Asmanex (Mometasone Furoate)

Do’s

• Inhale Asmanex Twisthaler (mometasone furoate inhalation powder) by mouth as directed, usually once or twice a day.
• Discard the Twisthaler inhaler when every inhalation has been used or if it has been 45 or 60 days after removal from its foil overwrap pouch, whichever comes first.
• Wait at least one minute between inhalations/puffs if two are prescribed.
• Wait at least one minute between the use of this medication and other inhalers if using them at the same time, and use this drug (the corticosteroid) last.
• Gargle, rinse your mouth with water and spit out after each use to prevent dry mouth, hoarseness, and oral yeast infections.
• Use the medication regularly at evenly spaced intervals to get the most benefit from it.
• Take the medication at the same time(s) each day to help you remember.
• Keep your quick-relief inhaler with you all the time, and keep track of the number of inhalations you use.
• Seek medical attention if your symptoms do not improve or if they worsen.
• Consult your healthcare provider if you have any questions about the proper use of Asmanex Twisthaler or Asmanex HFA.
• Follow the dosage and administration instructions provided by your healthcare provider while using Asmanex Twisthaler or Asmanex HFA.
• Follow the instructions for priming the inhaler if using Asmanex HFA (mometasone furoate) inhalation aerosol for the first time or after not using it for more than 5 days.
• Make sure to spray away from your face to avoid getting the medication into your eyes when priming the inhaler.
• Shake the Asmanex HFA inhaler well before each use.
• Inhale Asmanex HFA (mometasone furoate) inhalation aerosol by mouth as directed by your healthcare provider, usually twice a day (morning and evening).
• Clean the mouthpiece of the Asmanex HFA inhaler once a week with dry tissue.

Don’ts

• Do not breathe out (exhale) into the inhaler (both Asmanex Twisthaler and Asmanex HFA).
• Do not wet the inhaler (both Asmanex Twisthaler and Asmanex HFA).
• Do not take the inhaler apart (both Asmanex Twisthaler and Asmanex HFA).
• Do not swallow the rinse water after gargling and rinsing your mouth (both Asmanex Twisthaler and Asmanex HFA).

• Rash
• Hives
• Swelling, including swelling of the face, lips, tongue, or throat
• Blurred vision or other changes in vision
• Headache
• Nasal allergy symptoms
• Sore throat
• Upper respiratory infection
• Sinus infection
• Fungal infections in the mouth
• Painful menstrual periods
• Muscle and bone pain
• Back pain
• Upset stomach
• Allergic reactions such as hives, difficulty breathing, and swelling of the face, lips, tongue, or throat

This is not an exhaustive list of side effects. Always consult your healthcare provider for personalized advice and guidance on the use of Asmanex.

Asmanex is not a rescue medicine for asthma attacks. It should not be used to provide relief from a sudden asthma attack. Use a rescue inhaler for sudden asthma symptoms

Steroid medicine can affect growth in children. Inform your healthcare provider if your child is not growing at a normal rate while using Asmanex .

Hypersensitivity reactions, including rash, pruritus, angioedema, and anaphylactic reactions, have been reported with the use of Asmanex. Discontinue Asmanex if such reactions occur.

Asmanex is contraindicated in patients with known hypersensitivity to mometasone furoate or any of the ingredients in the inhaler. It is also contraindicated in the primary treatment of status asthmaticus or other acute episodes of asthma where intensive measures are required.

Patients on immunosuppressant doses of corticosteroids should avoid exposure to chickenpox or measles and, if exposed, should consult their healthcare provider without delay. Inform patients of potential worsening of existing infections

Consult a healthcare provider before taking any drug, changing any diet, or commencing or discontinuing any course of treatment during pregnancy, nursing, or when administering Asmanex to children or the elderly.

This is not an exhaustive list of warnings and precautions. Always consult a healthcare provider for personalized advice and guidance on the use of Asmanex.

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If using Asmanex Twisthaler:

• Inhale this medication by mouth as directed by your healthcare provider, usually once or twice a day. Do not breathe out (exhale) into the inhaler. The dosage is based on your medical condition, age, and response to treatment.
• If two inhalations/puffs are prescribed, wait at least one minute between them. If you are using other inhalers at the same time, wait at least 1 minute between the use of each medication, and use this drug (the corticosteroid) last.
• To prevent dry mouth, hoarseness, and oral yeast infections from developing, gargle, rinse your mouth with water, and spit out after each use. Do not swallow the rinse water.

If using Asmanex HFA Inhaler:

• Follow the instructions for priming the inhaler if you are using it for the first time or if you have not used it for more than 5 days. When priming the inhaler, make sure to spray away from your face to avoid getting the medication into your eyes.
• Shake the inhaler well before each use. Inhale this medication by mouth as directed by your healthcare provider, usually twice a day (morning and evening). The dosage is based on your medical condition and response to treatment.
• If two inhalations/puffs are prescribed, wait at least one minute between them. If you are using other inhalers at the same time, wait at least 1 minute between the use of each medication, and use this drug (the corticosteroid) last.
• To prevent dry mouth, hoarseness, and oral yeast infections from developing, gargle, rinse your mouth with water, and spit out after each use. Do not swallow the rinse water.
• Clean the mouthpiece once a week with a dry tissue. Do not wet the inhaler. Do not take the inhaler apart.

Use this medication regularly to get the most benefit from it. Always have your quick-relief inhaler with you and keep track of the number of inhalations you use. 

Remember, Asmanex is not a rescue medicine for asthma attacks, and fast-acting inhalation medicine should be used for an attack. Always seek medical attention if your breathing problems worsen quickly or if you think your asthma medications are not working well.

Consult your healthcare provider if you have any questions about the proper use of Asmanex.