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Asmanex Twisthaler

Genric Name: the inhalation of mometasone Inhalation of moe-MET-a-sone moe-MET-asone [ moe-MET-a-sone]
The brand names are: Asmanex Twisthaler, Asmanex HFA
The class of drug: inhaled corticosteroids

What is Asmanex?

Asmanex contains mometasone furoate, a corticosteroid medicine. Mometasone furoate stops the release of substances within the body that trigger inflammation.Asmanex helps stop asthma attacks. attacks.Asmanex is not a treatment for the symptoms of asthma that have already started.


Don't use Asmanex as a resuscitation medicine to treat asthma-related attacks. It will not be effective enough to treat asthma attacks in a timely manner. Only use inhalation medications that have fast-acting properties in the event of an attack.Get medical attention if you notice your breathing issues getting worse rapidly or if you suspect that your asthma medications are not working as they should. A higher need for medications could be an indication of an asthma attack.

Before you take this drug

You shouldn't make use of Asmanex in the event that you are allergic to mometasone or milk proteins.

To ensure that Asmanex is suitable for you, ask your doctor if you previously had:

  • Liver disease;
  • Eyes with a herpes infection;
  • Cataracts, glaucoma, or other problems with vision;
  • Low bone mineral density, osteoporosis,
  • Any illness or infection, including tuberculosis.

Inform your doctor if you are expecting. It isn't known if mometasone could affect a baby who is not yet born. If asthma is not treated or controlled during pregnancy, it could result in complications like preterm birth and eclampsia (dangerously high hypertension), which could cause medical issues for both the mother and baby. The advantages of treating asthma can outweigh any risk for the baby.It might not be safe to breastfeed when using Asmanex. Discuss with your doctor any potential risks.Don't give Asmanex to children younger than 4 years of age. Asmanex HFA should not be administered to children younger than 5.Long-term use of steroids could result in the loss of bone (osteoporosis), especially when you smoke, if you don't exercise, have sufficient calcium or vitamin D in your daily diet, or have osteoporosis in your family. Consult your doctor regarding your risk of developing osteoporosis.

How to take Asmanex?

Utilize Asmanex exactly as directed by your physician. Follow all instructions on the prescription label and go through all the medication guides or instructions sheets.Asmanex cannot be used as a cure-all medicine for asthma attacks. Use only fast-acting inhalation medication for an attack. Get medical attention if you notice that your breathing issues get worse rapidly or if you suspect the asthma medications you are taking aren't functioning as well.Be sure to read and adhere to any instructions that are included in your medication. Talk to your pharmacist or doctor for clarification if you are unsure of these directions.Asmanex is available in powdered form that comes preloaded with an inhaler device that is specially designed for use (a twisthaler). The device delivers mometasone doses in a fine spray of powder every time you inhale.It is possible that you will not taste or feel the powder inside your mouth when taking the inhaler. Don't take extra doses if you don't notice, feel, or taste the powder. Talk to your doctor or pharmacist if you believe your inhaler isn't functioning correctly.It may take as long as two weeks before symptoms begin to improve. Use the medication exactly according to the directions, and contact your physician if your symptoms don't improve after a month of therapy.To prevent thrush (a yeast infection that occurs in the throat or mouth), Cleanse your mouth and throat with clean drinking water with no swallowing after every use of your inhaler.Mometasone could reduce or suppress the immune system. This means that you could contract an infection faster.If you also take an oral steroid medication, you shouldn't stop using it abruptly. Follow your doctor's instructions on increasing your dosage.The dose you take may be altered when you undergo surgery, have a medical condition, are under stress, or have recently experienced an attack of asthma. Don't alter the dosage or frequency of your medications without your physician's guidance.If you have switched to Asmanex after taking the oral (taken by mouth) steroids, you might have to restart your oral medication if you're stressed or suffering from the symptoms of an asthma attack or medical emergency. Wear an alert medical tag or carry a card that states you may require an oral steroid during an emergency.Asthma is usually treated using a combination of several drugs. Follow all medications as prescribed by your physician. Take note of the medication guide or patient's directions that are included with every medication. Do not alter your dosage or schedule of medication without your doctor's approval.Keep Asmanex At room temperature, far from heat and moisture. When you first remove the foil pouch from the bag and take out the inhaler device, mark your date and time on the inhaler device. Dispose of the inhaler as soon as the dose counter displays "00."Make sure you keep the cap on your inhaler when it is not being used. Make sure to keep the aerosol inhaler away from flames or excessive temperatures. The canister could be able to explode if it is too hot. Don't puncture or burn an empty inhaler container.Do not clean the inhaler device or let it get wet. Make sure to clean the mouthpiece with a dry, clean cloth.

Details on dosage

Usual Adult Dose of Asmanex for Asthma—Maintenance:

Inhalation Aerosol Powder:
Treatment with bronchodilators by themselves or inhaled corticosteroids
Initial dose: 220 mcg taken orally during the evening.
Maximum dosage: 440 mcg in doses divided into 220 mg twice per day or 440 mg every day.
The previous treatment with corticosteroids orally:
Initial dose: 440 mcg taken orally, twice a day.
Maximum dose: 880 mcg
Inhalation Aerosol:
Prior treatment with corticosteroids inhaled at a medium dose
2 inhalations of 100 mg orally, twice daily
Prior treatment with high-dose inhalers and oral corticosteroids
Take two 200 mcg tablets twice daily by mouth for optimal effectiveness.Maximum dose: 800 mcg per day
Patients Currently Receiving Chronic Oral Corticosteroid Therapy:
Prednisone must be slowly weaned, starting with a minimum of one week of therapy.
Monitor for indicators of asthma-related instability, such as the airflow measurement in a series of objective tests, and for indications of adrenal insufficiency while on the taper process of steroid therapy and subsequent stopping of oral corticosteroid treatment.
Use: maintenance treatment for asthma as a preventative therapy

Usual Pediatric Dose of Asmanex for Asthma—Maintenance:

Inhalation Aerosol Powder:
Children younger than 4 years old Age: Not a valid age.
Between 4 and 11 years old
110 mg taken orally every day, at night.
12-year-olds and over:
Treatment with bronchodilators only or inhaled corticosteroids
Initial dose: 220 mcg taken orally during the evening.
Maximum dose: 440 mg in doses divided into 220 mg twice per day, or 440 mg daily.
The previous treatment with oral corticosteroids:
Initial dose: 440 mcg inhale orally twice daily.
Maximum dose: 880 mcg
Inhalation Aerosol:
Age less than 12 years Age: Not allowed at this time.
12-year-olds or older:
Treatment using inhaled corticosteroids of medium dose:
Two inhalations of 100 mcg orally, twice daily
Prior treatment with high-dose inhalers as well as oral corticosteroids
Take two doses of 200 micrograms twice daily by mouth inhalation or sublingual ingestion, before bed.Maximum dose: 800 mcg per day
Patients Currently Receiving Oral Corticosteroid Therapy:Prednisone must be slowly weaned, beginning with at least one week of therapy with this medication.
Watch for indications of asthma-related instability, such as the airflow measurement in a series of objective tests, and for any signs of adrenal deficiency during the taper of steroids and after stopping oral corticosteroid treatment.

What happens if I miss the dose?

Take the medication as quickly as you are able, but do not miss your missed dosage if you are close to the time for the next dose. Don't take two doses at once.

What happens if I overdose?

For medical emergencies, seek emergency medical attention or contact the Poison Help Line toll-free at 1-800-222-1222.

What should be avoided?

Beware of those with illnesses or suffering from infections. Consult your doctor to get preventive treatment in the event that you have been infected with chickenpox, as well as measles. These diseases can be severe or even fatal to those who take Asmanex.Asmanex adverse reactionsTake immediate medical attention. Get medical attention immediately if you show symptoms that indicate an allergy reaction with Asmanex: hives, breathing difficulties, or swelling of your lips, face, tongue, throat, or face.

Contact your doctor immediately. If you are suffering from:

  • Wheezing, choking, or having other breathing issues after the use of this medication.
  • Blurred vision blurred vision, pain, or seeing halos around light sources;
  • The symptoms of asthma are getting worse.
  • Symptoms of infection include fatigue, fever, body aches, pain, chills, and fever;
  • Indications of thrush (a fungal infection) sores or white spots in your throat or mouth; trouble swallowing;
  • Symptoms of adrenal gland hormones that are low fatigue, extreme weakness, nausea, vomiting, and a feeling of lightheadedness (like it's possible to faint);

Mometasone can affect the growth of children. Consult your physician when your child isn't growing normally when taking asmanex.

Common side effects of asmanex include:

  • Fungal infection;
  • More symptoms of sinus allergies (runny nose and stuffy nose sinus discomfort), sore throat, and nosebleeds;
  • Headache;
  • Bone or muscle pain or lower back pain;
  • Flu symptoms;
  • Indigestion, upset stomach;
  • Menstrual pain
  • Hoarseness or a deep voice

This list does not constitute an exhaustive account of potential side effects.. Other effects may also be present. Consult your physician to seek medical advice on adverse effects. You can report any symptoms to the fda at 1-800-fda-1088.

Interaction with other drug

It is sometimes not safe to take certain medications simultaneously. Certain medications can alter the blood levels of the other drugs that you are taking. This could create side effects or render the drugs less effective.

Inform your doctor of any medications taken outside the prescribed regimen, such as:

  • Nefazodone;
  • Is an anti-biotic such as clarithromycin and telithromycin;
  • Antifungal medicine: itraconazole, ketoconazole;
  • An antidepressant drug;
  • Antiviral medicine to treat hiv/aids: atazanavir, cobicistat, indinavir, nelfinavir, ritonavir, and saquinavir.

This list isn't complete. Other drugs can be incompatible with mometasone, such as prescription and over-the-counter medicines, vitamins, and herbal products. There are many possible interactions between drugs. are listed here.