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Side Effects of This Medicine
Mometasone nasal inhalation may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

- headache
- vomiting
- sore throat
- cough
Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:

- wheezing
- vision changes
- yeast infec tion of the nose or throat
- Mometasone nasal inhalation may cause children to grow more slowly. Talk to your doctor about the risks of taking this medication.

Description
Nasal Nasonex 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 the stuffy nose, irritation, a nd 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.

How should this medicine be used?
Nasonex nasal inhalation controls the nasal symptoms of allergies but does not cure them. You should begin to feel an improvement in your nasal allergies within 1--2 days of the first dose of Nasonex nasal inhalation. It may take 1--2 weeks until you feel the full benefit of Nasonex nasal inhalation. Continue to use Nasonex nasal inhalation even if you feel well.

Before you use Nasonex n asal inhalation the first time, read the written instructions that come with it. Ask your doctor or pharmacist to show you how to use it. Practice using the inhaler while he or she watches.

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.

What special precautions should I follow?
If your allergy symptoms fail to improve--or get worse--while you are using Nasonex, inform your doctor.

When switching from steroid tablets to Nasonex nasal spray, some people develop withd rawal symptoms such as fatigue, depression, and joint or muscle pain. If you notice any of these symptoms, tell your doctor.

In rare cases, a hypersensitivity to steroids or excessive use of Nasonex leads to menstrual irregularities, acne, obesity, and muscle weakness. If these symptoms occur, you should tell your doctor immediately. You may have to gradually discontinue use of this prod uct under your doctor's supervision.

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


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