Rhinocort Aqua Spray

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Rhinocort Aqua Spray


Generic Name: Budesonide Nasal Spray (byoo-DESS-oh-nide)
Brand Name: Rhinocort Aqua

Rhinocort Aqua Spray is used for:

Treating nasal allergy symptoms, including runny nose, nasal congestion, and sneezing. It may also be used for other conditions as determined by your doctor.

Rhinocort Aqua Spray is a corticosteroid. It works by shrinking swollen and inflamed nasal tissue and by blocking the action of certain cells and chemicals of the immune system.

Do NOT use Rhinocort Aqua Spray if:

  • you are allergic to any ingredient in Rhinocort Aqua Spray
  • you are taking mifepristone

Contact your doctor or health care provider right away if any of these apply to you.

Before using Rhinocort Aqua Spray:

Some medical conditions may interact with Rhinocort Aqua Spray. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a bacterial, viral, fungal, or parasitic infection; chickenpox; tuberculosis; a positive tuberculosis (TB) skin test; measles; diarrhea; nasal ulcer, surgery, or trauma; or herpes infection in the eye; or if you have had a recent vaccine

Some MEDICINES MAY INTERACT with Rhinocort Aqua Spray. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Barbiturates (eg, phenobarbital), carbamazepine, hydantoins (eg, phenytoin), or rifampin because they may decrease Rhinocort Aqua Spray"s effectiveness
  • Clarithromycin, imidazoles (eg, ketoconazole), mifepristone, or steroidal contraceptives (eg, birth control pills) because side effects, such as adrenal suppression effects, may occur
  • Mifepristone, ritodrine, or live vaccines because the risk of their side effects may be increased by Rhinocort Aqua Spray
  • Hydantoins (eg, phenytoin) because their effectiveness may be decreased by Rhinocort Aqua Spray

This may not be a complete list of all interactions that may occur. Ask your health care provider if Rhinocort Aqua Spray may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Rhinocort Aqua Spray:

Use Rhinocort Aqua Spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Rhinocort Aqua Spray is for use in the nose.
  • Shake well before each use.
  • Before using this medicine for the first time, gently shake the container and prime the pump 8 times.
  • Clear your nose before using Rhinocort Aqua Spray. You may sniff gently to distribute the medicine into your nose, but do not breathe deeply.
  • If Rhinocort Aqua Spray is used daily, the pump does not need to be reprimed. If it not used for 2 consecutive days, reprime it with 1 spray or until a fine spray mist appears.
  • If Rhinocort Aqua Spray is not used for more than 14 days, rinse the applicator and reprime it with 2 sprays or until a fine spray appears.
  • Use Rhinocort Aqua Spray on a regular schedule to get the most benefit from it.
  • Continue to use Rhinocort Aqua Spray even if you feel well. Do not miss any doses.
  • Throw the bottle away after 120 sprays following the priming of the bottle. The correct amount of medication in each spray cannot be ensured after a certain number of uses. Do not transfer any remaining suspension to another bottle.
  • If you miss a dose of Rhinocort Aqua Spray, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Rhinocort Aqua Spray.

Important safety information:

  • Use caution if you switch from an oral steroid (eg, prednisone) to Rhinocort Aqua Spray. It may take several months for your body to make enough natural steroids to handle events that cause physical stress. Such events may include injury, surgery, infection, loss of blood electrolytes, or a sudden asthma attack. These may be severe and sometimes fatal. Contact your doctor right away if any of these events occur. You may need to take an oral steroid (eg, prednisone) again. Carry a card at all times that says you may need an oral steroid (eg, prednisone) if any of these events occur.
  • Avoid spraying in the eyes.
  • Always have a spare inhaler available in case the unit malfunctions or is empty.
  • Symptoms can start to improve as soon as 10 hours after you start using Rhinocort Aqua Spray, and should improve within a few days. If symptoms do not improve within 2 weeks, or if the condition worsens, contact your health care provider.
  • If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does.
  • Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they take Rhinocort Aqua Spray.
  • Rhinocort Aqua Spray should not be used in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Rhinocort Aqua Spray while you are pregnant. It is not known if Rhinocort Aqua Spray is found in breast milk. If you are or will be breast-feeding while you use Rhinocort Aqua Spray, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Rhinocort Aqua Spray:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Bad taste; coughing; headache; hoarseness; nasal irritation or dryness; nausea; sore throat; tightness in the lungs.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); continuing nose discomfort; increased pressure in the eye; infection (fever, chills, sore throat); nosebleeds or soreness; pounding in the chest.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch .

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include body discomfort; depression; difficulty breathing; dizziness; exhaustion; fainting; joint pain; loss of appetite; muscle aches; nausea.

Proper storage of Rhinocort Aqua Spray:

Store at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in an upright position. Store away from heat, moisture, and light. Do not freeze. Keep Rhinocort Aqua Spray out of the reach of children and away from pets.

General information:

  • If you have any questions about Rhinocort Aqua Spray, please talk with your doctor, pharmacist, or other health care provider.
  • Rhinocort Aqua Spray is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Rhinocort Aqua Spray. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: November 1, 2006
Database Edition 06.4.1.002
Copyright © 2006 Wolters Kluwer Health, Inc.




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