Generic Name: ciclesonide (sye-KLES-oh-nide)
Brand Name: Zetonna
Ciclesonide aerosol is used for:
Treating nasal allergy symptoms, such as congestion, sneezing, itching, and runny nose.
Ciclesonide aerosol is a corticosteroid. It works by reducing nasal inflammation caused by allergens in the air.
Do NOT use ciclesonide aerosol if:
- you are allergic to any ingredient in ciclesonide aerosol
- you have recently had an open sore in your nose, nasal surgery, or a nasal injury and it has not healed yet
Contact your doctor or health care provider right away if any of these apply to you.
Before using ciclesonide aerosol:
Some medical conditions may interact with ciclesonide aerosol. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have recently had an open sore or ulcer in your nose, nasal surgery, or a nasal injury
- if you have active or inactive tuberculosis (TB) or you have had a positive skin test for TB
- if you have any type of infection (eg, bacterial, fungal, parasitic, viral), including measles, chickenpox, or herpes infection in or around the eye
- if you have recently received a vaccination
- if you have not had chickenpox or measles and you have not been vaccinated against them
- if you have a history of asthma, glaucoma or increased pressure in the eye, or cataracts
- if you have a medical condition requiring long-term use of corticosteroids (eg, prednisone)
Some MEDICINES MAY INTERACT with ciclesonide aerosol. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Azole antifungals (eg, ketoconazole), delavirdine, or protease inhibitors (eg, boceprevir, ritonavir) because they may increase the risk of ciclesonide aerosol's side effects
This may not be a complete list of all interactions that may occur. Ask your health care provider if ciclesonide aerosol may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use ciclesonide aerosol:
Use ciclesonide aerosol as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with ciclesonide aerosol. Talk to your pharmacist if you have questions about this information.
- Avoid spraying ciclesonide aerosol into your eyes or directly onto the nasal septum (the wall between your nostrils).
- You will need to prime ciclesonide aerosol before you use it for the first time. To prime ciclesonide aerosol, spray 3 test sprays into the air away from your face. You will need to re-prime the medicine if it is not used for 10 days or longer.
- To use ciclesonide aerosol, gently blow your nose. Remove the purple plastic dust cap. Sit down and tilt your head back slightly. Place the tip of the spray container into the nose, pointing it toward the outside nostril wall away from the nasal septum. Using a finger from your other hand, press against the opposite nostril to close it off. Breathe in gently through the open nostril and press down on the canister. Hold your breath for a few seconds then breathe out slowly through your mouth. If your dose requires 2 sprays, repeat these steps for the other nostril. After using the medicine, wipe the nozzle with a clean, dry tissue or cloth and replace the cap.
- Do not use more than 1 spray in each nostril daily.
- Do not blow your nose for 15 minutes after using ciclesonide aerosol.
- If ciclesonide aerosol is dropped and comes apart, put the canister and actuator back together and test spray in the air once before using.
- Throw the bottle away after 60 sprays (not counting the 3 sprays used to prime the pump) or when the display window shows a red color and the dose indicator reads zero. You may no longer receive the correct amount of medicine with each spray. Do not transfer any remaining medicine to another bottle.
- Clean the inside of the outside of the nose piece once a week with a clean, dry tissue or cloth. Do not wash or put any part of ciclesonide aerosol in water.
- Do not use or store ciclesonide aerosol near heat or an open flame.
- Use ciclesonide aerosol on a regular schedule to get the most benefit from it. Using ciclesonide aerosol at the same time each day will help you remember to use it.
- Continue to use ciclesonide aerosol even if you feel well. Do not miss any doses.
- If you miss a dose of ciclesonide aerosol, 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.
Ask your health care provider any questions you may have about how to use ciclesonide aerosol.
Important safety information:
- Ciclesonide aerosol is for use in the nose only. Do not get it in your eyes or mouth. If you get it in either of these areas, rinse right away with cool water.
- Do NOT use more than the recommended dose or use more often than prescribed without checking with your doctor.
- Symptoms may start to improve within 1 to 2 days after you begin to use ciclesonide aerosol; however, the full benefit may not be seen for several weeks. If your symptoms do not improve after several weeks or if they become worse, check with your doctor.
- Serious side effects may occur if too much of ciclesonide aerosol is used. These effects may also occur in certain patients at the recommended dose. The risk is greater in children. Do not use more than the prescribed dose. Contact your doctor right away if you develop unusual weight gain (especially in the face), muscle weakness, increased thirst or urination, confusion, unusual drowsiness, severe or persistent headache, anxiety, depression, irritability, or vision changes. Discuss any questions or concerns with your doctor.
- Tell your doctor or dentist that you take ciclesonide aerosol before you receive any medical or dental care, emergency care, or surgery.
- If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Tell your doctor right away if you are exposed to anyone who has these infections.
- If you use ciclesonide aerosol for a long period of time (eg, several months), your doctor may need to perform nasal check-ups to check for side effects such as infection.
- Ciclesonide aerosol should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.
- Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use ciclesonide aerosol.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using ciclesonide aerosol while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use ciclesonide aerosol, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of ciclesonide aerosol:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Headache; mild nose or throat irritation; minor nosebleed.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness); crusting in the nose; dizziness; redness or white patches in the mouth, nose, or throat; severe or persistent nose or throat irritation; severe or persistent pain in the nose or throat; severe, persistent, or repeated nosebleed; shortness of breath; slow wound healing; sores in the nose; symptoms of infection (eg, fever, chills, persistent cough or sore throat); unexplained runny nose; unusual nausea or vomiting; unusual tiredness or weakness; vision changes; whistling sound when you breathe.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.Proper storage of ciclesonide aerosol:
Store ciclesonide aerosol at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Do not expose to temperatures above 120 degrees F (49 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Do not puncture, break, or burn the canister even if it appears to be empty. Keep ciclesonide aerosol out of the reach of children and away from pets.
- If you have any questions about ciclesonide aerosol, please talk with your doctor, pharmacist, or other health care provider.
- Ciclesonide aerosol is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take ciclesonide aerosol or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about ciclesonide aerosol. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to ciclesonide aerosol. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using ciclesonide aerosol.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.