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Terms Of Use

MOMETASONE FUROATE

Brand Name(s) : Asmanex, Elocon, Nasonex
Warnings
Uses
Side Effects
Precautions
Interactions
Overdose

MOMETASONE FUROATE WARNINGS

Mometasone should be used with caution in:

  • People who have or have had tuberculosis (TB)
  • People with herpes simplex viral infection of the eye
  • People with any bacterial, fungal or viral infections
  • Pregnancy (inhaler, cream, ointment, lotion)
  • Breast feeding (inhaler, cream, ointment, lotion)
  • People with complex nasal polyps such as unilateral polyps, polyps associated with cystic fibrosis, or polyps that completely obstruct the nasal cavities (nasal spray for nasal polyps)
  • People taking steroid tablets/syrup or other steroids
  • People with cystic fibrosis
  • People taking ketoconazole or itraconazole (used to treat fungal infections)
  • People taking ritonavir or nelfinavir (used to treat HIV infection)

It should not be used in:

  • People who are allergic or sensitive to mometasone or any of the ingredients in the medicine (e.g. lactose in the inhaler)
  • Children under 12 years (inhaler)
  • Children under 6 years (nasal spray for rhinitis)
  • Children under 18 years (nasal spray for nasal polyps)
  • People with an infection in the nose (nasal spray)
  • People who have had a recent operation on or injury to the nose, which is not fully healed (nasal spray)
  • People with skin problems such as rosacea (which affects the face), acne, dermatitis around the mouth, genital itching, nappy rash, skin atrophy (skin thinning), cold sores, warts, wounds, ulcerated skin, chickenpox, shingles or other bacterial, fungal or viral infections affecting the skin (cream/ointment)
  • People with bacterial (e.g. impetigo), viral (e.g. herpes simplex, shingles and chickenpox) or fungal (e.g. thrush) infections of the scalp (lotion)

Also see list of precautions and interactions

STORAGE

Do not store the inhaler above 30°C.

Do not store the nasal spray above 30°C.

The cream/ointment should be stored between 2°and 30°C.

The lotion should be stored below 25°C.

MOMETASONE FUROATE USES

What is it used for?

  • Mometasone is used to treat inflammation in the lung and nasal passages in people with conditions such as asthma, allergic rhinitis (inflammation of the nose) and nasal polyps (growths). It is also used to treat inflammatory skin conditions such as dermatitis and psoriasis.
  • It is a corticosteroid, sometimes known as a glucocorticoid or steroid.
  • It is used to treat a variety of conditions by reducing inflammation. Mometasone is used to treat asthma by reducing inflammation in the lung which helps to keep the airways open and make it easier to breathe properly. Mometasone is taken using an inhaler device to treat asthma so that the medicine is delivered directly to the lungs where it is needed. It is known as a 'preventer' medicine as it is taken regularly every day to reduce the inflammation and prevent asthma attacks. Mometasone is used to treat allergic rhinitis and nasal polyps by reducing the inflammation in the nasal passages when taken using a nasal spray. Allergic rhinitis is a condition with inflammation of the nose arising from an allergy, such as pollen in hayfever or house dust mites or animal fur leading to cold-like symptoms, such as sneezing, itchiness and a blocked up or runny nose. Mometasone is used to treat dermatitis and psoriasis by reducing inflammation.
  • In general this drug is used to treat asthma and allergic rhinitis.
  • Benefits of being on inhaled mometasone can include a reduction in asthma symptoms and attacks in patients previously treated with bronchodilators alone or with other preventative therapy. Mometasone is effective in controlling asthma and reduces the need for oral steroids, thus limiting the likelihood of serious side effects. Mometasone relieves the nasal symptoms of sneezing, itching and a blocked up or runny nose in allergic rhinitis and leads to shrinkage of nasal polyps. It is also effective in bringing flare ups of dermatitis and psoriasis under control by reducing the redness and itchiness.

Listed below are the typical uses of mometasone.

  • Asthma
  • Allergic rhinitis
  • Nasal polyps
  • Dermatitis
  • Psoriasis

On occasion your doctor may prescribe this medicine to treat a condition not on the above list. Such conditions are listed below.

  • Chronic obstructive pulmonary disease (COPD)

HOW TO USE/TAKE

Mometasone is available as an inhalation powder used in an inhaler device, a nasal spray and as a cream, ointment and a scalp lotion. It can be taken with or without food.

How often do I take it?

  • Mometasone inhaler
  • Take this medication by inhalation usually once or twice daily.
  • Advice on how to take mometasone can be found in the Patient Information Leaflet. It is important to rinse your mouth out with water after inhaling each dose as this reduces you chance of getting side effects such as hoarseness and infections of the throat and mouth.

Use this medication regularly, every day in order to get the most benefit from it as this is a 'preventer' medicine. A ‘reliever’ medicine (fast-acting bronchodilator) is also needed to give you immediate relief of any sudden asthma attacks.

Remember to use it at the same time each day - unless specifically told otherwise by your doctor. You must be reviewed regularly to ensure that the dose of inhaled corticosteroid is reduced to the lowest dose at which effective control of asthma is maintained.
An improvement in lung function is seen within a few days. It may take a few weeks before the full benefit of this medicine takes effect.

Mometasone nasal spray

  • Take this medication using the nasal spray usually 2 sprays into each nostril once daily.
  • It may take 2 days before the full benefit of this medicine takes effect. Regular use is important to get the full benefit from the medicine.

Mometasone cream, ointment

  • Use this medication by applying a thin film of it to the affected areas of the skin once daily.

Mometasone scalp lotion

  • Take this medication by applying a few drops of the mometasone lotion to the affected areas of the scalp once daily and massaging it in gently until it disappears.

Certain medical conditions may require different dosage instructions as directed by your doctor.

What dose?

  • Dosage is based on your age, gender, medical condition, response to therapy, and use of certain interacting medicines.

Do I need to avoid anything?

  • This medicine is unlikely to affect driving ability or the ability to operate machinery. Consult your doctor or pharmacist for more details.
  • Avoid contact with people with chickenpox or measles. This is because people taking corticosteroids are more likely to get infections as their immune system can become weak after prolonged use.
  • Avoid using the cream or ointment under a nappy or dressing as this can make the medicine pass through the skin.
  • Avoid getting any of the medicine into your eyes.

When can I stop?

  • Inhaler, nasal spray: It is important to continue taking this medication even if you feel well, unless your doctor tells you to stop.
  • Cream, ointment, scalp lotion: Treatment in children or on the face (cream/ointment) should not be for more than 5 days. Long term continuous therapy should be avoided.

MOMETASONE FUROATE SIDE EFFECTS

Inhaler:

If any of these persist or you consider them severe then inform your doctor.

Tell your doctor immediately if you develop any of the following symptoms:

  • An increase in wheezing immediately after using your inhaler. You must treat this immediately with a fast-acting inhaled bronchodilator ('reliever' medicine) and then seek immediate medical advice.

Nasal spray:

  • Nose bleed
  • Headache
  • Sore throat
  • Nasal irritation
  • Nasal stinging or burning
  • Nasal sores (inside the nose)
  • Allergic skin reactions including skin rash, itchiness, lumpy rash (hives) or blistering
  • Increased pressure in the eye (glaucoma)
  • Nasal separation (hole in the wall of the nose between the nostrils)
  • Changes in taste and smell
  • Serious allergic reactions such as swelling of tongue, face, lips or throat, trouble breathing or anaphylaxis (very severe allergic reaction with collapse)- see below

If any of these persist or you consider them severe then inform your doctor.

Cream, ointment and lotion:

  • Itchiness
  • Tingling
  • Stinging or burning
  • Inflammation of the hair follicles on the skin
  • Allergic skin reactions
  • Bacterial skin infections
  • Acne
  • Change in skin colour
  • Thinning of the skin
  • Hair growth

Prolonged treatment with mometasone, particularly at high doses may result in effects such as Cushing's syndrome, Cushingoid features (changes in the look and shape of the face), adrenal suppression, poor growth, weak bones, cataract and glaucoma (increased pressure in the eye). Tell your doctor if you develop any of these symptoms.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

The Yellow Card Scheme allows you to report suspected side effects from any type of medicine (which includes vaccines, herbals and over the counter medicines) that you are taking. It is run by the medicines safety watchdog called the Medicines and Healthcare products Regulatory agency (MHRA). Please report any suspected side effect on the Yellow Card Scheme website.

MOMETASONE FUROATE PRECAUTIONS

Before taking mometasone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids; or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:

  • An infection in your nose (nasal spray)
  • Had a recent operation on or injury to your nose (nasal spray)
  • Any skin problems such as rosacea (which affects the face), acne, dermatitis around the mouth, genital itching, nappy rash, cold sores, chickenpox, shingles or other bacterial, fungal or viral infections affecting the skin (cream/ointment)
  • Any bacterial (e.g. impetigo), viral (e.g. herpes simplex, shingles and chickenpox) or fungal (e.g. thrush) infections of the scalp (lotion)

Before using this medication, tell your doctor or pharmacist your medical history, especially any of the following

  • Have or have had tuberculosis (TB)
  • Herpes simplex viral infection of the eye
  • Any bacterial, fungal or viral infections

Before having surgery, tell your doctor or dentist that you are taking this medication.

Does alcohol intake affect this drug?

  • Alcohol intake is not known to affect mometasone.

The elderly: mometasone can be used in the elderly.

Pregnancy and breast-feeding - please ensure you read the detailed information below

PREGNANCY

The safety of mometasone has not been established during pregnancy. The manufacturer therefore states that mometasone is not to be used during pregnancy unless the benefit justifies the potential risk to the mother, foetus or infant. Ask your doctor or pharmacist if you have any doubts or questions about this.

It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

BREAST FEEDING

It is not known whether mometasone passes into breast milk.

When fluticasone propionate is used in breastfeeding mothers the therapeutic benefits must be weighed against the potential hazards to mother and baby.

It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

MOMETASONE FUROATE INTERACTIONS

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious, possibly fatal interactions may occur:

  • None known.

Before using this medication, tell your doctor or pharmacist of all prescription and non-prescription/herbal products you may use, especially of:

  • Steroid tablets such as prednisolone or dexamethasone or other steroids
  • Itraconazole (used to treat fungal infections)
  • Ketoconazole (used to treat fungal infections)
  • Ritonavir (used to treat HIV infection)
  • Nelfinavir (used to treat HIV infection)

This information does not contain all possible interactions. Therefore, before using mometasone, tell your doctor or pharmacist of all the products you use.

MOMETASONE FUROATE OVERDOSE

Acute over dosage with mometasone, is not expected to lead to major medical problems (acute clinical crisis). However, speak to your doctor if you are worried.

If you think you, or someone you care for, might have accidentally taken more than the recommended dose of Mometasone or intentional overdose is suspected, contact your local hospital, GP or if in England call 111. In Scotland call NHS 24. In Wales, call NHS Direct Wales. In the case of medical emergencies, always dial 999.

MISSED DOSE

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Cream /ointment: If you forget to use your ointment at the right time, use it as soon as you remember, then carry on as before.

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Source: Selected from data included with permission and copyrighted by Boots UK Limited or TicTac Communications Ltd. This copyrighted material is sourced from a licensed data provider and is not for distribution, except as may be authorised by the applicable terms of use.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse events, nor should it be construed to indicate that use of a particular medicine is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any medicine, changing any diet, or discontinuing any course of treatment.

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