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Side Effects of This Medicine
Check with your doctor as soon as possible if any of the following side effects occur:

Bloody mucus or unexplained nosebleeds; cold or flu-like symptoms; increased abdominal pain and crampi ng during menstrual periods; muscle or bone pain; stuffy or runny nose or headache; viral infections

Chest pain; cough; discharge or redness in the eye, eyelid, or inner lining of the eyelid; earache; shortness of breath, troubled breathing, tightness in chest, or wheezing

How should this medicine be used?
This medicine usually comes with patient directions. Read them carefully before using the medicine.

Before using this medicine, clear the nasal passages by blowing your nose. Then, with the n osepiece inserted into the nostril, aim the spray towards the inner corner of the eye.

In order for this medicine to help you, it must be used regularly as ordered by your doctor. This medici ne usually begins to work in about 2 days, but up to 2 weeks may pass before you feel its full effects.

What special precautions should I follow?
Breast-feeding¡XUse of dexamethasone is not recommended in nursing mothers, since dexamethasone passes into breast milk and may affect the infant's growth.
It is not known whether beclomethasone, b desonide, flunisolide, Nasonex or triamcinolone passes into breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Levels of mometasone are not measurable in breast milk, thus exposure is expected to be low. Mothers who are taking these medicines and wish to breast-feed should discuss them with their doctor.

Symptoms of overdose may include:
A single overdose of Nasonex is unlikely to cause any harm. However, habitual overuse of the product can cause symptoms of steroid overload, including menstrual irregularities, acne, obesity, and musc le weakness. Check with your doctor immediately if you develop such symptoms.

Drug Interactions
Tell your health care professional if you are taking any prescription or nonprescription (over-the-counter [OTC]) medicines, such as:

- Ephedrine or
- Phenobarbital or
- Rifampin (e .g., Rifadin)¡XEphedrine, phenobarbital, and rifampin may decrease the blood levels of nasal Nasonex, such as dexamethasone, warranting an increase in corticosteroid dose

Why is this drug prescribed?
Nasonex belongs to the family of medicines known as corticosteroids (cortisone-like medicines). Corticosteroids belong to the family of medicines called steroids. Nasonex is sprayed into the nose to h elp relieve the stuffy nose, irritation, and discomfort of hay fever and other allergies.

In Canada, Nasonex can also be used along with certain antibiotics to treat sinusitis


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