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Before Using This Medicine
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¡XNasal corticosteroids may make this condition worse
- Asthma¡XNasal corticosteroids may make this condition worse
- Diabetes mellitus (sugar diabetes)¡XUse of dexamethasone may decrease carbohydrate tolerance, wo ening blood glucose control and warranting an increase in insulin dosage
- Glaucoma¡XLong-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)¡XNasal corticosteroids may cover up the signs of these conditions

Special warnings about this medication
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.

Possible food and drug interactions when taking this medication
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 corticosteroids, such as dexamethasone, warranting an increase in corticosteroid dose

Side Effects
Although side effects from triamcinolone are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- headache
- nasal irritation or dryness
- sore throat
- sneezing
- nosebleed

If you experience any of the following symptoms, call your doctor immediately:

- increased difficulty breathing
- swollen face, lower legs, or ankles
- vision problems
- cold or infection that lasts a long time
- muscle weakness

Description
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.

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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