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May 24, 2013
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flunisolide nasal (cont.)

What should I discuss with my healthcare provider before using flunisolide nasal (Nasarel)?

You should not use this medication if you are allergic to flunisolide, or if you have any type of untreated infection in your nose or sinuses.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely use this medication:

  • asthma;
  • tuberculosis or any other infection or illness;
  • herpes simplex infection of your eyes;
  • sores or ulcers inside your nose; or
  • if you have recently had injury of or surgery on your nose.

FDA pregnancy category C. It is not known whether flunisolide nasal is harmful to an unborn baby. Before using this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether flunisolide passes into breast milk or if it could harm a nursing baby. Do not use flunisolide nasal without telling your doctor if you are breast-feeding a baby.

Steroid medicines can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using flunisolide nasal.

Do not give this medication to a child younger than 6 years old without the advice of a doctor.

How should I use flunisolide nasal (Nasarel)?

Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

The usual dose for adults is 2 sprays into each nostril 2 or 3 times per day. Follow your doctor's instructions. Do not use more than 8 sprays in each nostril per day.

The usual dose for children is 1 spray into each nostril 3 times per day, or 2 sprays in each nostril twice per day. Follow your doctor's instructions. Children should not use more than 4 sprays in each nostril per day.

Before using the spray for the first time, you must prime the spray pump. Spray 5 to 6 test sprays into the air until a fine mist appears. Prime the spray pump any time you have not used your nasal spray for longer than 5 days, or if you have taken the pump apart for cleaning.

It may take up to several days of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 3 weeks of treatment.

To be sure this medication is not causing harmful effects on your nose or sinuses, your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

Store this medication in an upright position at room temperature, away from moisture and heat.

Throw the medication away after you have used 200 sprays, even if there is still medicine left in the bottle.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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