Ciclesonide Nasal spray, suspension

What is this medicine?

CICLESONIDE (sye KLES oh nide) is a corticosteroid. It is used to treat nasal allergy symptoms like sneezing, itching, and runny or stuffy nose. This medicine will not treat an infection.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• glaucoma
• infection, like herpes, chicken pox, fungal infection, tuberculosis
• recent surgery or injury of the nose or sinuses
• an unusual or allergic reaction to ciclesonide, other steroids, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Use this medicine in the nose. Do not take by mouth. Follow the directions on the prescription label. Make sure that you are using the inhaler correctly. Use your medicine at regular intervals. Do not use your medicine more often than directed.

A patient information sheet for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

• ketoconazole

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular check ups as directed. Tell your doctor if your symptoms do not get better in 4 weeks or if they get worse.

This medicine may increase your risk of getting an infection. Stay away from people who are sick. Tell your doctor or health care professional if you are around anyone with measles or chickenpox.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• breathing problems
• chest tightness
• dizziness
• fever or infection
• nosebleeds
• white patches in the mouth

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• burning, dryness, or irritation in the nose or throat
• dry mouth
• ear pain
• headache

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep right side up. Do not freeze. Throw away any unused medicine after 120 sprays or 4 months after removing from foil pouch, whichever comes first.

NOTE:This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.