Tuesday, June 12, 2012

mometasone inhalation


Generic Name: mometasone inhalation (moe MET a sone)

Brand Names: Asmanex Twisthaler 120 Dose, Asmanex Twisthaler 14 Dose, Asmanex Twisthaler 30 Dose, Asmanex Twisthaler 60 Dose, Asmanex Twisthaler 7 Dose


What is mometasone inhalation?

Mometasone is a steroid. It prevents the release of substances in the body that cause inflammation.


Mometasone inhalation is used to prevent asthma attacks. It will not treat an asthma attack that has already begun.


Mometasone may also be used for purposes not listed in this medication guide.


What is the most important information I should know about mometasone inhalation?


Do not use mometasone inhalation to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medication. Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. It may take up to 2 weeks 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 2 weeks of treatment.

Your dosage needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Do not change your medication dose or schedule without your doctor's advice.


If you were switched from an oral (taken by mouth) steroid to mometasone inhalation, you may need to go back to taking the oral medicine if you are under stress or have an asthma attack or other medical emergency. Wear a medical alert tag or carry an ID card stating that you may need an oral steroid in an emergency.

What should I discuss with my healthcare provider before using mometasone inhalation?


You should not use this medication if you are allergic to mometasone, or to milk proteins.

To make sure you can safely take mometasone inhalation, tell your doctor if you have been sick or had an infection of any kind.


FDA pregnancy category C. It is not known whether mometasone inhalation will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether mometasone inhalation passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Mometasone inhalation can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication. Do not give this medicine to a child younger than 4 years old without the advice of a doctor.

Long-term use of steroids may lead to bone loss (osteoporosis), especially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis. Talk with your doctor about your risk of osteoporosis.


How should I use mometasone inhalation?


Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.


Do not use mometasone inhalation to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medication.

Mometasone is a powder that comes with a special inhaler device preloaded with the medicine. The device will deliver a measured dose of mometasone as a fine spray of powder each time you use the inhaler.


You may or may not be able to feel or taste this powder in your mouth while using the inhaler. Do not use extra doses if you do not feel or taste the powder. Tell your doctor or pharmacist if you think your inhaler is not working properly.

To reduce the chance of developing a yeast infection in your mouth, rinse with water after using mometasone inhalation. Do not swallow.


Asthma is usually treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor.


It may take up to 2 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 2 weeks of treatment.


Your dosage needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack.


Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks. If you were switched from an oral (taken by mouth) steroid to mometasone inhalation, you may need to go back to taking the oral medicine if you are under stress or have an asthma attack or other medical emergency. Wear a medical alert tag or carry an ID card stating that you may need an oral steroid in an emergency. Store mometasone inhalation at room temperature away from moisture and heat. When you first open the foil pouch and remove the inhaler device, write the date on the device. Throw away the inhaler after 45 days, or when the dose counter shows "00."

Do not wash your inhaler device or allow it to get wet. Wipe the mouthpiece with a clean dry tissue or cloth after each use.


What happens if I miss a dose?


Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of mometasone inhalation is not expected to produce life-threatening symptoms.


What should I avoid while using mometasone inhalation?


Mometasone inhalation can lower the blood cells that help your body fight infections. This can make it easier for you to get sick from being around others who are ill. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using mometasone inhalation.


Mometasone inhalation side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

  • wheezing or breathing problems after using this medication;




  • skin rash, bruising, severe tingling, numbness, pain, muscle weakness;




  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist); or




  • worsening asthma symptoms.



Less serious side effects may include:



  • headache;




  • runny nose, increased sinus allergy symptoms;




  • stuffy nose, sinus pain, sore throat, nosebleed;




  • muscle or joint pain, back pain;




  • nausea, upset stomach, loss of appetite;




  • changes in menstrual periods;




  • tired feeling; or




  • hoarseness or deepened voice.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Mometasone inhalation Dosing Information


Usual Adult Dose for Asthma -- Maintenance:

Patients previously treated with bronchodilators only or an inhaled corticosteroid: Initial dose: 220 mcg once daily in the evening; may increase dose after 2 weeks if adequate response not obtained. Maximum dose: 440 mcg daily. The 440 mcg dose may be administered in divided doses of 220 mcg twice daily or as 440 mcg once daily. Patients previously treated with oral corticosteroids: Initial dose: 440 mcg twice daily; maximum dose: 880 mcg daily.

Usual Pediatric Dose for Asthma -- Maintenance:

4 to 11 years: Initial dose: 110 mcg once daily in the evening regardless of prior therapy.
12 years or older: Patients previously treated with bronchodilators only or an inhaled corticosteroid: Initial dose: 220 mcg once daily in the evening; may increase dose after 2 weeks if adequate response not obtained. Maximum dose: 440 mcg daily. The 440 mcg dose may be administered in divided doses of 220 mcg twice daily or as 440 mcg once daily. Patients previously treated with oral corticosteroids: Initial dose: 440 mcg twice daily; may increase dose after 2 weeks if adequate response not obtained. Maximum dose: 880 mcg daily.


What other drugs will affect mometasone inhalation?


Before using mometasone inhalation, tell your doctor if you are using ketoconazole (Nizoral).


There may be other drugs that can interact with mometasone inhalation. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



More mometasone inhalation resources


  • Mometasone inhalation Dosage
  • Mometasone inhalation Use in Pregnancy & Breastfeeding
  • Mometasone inhalation Drug Interactions
  • Mometasone inhalation Support Group
  • 9 Reviews for Mometasone - Add your own review/rating


Compare mometasone inhalation with other medications


  • Asthma, Maintenance
  • Hay Fever
  • Nasal Polyps


Where can I get more information?


  • Your pharmacist can provide more information about mometasone inhalation.


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