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Other medical problems
The presence of other medical problems may affect the use of corticosteroids. Make sure you tell your doctor if you have any other medical problems, especially:
- Amebiasis—Nasal corticosteroids may make this condition worse
- Asthma—Nasal corticosteroids may make this condition worse
- Diabetes mellitus (sugar diabetes)—Use of dexamethasone may decrease carbohydrate tolerance, wo ening blood glucose control and warranting an increase in insulin dosage
- Glaucoma—Long-term use of nasal corticosteroids may worsen glaucoma by increasing the pressure within the eye
- He pes simplex (virus) infection of the eye or
- Infections (virus, bacteria, or fungus)—Nasal corticosteroids may cover up the signs of these conditions

Why is this medication prescribed?
Nasal corticosteroids (kor-ti-ko-STER-oids) are cortisone-like medicines. They belong to the family of medicines called steroids. These medicines are sprayed or inhaled into the nose to help relieve t he stuffy nose, irritation, and discomfort of hay fever, other allergies, and other nasal problems. These medicines are also used to prevent nasal polyps from growing back after they have been removed by surgery.

Precautions while Using this Medicine
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially anticoagulants ('blood thinners') such as warfarin (Coumadin), arthritis medication, aspiri n, cyclosporine (Neoral, Sandimmune), digoxin (Lanoxin), diuretics ('water pills'), estrogen (Premarin), ketoconazole (Nizoral), oral contraceptives, phenobarbital, phenytoin (Dilantin), rifampin (Rif adin), theophylline (Theo-Dur), and vitamins.

What side effects can this medication cause?
Check with your doctor as soon as possible if any of the following side effects occur:

- Bad smell; blindness; bloody mucus or unexplained nosebleeds; blurred or gradual loss of vision; b urning or stinging after use of spray or irritation inside nose (continuing); crusting, white patches, or sores inside nose; discharge or redness in eye, eyelid, or inner lining of the eyelid; eye pain; headache; hives ; light-headedness or dizziness; loss of sense of taste or smell; muscle pain; nausea or vomiting; ringing in the ears ; shortness of breath; skin rash; sore throat, co ugh, or hoarseness; stomach pains; stuffy, dry, or runny nose or watery eyes (continuing); swelling of eyelids, face, or lips;

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)—Ephedrine, phenobarbital, and rifampin may decrease the blood levels of nasal corticosteroids, such as dexamethasone, warranting an increase in corticosteroid dose

Overdose
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek emergency medical treatment immediately.

An overdose is likely to be signaled by an increase in side effects. Accidental contact with the contents of the canister would most likely irritate your nose and give you a headache.

Overuse of Nasacort AQ may upset your stomach and intestines .

Continual overuse of Nasacort inhalation aerosol could lower your resistance; cause weakness; wasting, or swelling; and interfere with healing.

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