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Drug Guide    A   Asmanex Twisthaler

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   Asmanex Twisthaler

Asmanex Twisthaler
Inhl


When used regularly, mometasone helps to prevent the wheezing and shortness of breath that can occur with asthma. This medication is in a class of drugs known as corticosteroids. It works directly in the lungs to make breathing easier by reducing the swelling of the airways.This medication does not work immediately. Therefore, it should not be used to relieve an acute asthma attack. If an asthma attack occurs, use your quick-relief inhaler (e.g., albuterol, salbutamol) as prescribed.



 
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 Asmanex Twisthaler images:

OverviewPhotosHow To UseSide EffectsPrecautionsMissed DoseDrug Interactions



Asmanex Twisthaler

Uses
When used regularly, mometasone helps to prevent the wheezing and shortness of breath that can occur with asthma. This medication is in a class of drugs known as corticosteroids. It works directly in the lungs to make breathing easier by reducing the swelling of the airways.This medication does not work immediately. Therefore, it should not be used to relieve an acute asthma attack. If an asthma attack occurs, use your quick-relief inhaler (e.g., albuterol, salbutamol) as prescribed.
Notes
  • Do not share this medication with others.Learn to use a peak flow meter and use it daily.
  • Promptly report worsening asthma (such as readings in the yellow or red range, or increased use of quick-relief inhalers) to your doctor.Make sure all of your doctors know that you are using this medication or have used it in the past.Laboratory and/or medical tests (e.g., lung function, morning cortisol levels, eye exam) should be performed periodically to monitor your progress or check for side effects.
  • Consult your doctor for more details.

Storage
  • Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture.
  • Brief storage between 59-86 degrees F (15-30 degrees C) is permitted.
  • Do not store in the bathroom.
  • Keep all medicines away from children and pets.


How To Use
  • Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill.
  • This leaflet contains instructions for the proper use of this medication.
  • Consult your doctor or pharmacist if you have any questions.This medication is inhaled through the mouth, usually once a day in the evening, or as directed by your doctor.
  • Dosage is based on your medical condition and response to therapy.If two inhalations/puffs are prescribed, wait at least one minute between them.If you are using other inhalers at the same time, wait several minutes between the use of each medication, and use this drug (the corticosteroid) last.To prevent dry mouth, hoarseness and oral yeast infections, gargle and rinse your mouth after each use.
  • Do not swallow the rinse solution.Use this medication regularly in order to get the most benefit from it.
  • This medication works best if used regularly at even intervals.
  • Remember to use it at the same time(s) each day.
  • Do not increase your dose, use this more frequently or stop using this medication without first consulting your doctor.Keep track of the number of inhalations used from each inhaler.
  • Discard the inhaler after you have used the number of inhalations specified on the manufacturer's package.It may take 1-2 weeks or longer before the full benefit of this drug takes effect.
  • Inform your doctor if your symptoms do not improve or if they worsen.

Side Effects
  • See also Precautions.Dry or irritated throat, hoarseness or coughing may occur as your body adjusts to this drug.
  • If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects.
  • Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: muscle/joint pain, mental/mood changes (e.g., depression), white patches in your mouth or on your tongue, persistent coughing, increased wheezing/trouble breathing.Tell your doctor immediately if any of these rare but very serious side effects occur: vision changes.A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs.
  • Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
  • Before taking mometasone, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.Before using this medication, tell your doctor or pharmacist your medical history, especially of: tuberculosis, untreated or active infections, herpes infection of the eye, eye disease (glaucoma), decreased adrenal gland function, bone loss (osteoporosis).If you have switched from an oral corticosteroid (e.g., prednisone tablets) to this inhaler within the past 12 months, or if you have been using this product in higher-than-usual doses and suddenly stop using it, your body may not produce enough natural steroids.
  • You may need to start taking additional corticosteroids, especially if your body is stressed due to a major infection, surgery or injury.
  • Deaths have sometimes occurred during such stresses due to low steroid levels.
  • Tell your doctor immediately if any of the following side effects occur: unusual weakness, sudden weight loss, dizziness.
  • Consult your doctor or pharmacist for more details, and inform them that you use (or have used) any type of corticosteroid.
  • Carry a warning card or medical ID bracelet that identifies your need for oral corticosteroids during times of stress as noted.
  • Consult your doctor or pharmacist now for specific advice regarding stress situations.
  • You may need to carry a supply of corticosteroid tablets as a precaution.This medication may mask signs of infection or put you at greater risk of developing them.
  • Report any signs of infection (e.g., persistent sore throat/fever/cough) that occur during treatment.Avoid exposure to chickenpox or measles infection while taking this medication.
  • If you are exposed to these infections, seek immediate medical attention.Caution is advised when using this drug in children.
  • Though it is unlikely to occur with inhaled steroids (mometasone), this medication may temporarily slow down a child's rate of growth, but it will probably not affect final adult height.
  • Monitor your child's height periodically.This medication should be used only when clearly needed during pregnancy.
  • Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk.
  • Consult your doctor before breast-feeding.

Missed Dose
  • If you miss a dose, use it as soon as you remember.
  • If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
  • Do not double the dose to catch up.

Drug Interactions
  • Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it.
  • Do not start, stop or change the dosage of any medicine before checking with them first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: aldesleukin, oral corticosteroids (e.g., prednisone, dexamethasone), drugs affecting liver enzymes that remove mometasone from your body (such as azole antifungals including itraconazole, macrolide antibiotics including erythromycin, cimetidine, rifamycins including rifabutin, St.
  • John's wort, certain anti-seizure medicines including carbamazepine).

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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