Sometimes you wake up in the morning and sneeze, right? Or your nose is blocked and has a runny nose all day. How much trouble do allergies like this cause in our lives? So if your doctor has prescribed a nasal spray called Ciclesonide for this condition, you can find the answers to all your questions about it in this article. This medicine may come under the brand names Omnaris or Zetonna.
What is this medicine called Ciclesonide?
Simply put, Ciclesonide is a medicine that reduces the inflammation caused by allergies in your nose. Just like when we get an injury somewhere in our body, the delicate membranes inside our nose swell up during an allergy. This swelling is what causes the nose to be blocked, makes it hard to breathe, and causes a runny nose.
This spray helps control that swelling and helps you breathe easier. We call these nasal steroids. But don't be scared by the name. These are not the harmful steroids that bodybuilders use. These are completely different, a type of medication that is specifically designed to control allergies and is very safe when used correctly .
Things you need to tell your doctor before using this medicine
For your safety, it is very important to give your doctor a complete description of your health before starting this medication. Be sure to tell them about the following in particular:
- If you have glaucoma, a disease that causes increased pressure in the eye.
- If you currently have any infection such as chicken pox, herpes, fungal infection, or tuberculosis .
- If you have recently had surgery on your nose or sinuses , or if you have had a serious injury to your nose.
- If you have ever had an allergic reaction to this Ciclesonide medicine, to another steroid, to any other medicine, food, or preservative.
- If you are pregnant or hoping to become pregnant .
- If you are a nursing mother .
Talking openly with your doctor without hiding this kind of information will greatly help him choose the best and safest treatment for you.
How exactly do you use this spray?
This is for nasal use. Try to use it at the same time every day , as your doctor has told you. This will help you get the most out of the medicine. Do not use more than the prescribed amount (for example, one or two sprays per nostril).
If you're not sure how to use the spray, don't be shy and ask your doctor for instructions.
If you give it to children...
If you are giving this medicine to children, talk to your doctor about it. Although it is sometimes prescribed for children over 6 years of age, there are some things to be careful about.
What if you use too much, even by mistake?
If you think you have overdosed, do not panic and immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
Most importantly: This is a medicine that is prescribed for you only. Do not share this medicine with a friend, even if they have the same symptoms as you.
What to do if you miss your medication appointment?
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next dose at the scheduled time. Never take a double dose.
What other things can interact with this medicine?
Some medications may interact with this spray. An example is the antifungal medication Ketoconazole . However, this list is not complete.
So, give your doctor a complete list of all the medications you are taking (whether prescribed by other doctors or purchased from the pharmacy), herbs, vitamins, and supplements you are taking . Don't forget to tell them if you smoke or drink alcohol.
Things to keep in mind when using the spray
- Check your progress: While using the medicine, go for check-ups as directed by your doctor. If your symptoms do not improve after about 4 weeks, or if they get worse, tell your doctor.
- Be careful of infections: Your immune system may be slightly weakened while using this medicine, which may increase your risk of developing infections. So, stay away from people who are sick, especially those with illnesses like colds. If you have been in contact with someone who has measles or chickenpox, tell your doctor.
What are the possible side effects of the medicine?
Like any medicine, this can cause side effects in some people. However, not everyone gets them. The table below will give you a clear picture of these.
| Side Effect | Description |
|---|---|
| Side effects that should be reported to your doctor immediately | |
| Severe allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat, difficulty breathing. |
| Changes in the eyes | Sudden eye pain, blurred vision, seeing halos around lights, loss of vision. |
| Nose problems | Sores or crusts inside the nose, frequent or severe nosebleeds, and a whistling sound coming from the nostrils. |
| Thrush (a fungal infection) | White patches inside the nose or mouth. |
| Decreased adrenal function | Nausea, vomiting, loss of appetite, unusual weakness or fatigue, dizziness. |
| Side effects that should be reported to the doctor if they persist or are bothersome | |
| Headache | A common headache. |
| Nasal or throat discomfort | A slight burning or dry feeling in the nose or throat after spraying. |
| Change in smell or taste | Feeling a change in the taste of food or the smell of things. |
| A minor nosebleed | Occasional small spotting of blood. |
How should I store the medicine?
Keep this medicine out of the reach of children and pets . Store at room temperature (between 15-30 degrees Celsius). Do not freeze . Keep the bottle upright.
After removing the spray from the foil pack, discard it after using 120 sprays or after 4 months (whichever comes first), even if there is any residue.
Take-Home Message
- Ciclesonide is a nasal steroid spray that reduces swelling inside the nose caused by allergies.
- Before starting the medication, tell your doctor about all your medical conditions and other medications you are taking.
- Take the medicine exactly as your doctor tells you, in the right amount, at the same time every day. Don't skip doses or take more.
- If you experience any serious side effects, such as eye pain, changes in vision, or frequent nosebleeds, tell your doctor immediately.
- This is a medicine prescribed for you only. Do not share it with others, even if your symptoms are similar.
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