Veramyst

Pronunciation

Generic Name: fluticasone nasal (floo TIK a sone)
Brand Names: Flonase, Veramyst

What is Veramyst?

Veramyst is a nasal spray containing fluticasone. It prevents the release of substances in the body that cause inflammation.

Veramyst nasal spray is used to treat nasal symptoms such as congestion, sneezing, and runny nose caused by seasonal or year-round allergies. Veramyst is for use in adults and children who are at least 2 years old.

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

Important information

You should not use Veramyst nasal spray if you are allergic to fluticasone nasal, or if you are also taking ritonavir (Norvir, Kaletra).

Before using Veramyst, tell your doctor if you have glaucoma or cataracts, liver disease, diabetes, herpes simplex virus of your eyes, tuberculosis or any other infection, sores or ulcers inside your nose, or if you have recently had injury of or surgery on your nose.

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

It may take up to several days of using Veramyst nasal spray before your symptoms improve. Tell your doctor if your symptoms do not improve after a week of treatment.

Veramyst can lower blood cells that help your body fight infections. 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 Veramyst.

Throw the medication away after you have used 120 sprays, even if there is still medicine left in the bottle.

Do not give this medicine to a child younger than 2 years old without medical advice. Steroid medication can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using Veramyst.

Before using Veramyst

You should not use Veramyst if you are allergic to fluticasone nasal, or if you are also taking ritonavir (Norvir, Kaletra).

To make sure you can safely use Veramyst , tell your doctor if you have any of these other conditions:

  • glaucoma or cataracts;

  • liver disease;

  • herpes simplex virus of your eyes;

  • tuberculosis or any other infection or illness;

  • sores or ulcers inside your nose; or

  • if you have recently had injury of or surgery on your nose.

Also tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.

FDA pregnancy category C. It is not known whether Veramyst will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether fluticasone passes into breast milk or if it could harm a nursing baby. Do not use Veramyst without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 2 years old without medical advice. Steroid medication can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using Veramyst. Do not share this medication with other people, even if they have the same symptoms you have.

See also: Pregnancy and breastfeeding warnings (in more detail)

How should I use Veramyst?

Use Veramyst 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.

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

Before using the Veramyst nasal spray for the first time, you must prime the spray pump. Shake the medicine well and spray 6 test sprays into the air and away from your face. Prime the spray pump any time you have not used your nasal spray for longer than 30 days, or if you have left the cap off for 5 days or longer. Spray until a fine mist appears.

If you have switched to Veramyst from using any other steroid medication, do not stop using the other medicine without first talking to your doctor. You may need to use less and less before you stop using the other medicine completely.

The usual dose of Veramyst is 1 to 2 sprays into each nostril once per day. Your doctor may change your dose after your symptoms improve.

Shake the Veramyst bottle well just before each use.

It may take up to several days before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after a week of treatment.

Veramyst can lower blood cells that help your body fight infections. Tell your doctor at once if you develop signs of infection.

To be sure Veramyst is not causing harmful effects on your nose or sinuses, your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

Store Veramyst in an upright position at room temperature, away from moisture and heat. Throw the medication away after you have used 120 sprays, 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.

An overdose of Veramyst is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid?

Avoid getting the spray in your eyes or mouth. If this does happen, rinse with water. 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 Veramyst.

Veramyst side effects

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

Call your doctor at once if you have a serious side effect such as:

  • severe or ongoing nosebleeds;

  • noisy breathing, runny nose, or crusting around your nostrils;

  • redness, sores, or white patches in your mouth or throat;

  • fever, chills, weakness, nausea, vomiting, flu symptoms;

  • any wound that will not heal; or

  • blurred vision, eye pain, or seeing halos around lights.

Less serious Veramyst side effects may include:

  • headache, back pain;

  • minor nosebleed;

  • menstrual problems, loss of interest in sex;

  • sinus pain, cough, sore throat; or

  • sores or white patches inside or around your nose.

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 Veramyst?

Tell your doctor about all other medicines you use, especially:

  • conivaptan (Vaprisol);

  • imatinib (Gleevec);

  • isoniazid (for treating tuberculosis);

  • nefazodone;

  • an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);

  • antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);

  • heart or blood pressure medication such as nicardipine (Cardene) or quinidine (Quin-G);

  • HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), or saquinavir (Invirase).

This list is not complete and other drugs may interact with Veramyst. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about Veramyst.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Veramyst 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. Drug information contained herein may be time sensitive. 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 absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.

Copyright 1996-2014 Cerner Multum, Inc. Version: 7.01. Revision Date: 2011-12-14, 2:45:41 PM.

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