Nasonex should be used exactly as prescribed by your doctor and is intended for use in the nose only.

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Before having surgerytell your doctor or dentist about all the products you useincluding prescription drugsnonprescription drugsand herbal products

Epistaxis was generally self-limiting and mild in severityand occurred at a higher incidence compared to placebo5but at a comparable or lower incidence when compared to the active control nasal corticosteroids studiedup to 15as reported in clinical studies for allergic rhinitisThe incidence of all other adverse events was comparable with that of placeboIn patients treated for nasal polyposisthe overall incidence of adverse events was similar to that observed for patients with allergic rhinitis.

Systemic effects of nasal corticosteroids may occurparticularly at high doses prescribed for prolonged periodsThese effects are much less likely to occur than with oral corticosteroids and may vary in individual patients and between different corticosteroid preparationsPotential systemic effects may include Cushing’s syndromeCushingoid featuresadrenal suppressiongrowth retardation in children and adolescentscataractglaucoma and more rarelya range of psychological or behavioural effects including psychomotor hyperactivitysleep disordersanxietydepression or aggressionparticularly in children

Dosage is based on your medical condition and response to treatmentYounger children may need a smaller dose and help from an adult to use this medication properlyUse this medication regularly in order to get the most benefit from itTo help you rememberuse it at the same time(seach dayDo not increase your dose or use it more frequently than directed.

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When intranasal steroids are used at higher than recommended dosages or in susceptible individuals at recommended dosagessystemic corticosteroid effects such as hypercorticism and adrenal suppression may appearIf such changes occurthe dosage of NASONEX Nasal Spray should be discontinued slowlyconsistent with accepted procedures for discontinuing oral corticosteroid therapy.

Other drugs may interact with mometasoneincluding prescription and over-the-counter medicinesvitaminsand herbal productsTell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Treatment with NASONEX Nasal Spray may need to be initiated some days before the expected start of the pollen season in patients who have a history of moderate to severe symptoms of seasonal allergic rhinitis.

Before using this medicationtell your doctor or pharmacist your medical historyespecially ofeye problemssuch as glaucomacataractsinfectionsincluding tuberculosisherpes eye infectionrecent nose problemssuch as injuryulcerssurgery

Unilateral polyps that are unusual or irregular in appearanceespecially if ulcerating or bleedingshould be further evaluated.

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To use the sprayremove the protective capClose one nostril by pressing it with your fingerTilt your head slightly forward andkeeping the bottle uprightcarefully insert the nasal applicator into the other nostrilPress down firmly on the pump to deliver the prescribed number of spraysDo not spray directly onto the middle wall of your nosenasal septumBreathe in gently through your nose and out through your mouthRepeat in the other nostrilWipe the applicator tip and replace the plastic capAvoid blowing your nose for 15 minutes after using this medication.

NASONEXmometasone furoate monohydrateNasal Spray50 mcg is supplied in a whitehighdensitypolyethylene bottle fitted with a white metered-dosemanual spray pumpand blue capIt contains 17 g of product formulation120 sprayseach delivering 50 mcg of mometasone furoate per actuation.

Your nasal inhaler spray will come with instructions in the packageAlways check the package insert for any specific instructions.

Before using this medicationtell your doctor or pharmacist your medical historyespecially ofeye problemssuch as glaucomacataractsinfectionsincluding tuberculosisherpes eye infectionrecent nose problemssuch as injuryulcerssurgery

Before using Nasonextell your doctor if you have been sick or had an infection of any kindAlso tell your doctor if you have glaucoma or cataractsherpes simplex infection of your eyestuberculosissores or ulcers in your noseor if you have recently had injury of or surgery on your nose.

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