Zetonna

Ciclesonide is a prescription medication used to treat nasal symptoms from seasonal and year-round allergies. It is also used for the control and prevention of asthma in adults and children 12 years of age and older. Ciclesonide belongs to a group of drugs called synthetic corticosteroids, which reduce inflammation. Inflammation is a common factor in allergic and asthma symptoms.

This medication comes in the form of a nasal spray and is usually taken once a day.

This medication also comes in an aerosol inhalation form and is taken twice a day.

Common side effects of ciclesonide include headache, nose bleeds, and stuffy nose.

Ciclesonide is a prescription medication used to treat nasal symptoms from seasonal and year-round allergies. It is also used for the control and prevention of asthma in adults and children 12 years of age and older.

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

Ciclesonide nasal spray:

• Use 1 time each day, 2 sprays in each nostril.
• Do not use more than a total of 2 sprays in each nostril each day.

Ciclesonide inhalation:

• Use inhaler twice daily, one or two inhalations at a time depending on the dose prescribed.

Some serious side effects have occurred with ciclesonide nasal spray include:

• Nasal fungal infection.
• Slow healing of wounds. Do not use ciclesonide nasal spray until your nose has healed, if you have a sore in your nose, you have had surgery on your nose, or your nose has been injured.
• Eye problems, including glaucoma and cataracts. You should have regular eye exams. Tell your doctor if you notice a change in vision while using ciclesonide nasal spray.
• Immune system effects may increase your risk of infection. You should avoid being around people with Chicken Pox or Measles.
• Slow growth in children. A child taking ciclesonide should have his/her growth checked regularly.

Some serious side effects have occurred with ciclesonide inhalation include:

• Fungal infection of the mouth and throat. Be sure to rinse your mouth following each inhalation.
• Possible worsening of existing tuberculosis.
• Immune system effects may increase your risk of infection. You should avoid being around people with Chicken Pox or Measles. Symptoms of an infection may include:
  • fever
  • pain
  • aches
  • chills
  • feeling tired
  • nausea
  • vomiting
• Slow growth in children. A child taking ciclesonide should have his/her growth checked regularly.
• Eye problems, including glaucoma and cataracts. You should have regular eye exams. Tell your doctor if you notice a change in vision while using ciclesonide nasal spray.
• Adrenal insufficiency. Adrenal insufficiency is a condition in which the adrenal glands do not make enough steroid hormones. Your healthcare provider will follow you closely if you take steroids by mouth and are having them decreased (tapered) or you are being switched to ciclesonide inhalation. People have died while steroids are being decreased and when people have been switched from steroids by mouth to inhaled steroids like ciclesonide. If you are under stress, such as with surgery, after surgery or trauma, you may need steroids by mouth again. Call your healthcare provider right away if you have the following symptoms of adrenal insufficiency:
  • tiredness
  • weakness
  • dizziness
  • nausea that does not go away
  • vomiting that does not go away
  • Increased wheezing (bronchospasm) can happen right away after using ciclesonide inhalation. Stop using ciclesonide inhalation and use an inhaled fast-acting bronchodilator (rescue inhaler) right away. Tell your healthcare provider right away so that a new medicine can be prescribed to control your asthma.

• Increased wheezing (bronchospasm) can happen right away after using ciclesonide inhalation. Stop using ciclesonide inhalation and use an inhaled fast-acting bronchodilator (rescue inhaler) right away. Tell your healthcare provider right away so that a new medicine can be prescribed to control your asthma.
  

  The most common side effects with ciclesonide inhalation include:

  • headache
  • swelling of nose and throat (nasopharyngitis)
  • swelling of the sinuses (sinusitis)
  • throat pain
  • upper respiratory infection
  • joint pain (arthralgia)
  • nasal congestion
  • pain in arms, legs, and back

• Decreased bone mass (bone mineral density). People who use inhaled steroid medicines for a long time may have an increased risk of decreased bone mass which can affect bone strength. Talk to your healthcare provider about any concerns you may have about bone health.

Common side effects with ciclesonide nasal spray include:

• headache
• nose bleeds
• stuffy nose
• ear pain
• sore throat
• dizziness

Common side effects with ciclesonide inhalation include:

• headache
• upper airway infection
• throat pain
• joint pain
• nasal congestion
• pain in limbs
• back pain

See "Drug Precautions" section for other risks of using ciclesonide.

These are not all the possible side effects of ciclesonide. Tell your healthcare provider about any side effects that bother you or do not go away.

Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take ketoconazole (Nizoral).

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

This medication falls into category C. In animal studies, pregnant animals were given this medication and had some babies born with problems. No well-controlled studies have been done in humans. Therefore, this medication may be used if the potential benefits to the mother outweigh the potential risks to the unborn child.

Tell your doctor if you are breastfeeding or plan to breastfeed. It is not known if ciclesonide is excreted in human breast milk or if it will harm your nursing baby. 

Nasal Spray:

If you have a sore in your nose, you have had surgery on your nose, or your nose has been injured, do not use ciclesonide nasal spray until your nose has healed.

Do not spray ciclesonide directly onto your nasal septum (the wall between the 2 nostrils).

Inhalation:

When using ciclesonide inhalation form, when you have finished breathing in, hold your breath for about 10 seconds, or for as long as is comfortable.

Ciclesonide can cause fungal infection of the mouth and throat. Be sure to rinse your mouth following each inhalation.