To minimize the systemic effects of intranasal corticosteroids, including nasonex nasal spray, 50 mcg, each patient should be titrated to his her lowest effective dose.
Information about Nasonex.
It may take up to 2 weeks of using this medicine before your symptoms improveFor best resultskeep using the medication as directedTalk with your doctor if your symptoms do not improve after a week of treatment.
Treatment with higher than recommended doses may result in clinically significant adrenal suppressionIf there is evidence for higher than recommended doses being usedthen additional systemic corticosteroid cover should be considered during periods of stress or elective surgery.
Avoid contact with people who have infections that may spread to otherssuch as chickenpoxmeaslesfluConsult your doctor if you have been exposed to an infection or for more details.
EpistaxisulcerationsCandida albicans infectionimpaired wound healingsee WARNINGS AND PRECAUTIONSCataracts and glaucomasee WARNINGS AND PRECAUTIONSImmunosuppressionsee WARNINGS AND PRECAUTIONSHypothalamic-pituitary-adrenalHPAaxis effectsincluding growth reductionsee WARNINGS AND PRECAUTIONSUse In Specific Populations
Co-treatment with CYP3A inhibitorsincluding cobicistat-containing productsis expected to increase the risk of systemic side-effectsThe combination should be avoided unless the benefit outweighs the increased risk of systemic corticosteroid side-effectsin which case patients should be monitored for systemic corticosteroid side-effects.
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