Generic Name: ciclesonide nasal (sik le SON ide)
Brand Names: Omnaris, Zetonna

What is Omnaris?

Omnaris (ciclesonide) is a man-made steroid that prevents the release of substances in the body that cause inflammation.

Omnaris nasal spray is used to treat nasal symptoms (congestion, sneezing, runny nose) caused by seasonal allergies in adults and children as young as 6 years old. Omnaris is also used to treat nasal symptoms caused by year-round allergies in adults and children who are at least 12 years old.

Omnaris may also be used for purposes not listed in this medication guide.

Important information

Before using Omnaris, tell your doctor if you have asthma, glaucoma, tuberculosis or other infection of the lungs, an open sore inside your nose, or a recent nose injury or surgery. Tell your doctor if you are or have been using any other steroid medications: oral, inhaled, or injected.

Omnaris comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

It may take 1 to 2 days before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 2 to 5 weeks of treatment.

Slideshow: 2014 Update - First Time Brand-to-Generic Switches

If you stopped using another steroid medication when you started using Omnaris, you may have steroid withdrawal symptoms. These symptoms include joint or muscle pain, depression, and weakness. Do not stop using any steroid medication without first talking to your doctor. You may need to use less and less before you stop the medication completely.

Although it is not likely that your body will absorb enough ciclesonide, when receiving doses of Omnaris nasal spray, to cause serious side effects, tell your doctor if you have any steroid-related symptoms such as irregular menstrual periods, acne, increased hair growth, swelling, rapid weight gain, roundness of the face, increased sweating, depression, anxiety, or unusual thoughts or behavior.

Call your doctor at once if you have sores or white patches inside or around your nostrils, or if you have any vision problems, such as tunnel vision.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using steroid medication.

Before using this medicine

You should not use Omnaris if you are allergic to ciclesonide.

To make sure Omnaris is safe for you, tell your doctor if you have:

  • asthma, tuberculosis, or other lung problems;

  • any type of infection caused by bacteria, virus, fungus, or parasites;

  • glaucoma, cataracts, or herpes infection of the eyes;

  • a sore inside your nose that has not yet healed;

  • a recent nose injury or surgery; or

  • if you have recently used any other steroid medicine (methylprednisolone, prednisone, beclomethasone, fluticasone, dexamethasone, and others).

It is not known whether Omnaris will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether ciclesonide nasal passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using Omnaris.

How should I use Omnaris?

Use Omnaris exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

If you switched to ciclesonide from another steroid medicine, do not stop using the other steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about tapering your steroid dose before stopping completely.

The usual dose of Omnaris is 2 sprays in each nostril once daily. Carefully follow your doctor's dosing instructions.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Shake the Omnaris bottle well just before each use.

To use the Omnaris nasal spray:

  • Blow your nose gently. Keep your head upright and insert the tip of bottle into one nostril. Press your other nostril closed with your finger. Breathe in quickly and gently spray the medicine into your nose. Then use the spray in your other nostril.

  • Do not blow your nose for at least a few minutes after using the nasal spray.

  • Do not use the nasal spray more than once in a 24-hour period.

  • If the spray gets in your eyes or mouth or on your skin, rinse with water.

It may take up 2 to 5 weeks before your symptoms improve. Call your doctor if your symptoms do not improve, or if they get worse.

If you use this medicine long-term, you may need frequent eye exams.

Store Omnaris nasal spray an upright position at room temperature, away from moisture and heat. Do not allow the medicine to freeze. Keep the spray bottle clean and dry.

Throw away the Omnaris nasal spray after you have used 120 sprays or 4 months after removing the bottle from the foil pouch, even if there is still medicine left in the bottle.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while using Omnaris?

Avoid getting this medicine in your eyes. If this does happen, rinse with water and call your doctor.

Steroid medicine can weaken your immune system. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using Omnaris.

Omnaris side effects

Get emergency medical help if you have signs of an allergic reaction to Omnaris: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Nasal steroid medicine can be absorbed into your bloodstream, which may cause steroid side effects throughout the body. Tell your doctor if you have:

  • weight gain (especially in your face or your upper back and torso);

  • slow wound healing, thinning skin, increased body hair;

  • irregular menstrual periods, changes in sexual function; or

  • muscle weakness, tired feeling, depression, anxiety, feeling irritable.

Call your doctor at once if you have:

  • runny or bloody nose, crusting inside the nose, whistling sound when you breathe;

  • sores or white patches in or around your nostrils;

  • fever, chills, body aches, nausea, vomiting;

  • blurred vision, tunnel vision, eye pain, seeing halos around lights; or

  • signs of a hormonal disorder - worsening tiredness or weakness, feeling light-headed, vomiting, loss of appetite, diarrhea, and weight loss.

Common Omnaris side effects may include:

  • headache, dizziness;

  • nosebleed, nasal irritation;

  • stuffy nose, sore throat; or

  • ear pain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Omnaris?

Other drugs may interact with ciclesonide nasal, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Where can I get more information?

  • Your pharmacist can provide more information about Omnaris.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Omnaris only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date, and complete, but no guarantee is made to that effect. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2015 Cerner Multum, Inc. Version: 3.01. Revision Date: 2015-01-14, 12:55:20 PM.

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