What is Zetonna?
Zetonna (ciclesonide nasal spray) is part of a group of medicines known as corticosteroids. Ciclesonide acts by slowing the release of substances within the body that can create inflammation (swelling that may cause various signs) in the nasal passages.
Zetonna nasal spray can be used for treating nasal issues (congestion, nasal stuffiness, sneezing). Itchy nasal discharge) due to seasonal allergies in adults as well as children aged 12 years and over.Zetonna can also be used to treat nasal problems due to perennial allergies (which occur throughout the year) in children and adults that are at least 12 years old.
Warnings
Before using the Zetonna nasal spray, inform your doctor if you suffer from tuberculosis, asthma, glaucoma, or any other lung infections and have an open sore within your nostril, recent nose surgery, or an injury. Talk to your doctor if you use or have used any other steroid medication, such as inhaled, oral, or injectable.
Zetonna includes patient guidelines to ensure safe and effective use. Follow these instructions carefully. Talk to your pharmacist or doctor about any additional concerns.It could take between one and two days before your symptoms begin to improve. Use Zetonna according to the directions and inform your physician if your symptoms don't improve after 2–5 months of therapy.
If you stopped using a different steroid medication after you began using Zetonna, You may experience withdrawal symptoms from steroids. The symptoms could include muscle or joint discomfort, depression, and weakness. Don't stop taking any medication containing steroids without first speaking with your doctor. You might need to take less and less until you are done with Zetonna completely.
Although it is unlikely that your body is able to absorb enough ciclesonide while taking doses of Zetonna nasal spray to trigger serious adverse reactions, consult your physician if there are any symptoms related to steroids, such as irregular menstrual cycles and acne, a rise in hair growth and weight gain, swelling and appearance of the face as a result of excessive sweating, anxiety, depression, or any unusual thoughts or behaviors.Contact your doctor immediately. If you notice white or red patches in and around the nostrils or if you suffer from problems with vision, for example, tunnel vision,
Avoid being around those with illnesses or suffering from illnesses. Contact your doctor to get preventive treatment in the event that you have been exposed to measles or chickenpox. These illnesses can be severe and even fatal for those who take steroid drugs like Zetonna.
Similar or related drugs
prednisone, fluticasone nasal, cetirizine, loratadine, promethazine, and Zyrtec
Before you take this drug
It is not recommended to use Zetonna if you have an allergy to ciclesonide.
To ensure that Zetonna is not harmful to you, inform your doctor if you are suffering from:
- Asthma, tuberculosis, or any other lung issues;
- Any type of disease caused by viruses, bacteria, parasites, fungi, or bacteria;
- Glaucoma cataracts, HTML0 glaucoma, or herpes eye infection
- A sore in your nose that hasn't yet healed
- A nose injury that has occurred recently and surgery
- Not been vaccinated or had chickenpox, as well as measles.
Steroids can affect the immune system of your body, which makes it more difficult to contract an infection or worsen an infection you already suffer from. Inform your doctor of any infection or illness you've had in the past few weeks.
It isn't known whether ciclesonide nasal spray could cause harm to a baby who is not yet born. Inform your doctor if you are expecting or planning to be pregnant.Check with your doctor to get advice on whether it is safe to breastfeed while taking Zetonna.
Steroids can impact the growth of children. Consult your physician if your child isn't growing normally during treatment with Zetonna.
How to take Zetonna?
Utilize Zetonna precisely as directed by your physician. Follow all instructions on your prescription label and review all medication guides or instruction sheets. Do not make use of Zetonna in greater amounts or for a longer period than the prescribed duration.
If you are taking another medication containing steroids, don't stop it abruptly. Ask your doctor about tapering your dose.The recommended dosage of Zetonna is one spray in each nostril, once a day. Follow your doctor's dosage instructions extremely carefully.
Before the first time you use it, you'll need to gently shake Zetonna and then prime it with three sprays in the air off your face. Prime once more if the nasal spray hasn't been used for more than 10 days. If the spray was dropped, just spray it into the air prior to using it. It is recommended to shake Zetonna with a gentle shake prior to every use.
To apply the spray for nasal use:
- While your head is upright, insert the bottle's tip into your nostril. Then close the other nostril. Breathe into the bottle, and then spray the medication through your nose. Inhale into the other nostril if you are directed to do so.
- In the event that spray ends up in your mouth, eyes, or skin, wash it off with water.
- Don't blow your nose for more than a couple of minutes. Don't use the spray more than once in 24 hours.
Your symptoms might not get better for one to five weeks. Consult your doctor if symptoms don't improve or worsen.If you are taking this medication over a long period of time, you could require regular eye examinations.
Keep this medication in an upright place in a cool, dry place far from heat and moisture. Don't freeze. Make sure the spray bottle is fresh and dry.Be sure to keep the Zetonna canister away from direct flames or excessive temperatures. Avoid burning or puncturing a canister that is empty.Dispose of your Zetonna actuator and the canister after you've used up 60 actuations, despite the fact that there's still some medicine in the container.
Details on dosage
Adult Dose for Allergic Rhinitis:
Metered nasal aerosol (37 mg/actuation) 1 actuation into each nostril daily (74 mg)
Dosage maximum: 74 mg daily (1 nostril is actuated at least once per day).
Treatment: Treating nasal symptoms that are associated with chronic and seasonal allergic rhinitis
Pediatric Dose for Allergic Rhinitis:
Chronic and seasonal allergic rhinitis:
Ages 12 and over:
Nasal metered aerosol (37 mg/actuation) 1 actuation into each nostril every day (74 mg)
Dosage maximum: 74 mg daily (1 nostril is activated every day).
Treatment for nasal symptoms that are associated with allergies that are perennial and seasonal
What happens if I miss a dose?
Utilize the medicine as soon as you can; however, take a break from any missed doses if it's nearing the time to take 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?
Do not get this medication into your eyes. If you experience this, clean your eyes using water. Do not apply this medication directly to the tissue that is separating the nostrils (nasal septum).
Avoid being around those with illnesses or who suffer from illnesses. Consult your doctor to get preventive treatment in the event that you have been exposed to measles or chickenpox. These illnesses can be very serious and even fatal for those who take Zetonna.
Side effects of Zetonna
Seek medical attention immediately. If you suffer from an allergic reaction, you may have difficulty breathing and swelling of your lips, face, tongue, or throat.
It is possible to contract infections more often, including deadly or life-threatening illnesses. Call your doctor immediately if you show symptoms of infection, such as:
- Fever, chills, and swelling of the throat;
- Mouth sores; red or swollen gums;
- Pale skin; no bruising or unusual bleeding;
- Chest pain, wheezing, dry cough, or hack chest pain, wheezing, dry cough, or hack losing weight
The risk of side effects can be high if the nasal steroid medicine gets into the bloodstream. To ensure that Zetonna is not harmful to you, inform your doctor when you are suffering from:
- Swelling and weight increase (especially on your face or in your upper back and torso);
- Thin skin, acne, stretch marks, wrinkles, or facial hair that is growing;
- Irregular menstrual cycles, changes in sexual function,
- Issues with memory and feeling anxious.
Zetonna may cause serious side effects. Consult your physician immediately. If you suffer from:
- Nasal bleeding, a red nose, crusting inside the nose, the sound of whistling when you breathe the air, nasal ulcers
- Blurred vision, eyes, redness, or pain blurred vision, halos of light around the eyes;
- Indications of signs of thrush (a type of fungal infection) --sores or white spots in your throat or mouth, trouble swallowing,
- Reduced hormones in the adrenal gland. hormones: reduced adrenal gland hormones; vomiting; stomach discomfort; appetite loss; being lightheaded or tired; joint or muscle discomfort; skin discoloration; needing salty foods.
Common Zetonna adverse effects could include:
- Headache, dizziness;
- Nosebleed, nasal irritation;
- Sore throat, stuffy nose,
- Ear pain.
This is not an exhaustive listing of all negative side negative effects. There are other possibilities for what could happen. Ask your physician for medical advice regarding adverse reactions. You can report adverse reactions to the FDA at 1-800-FDA-1088.
Interaction with other drugs
Other medications can be incompatible with ciclesonide nasal spray, such as prescription and over-the-counter medicines, vitamins, and herbal products. Discuss with your physician all other medications you take.
