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Before Using
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of Zetonna™ in children 12 years of age and older with seasonal and perennial allergic rhinitis. However, safety and efficacy have not been established in children younger than 12 years of age.
Appropriate studies have not been performed on the relationship of age to the effects of Omnaris™ in children younger than 6 years of age with seasonal allergic rhinitis, and in children younger than 12 years of age with perennial allergic rhinitis. Safety and efficacy have not been established in these age groups.
Geriatric
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of ciclesonide nasal spray in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution in patients receiving ciclesonide nasal spray.
Pregnancy
| Pregnancy Category | Explanation | |
|---|---|---|
| All Trimesters | C | Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. |
Breastfeeding
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Other Interactions
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
- Cataracts, history of or
- Glaucoma, history of—Use with caution. May make these conditions worse.
- Chicken pox (includes recent exposure) or
- Herpes simplex infection of the eye or
- Infections (bacteria, fungus, virus, or parasite), active or untreated or
- Measles (includes recent exposure) or
- Tuberculosis, active or history of—Can reduce the body's ability to fight infections.
- Injury to the nose or
- Nose surgery, recent or
- Sores or ulcers in the nose, recent—May prevent proper healing of these conditions.
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