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NASACORT 55 MICROGRAMS/DOSE NASAL SPRAY SUSPENSION

Active substance(s): TRIAMCINOLONE ACETONIDE / TRIAMCINOLONE ACETONIDE / TRIAMCINOLONE ACETONIDE

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PACKAGE LEAFLET: INFORMATION FOR THE USER
Nasacort® 55 micrograms/dose, nasal spray, suspension
(triamcinolone acetonide)
Your medicine is known as the above but will be referred to as
Nasacort throughout the remainder of this leaflet.
Read all of this leaflet carefully before you start using this
medicine because it contains important information for you.
 Keep this leaflet. You may need to read it again.
 If you have any further questions, ask your doctor or pharmacist.
 This medicine has been prescribed for you only. Do not pass it
on to others. It may harm them, even if their signs of illness are
the same as yours.
 If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. See
Section 4
What is in this leaflet
1. What Nasacort is and what it is used for
2. What you need to know before you use Nasacort
3. How to use Nasacort
4. Possible side effects
5. How to store Nasacort
6. Contents of the pack and other information
1. What Nasacort is and what it is used for
Nasacort contains a medicine called triamcinolone acetonide. This
belongs to a group of medicines called corticosteroids which means
it is a type of steroid. It is given as a spray in the nose to treat the
nasal symptoms of allergic rhinitis.
Nasal symptoms of allergy include sneezing, itching, and having a
blocked, stuffy or runny nose. These can be caused by things such
as:
 Animal fur or house dust mites. This type of allergy can happen
at any time of the year and is called ‘perennial allergic rhinitis’.
 Pollen. This type of allergy, such as hay fever, can be caused by
different pollens in different seasons of the year. This is called
‘seasonal allergic rhinitis’.
This medicine only works if used on a regular basis and may not
help your symptoms straight away. It helps some people within the
first day of treatment, however, for other people it may take 3 to 4
days to feel a relief.
2. What you need to know before you use Nasacort
Do not use Nasacort:
If you are allergic to triamcinolone acetonide or any of the other
ingredients of this medicine (listed in section 6)
Signs of an allergic reaction to Nasacort include: a rash (hives),
itching, swallowing or breathing problems, swelling of your lips,
face, throat or tongue.
Warning and precautions
Talk to your doctor or pharmacist before using Nasacort:
If you have any infection of the nose or throat that is not treated.
If you get a fungal infection while using Nasacort, stop using the
spray until the infection has been treated.
If you have recently had a nose operation, or had an injury or
ulcer in the nose.
If you are being transferred from steroid injections or tablets to
Nasacort spray.
If you have had glaucoma or cataracts
If you are not sure if any of the above apply to you, talk to your
doctor or pharmacist before using this medicine.
Children (under 6 years)
This medicine is not recommended for use in children under 6 years
of age.
Operations or times of stress
Your doctor may advise you to take a higher than normal dose of
this medicine for medical reasons. If your dose is increased, tell your
doctor if you are going to have an operation or are feeling unwell.
This is because higher than normal doses of this medicine can lower
your body's ability to heal or cope with stress. If this happens, your
doctor may decide you need further treatment with another medicine
to help.

Other medicines and Nasacort
Tell your doctor or pharmacist if you are taking, have recently taken
or might take any other medicines. This is because Nasacort can
affect the way some other medicines work. Also some medicines
can affect the way Nasacort works.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or
are planning to have a baby, ask your doctor or pharmacist for
advice before taking this medicine.
Driving and using machines
Nasacort has no or negligible influence on the ability to drive or use
machines.
Nasacort contains benzalkonium chloride which can be an
irritant and may cause skin reactions.
3. How to use Nasacort
NASACORT is for nasal use only.
Always use this medicine exactly as your doctor has told you. Check
with your doctor or pharmacist if you are not sure. The medicine
only works if it is used regularly. It can take 3 to 4 days before you
notice your symptoms getting better.
How much Nasacort to use
Adults and children (over 12 years)
 The usual starting dose is 2 sprays in each nostril each day
 Once the symptoms of allergy are under control, the dose may
be lowered to 1 spray in each nostril each day
Children (6 to 12 years)
 The usual dose is 1 spray in each nostril each day
 If the symptoms do not go away, then the dose may be
increased to 2 sprays in each nostril each day
 The dose can then be lowered again to 1 spray in each nostril
each day
 Do not use Nasacort for more than 3 months in children under
12 years old
How to use the spray
Before using your nasal spray, blow your
nose gently to clear your nostrils.
1. Preparing the bottle
 Remove the blue cover by pulling
upwards
 Pull off the blue plastic clip
 Shake the bottle gently before use
2. If you are using the spray for the first time
 Hold the bottle upright
 Point the spray away from you while
doing this
 Fill the pump with spray by pressing the
nozzle downwards.
This is called priming
 Press and release it 5 times
 Do this until a fine spray is produced
 The spray is now ready to use
3. Using the spray
 Close one nostril with your finger
 Hold the bottle upright and put the nozzle
into the other nostril as far as is
comfortable
 Breathe in gently through your nose with
your mouth closed
 While you are doing this, press the nozzle
to deliver one spray
4. Then breath out through your mouth
5. Repeat steps 3 and 4 if you have to spray again in the same
nostril and for the other nostril

6. After using the spray
 To keep the spray nozzle clean, wipe it carefully with a clean
tissue or handkerchief after each use
 Press the blue plastic clip back into place to stop accidental
release of the spray
 Replace the blue cover over the nozzle
If the nasal spray has not been used for more than 2 weeks:
 It needs to be primed again, to fill the nozzle with the spray
 The nozzle should be pointed away from you while you are
doing this
 To prime, spray into the air once before use
 Always shake the bottle gently before use
Cleaning the spray
If the spray does not work, the nozzle may be blocked. Never try to
unblock it or enlarge the tiny spray hole with a pin or other sharp
objects. This is because it can stop the spray from working.
The nasal spray should be cleaned at least once a week. It can be
cleaned more often if it gets blocked.
Instructions for cleaning the spray:
1. Remove the blue cover
2. Gently pull off the spray nozzle only
3. Soak the blue cover and spray nozzle in
warm water for a few minutes
4. Rinse under the cold running tap water
5. Shake or tap to remove any water that is
left
6. Allow to dry in the air
7. Re-fit the spray nozzle
8. Prime the nasal spray until a fine mist is
formed
9. Use as normal
If you use more Nasacort than you should
It is important that you take your dose as stated on the pharmacist's
label or as advised by your doctor. You should use only as much as
your doctor recommends; using more or less may make your
symptoms worse.
An overdose is unlikely to cause problems, however, if you have
taken the entire contents of the bottle by mouth you may have
stomach or gut discomfort. Talk to a doctor if you use more
Nasacort than you should.
If you forget to use Nasacort
If you have forgotten to use Nasacort, use it as soon as you
remember. Do not use a double dose to make up for a forgotten
dose.
If you stop using Nasacort
If you stop using this medicine, your symptoms may return within a
few days.
If you have any further questions on the use of this medicine, ask
your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although
not everybody gets them.
Stop using Nasacort and see a doctor or go to a hospital straight
away if:
 you have an allergic reaction to Nasacort. The signs (frequency
not known) may include: a rash (hives), itching, swallowing or
breathing problems, swelling of your lips, face, throat or tongue.
Common side effects (may affect up to 1 in 10 people)
 Runny nose, headache, sore throat and/or cough
 Nosebleeds
 Inflammation/irritation of the airways (bronchitis)
 Heartburn or indigestion
 Flu-like symptoms (fever, muscle pain, weakness and/or fatigue)
 Problems with teeth

Other side effects
(Not known: frequency cannot be estimated from the available data)
 Irritation and dryness on the inside of your nose
 Sinuses become congested or blocked
 Sneezing
 Changes in the way things taste or smell
 Feeling sick (nausea)
 Sleeping problems, feeling dizzy or tired
 Shortness of breath (dyspnoea)
 A decrease in the levels of cortisol in the blood (lab value)
 Cloudiness of the lens in the eye (cataract), elevated pressure
inside the eyeball (glaucoma)
In some people, Nasacort can cause damage to the middle part of
the inside of the nose (called ‘nasal septum’). Discuss any worries
you may have about this with your doctor or pharmacist.
Additional side effects in Children
If your child has been using this medicine, it can affect how fast your
child grows. This means that your doctor will need to regularly check
your child's height and therefore your doctor may lower the dose. In
addition, your doctor may consider referring your child to a
paediatric specialist.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse.
This includes any possible side effects not listed in this leaflet. You
can also report side effects directly (see details below). By reporting
side effects you can help provide more information on the safety of
this medicine. Yellow Card Scheme at: www.mhra.gov.uk/
yellowcard
5. How to store Nasacort
KEEP OUT OF THE SIGHT AND REACH OF CHILDREN
Do not use the expiry date which is stated on the bottle and
carton after "Expiry date". The expiry date refers to the last day of
that month.
Do not store above 25°C.
Use within 2 months of opening
Medicines should not be disposed of via wastewater or household
waste. Ask your pharmacist how to dispose of medicines no longer
required. These measures will help to protect the environment.
6. Contents of the pack and other information
What Nasacort contains
The active substance is triamcinolone acetonide. One delivered
dose contains 55micrograms of triamcinolone acetonide.
The other ingredients are microcrystalline cellulose and carmellose
sodium (dispersible cellulose), polysorbate 80, purified water,
anhydrous glucose, benzalkonium chloride (50% w/v solution),
disodium edetate and hydrochloric acid or sodium hydroxide (for
pH-adjustment).
What Nasacort looks like and contents of the
pack
Nasacort is a nasal spray suspension. It comes in
a white plastic bottle which has a pump to spray
Nasacort into your nostril through the spray
nozzle. The bottle has a protective blue cover to
keep the nozzle clean and a blue plastic clip to
stop it from spraying accidentally.
This one spray bottle holds 120 sprays (16.5g of
suspension which contains 9.075 mg
triamcinolone acetonide).
Manufactured by:
Aventis Pharma Limited, 72 London Road, Holmes Chapel, Crewe,
Cheshire CW4 8BE, United Kingdom.
Product Licence Holder:
Procured from within the EU and repackaged by the Product
Licence holder: G-Pharma Ltd., Dakota Avenue, Salford M50 2PU.
PL: 16369/1614

POM

Date of revision: 09/12/2014
Nasacort is a registered trademark of Aventis Pharma

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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