how nasal mometasone could affect pregnancy or harm an unborn baby. Tell your health care provider if you are or plan to become pregnant. Your health care provider will advise you if you should use nasal mometasone while you are pregnant or trying to get pregnant. Breastfeeding. It is not known if nasal mometasone passes into breast milk. Tell your health care provider if you are breastfeeding or plan to breastfeed. Your health care provider will advise you if you should use nasal mometasone while breastfeeding.

about

Nasal mometasone steroid nasal spray is used to treat sinus inflammation and symptoms of seasonal allergic rhinitis, such as stuffy nose, runny nose, and sneezing. Common side effects include headache, infection with a virus, and sore throat. Serious side effects are less common but can include nasal problems, eye problems such as cataracts and glaucoma, or infections. Contact your health care provider right away if you notice any vision changes, easy bruising, or think you have an infection while using nasal mometasone.