Omnaris

Omnaris or ciclesonide nasal spray belongs to the class of corticosteroids widely used to treat nasal symptoms caused by seasonal allergies. These symptoms may include congestion, runny, stuffy, or itchy nose. This medication can be used by adults and children over 6 years old. Besides seasonal allergies, it is beneficial for treating perennial allergies (that occur throughout the year) in adults and children at least 12 years of age. While it is suitable for both adults and children, its dosage may vary from person to person. Moreover, this anti-inflammatory medication might have certain side effects if not used carefully. Therefore, it is advised always to follow your medical practitioner’s instructions when using Omnaris nasal spray.

Omnaris Nasal Spray is a prescription medication approved by the FDA containing ciclesonide, a corticosteroid that helps reduce nasal passage inflammation. It works by blocking inflammatory responses and relieving sneezing, nasal congestion, and runny nose associated with allergic rhinitis. When used consistently, this action provides long-lasting symptom control. Omnaris is available as a nasal spray with 50 mcg of ciclesonide per spray.

The usual dosage is two sprays in each nostril once daily for adults & children 12 years and older or as prescribed by a healthcare professional. It reduces swelling in the nasal lining and eases breathing difficulties caused by allergies.

While it is usually tolerable, it can cause certain side effects in some people. Its common side effects may include nasal irritation, headache, cough, or throat discomfort. Contact a healthcare provider if severe reactions such as nosebleeds or allergic reactions occur. Avoid using Omnaris if allergic to ciclesonide or other corticosteroids. Inform the doctor about any medical history, especially eye problems, infections, or recent nasal surgery. If you have forgotten a dose of Omnaris, take it as soon as remember. Do not double the dose. In case of an Omnaris overdose, seek immediate medical attention. Store the spray upright at room temperature, away from moisture and heat. Do not allow it to freeze. Ask your doctor for more information related to storage, usage, dosage, and more.

This medication is used to treat nasal allergies caused by:

• Seasonal Allergies: These include nasal symptoms like congestion, itchy, runny, or stuffy nose, and sneezing. 
• Perennial Allergies: These include nasal symptoms caused by year-round allergies in adults and children.

What Are the Forms & Strengths of Omnaris?

Omnaris is available as a nasal spray, and each spray delivers 50 mcg of ciclesonide.

What Is the Recommended Dosage of Omnaris?

The recommended dosage of Omnaris for allergy treatment varies from patient to patient & depends on the tolerability of the patient, age, condition, and other factors. The dosage mentioned below applies to everyone. If your doctor has prescribed you a dosage that is different than the one mentioned here, you should use it exactly as prescribed by your doctor and do not make alterations in your dosage without talking to your doctor first. For more information, talk to your doctor or healthcare provider. Do not use Omnaris more or less than prescribed, in large quantities, or more often than prescribed.

For Seasonal Allergic Rhinitis

Adults & Children (6 Years and Above): Doctors usually recommend taking 2 sprays of Omnaris nasal spray in each nostril once a day. Patients should avoid exceeding the maximum daily dose of the medication, i.e., 2 sprays in each nostril.

For Perennial Allergic Rhinitis

Adults & Children (12 Years and Above): Doctors usually advise taking 2 sprays of Omnaris nasal spray in each nostril once daily. However, patients should not exceed the maximum daily dose of the medication, i.e., 2 sprays in each nostril.

[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

• Before using Omnaris for managing seasonal allergies, you should refer to the patient information leaflet (PIL) and the medication guide, if available. Ask your doctor or healthcare provider if you have any questions or concerns about how to take your medication or if you have trouble understanding any of the information in the leaflet.
• Follow the dosage instructions as your medical practitioner provides them.
• Before using this product, gently blow your nose in a sink or the bathroom.
• Shake the nasal container with a light hand before each use.
• Make sure to remove the cap of your nasal spray.
• Remember to prime the bottle precisely when first using it. This step ensures a fine spray when using your nasal spray.
• Use the product as directed by your medical practitioner, generally once daily.
• Avoid using more than 2 sprays in each nostril as it may increase the chances of side effects.
• Do not use the spray in your eyes or directly inside your nasal septum.
• When done with the spraying, clean the bottle’s tip with a clean cloth or tissue.
• Replace the nasal spray cap after each use.
• If your nasal spray gets blocked, do not use any sharp object to unblock the tip. Read your patient information leaflet and follow the steps provided for unblocking the spray tip.
• Take your medication at the same time each day.
• Do not discontinue the use even if you feel well. Some patients may see improvements within 2 days. However, if you have a seasonal allergy, it might take up to 2 weeks to get relief and 5 weeks for a perennial allergy.
• To prevent seasonal allergy, doctors usually advise to start the medication 2 to 4 weeks before pollen season begins.
• Keep count of the number of sprays used from each bottle. Dispose of the container after completing the number of doses specified on the label or after four months of removing the bottle from its original foil pouch, whichever comes first. 
• Let your doctor or healthcare provider know if your condition does not get better or if it becomes worse.

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

Omnaris (ciclesonide) works by reducing inflammation in the nasal passages. As a corticosteroid, it targets the nasal lining, decreasing swelling and irritation caused by allergens. By delivering a fine mist directly into the nose, this medication reduces symptoms like congestion, sneezing, and runny nose, providing effective relief from seasonal and perennial allergic rhinitis. Its anti-inflammatory action helps manage and control allergic reactions, ensuring better breathing and comfort for users.

What Are the Side Effects of Omnaris?

Common side effects of Omnaris: Similar to other medications, Omnaris can cause certain temporary side effects in some people using it. These symptoms usually resolve on their own within a few days or weeks as your body adjusts to the medication without any medical intervention. If you are concerned about any risks associated with the drug, you should discuss them with your doctor and use it exactly as prescribed to reduce the risk of unfavorable reactions. Common side effects include: 

• Headache: Headaches may occur due to the body’s response to the medication. To manage this, ensure proper hydration and consult your healthcare provider if headaches persist.
• Nosebleeds (epistaxis): Nosebleeds can result from nasal irritation or dryness caused by the spray. To prevent this, use the spray as directed, avoid spraying directly onto the nasal septum, & use a saline nasal spray to keep your nasal passages wet. If nosebleeds continue, seek medical advice.
• Nasal irritation: Irritation inside the nose, including burning or discomfort, may occur. Proper application technique and using a saline nasal rinse can help alleviate these symptoms.
• Stuffy nose (nasal congestion): Some individuals may experience nasal congestion. If this occurs, continue using the medication as prescribed, and consult your doctor if symptoms do not improve.
• Sore throat: A sore throat can develop due to drainage of the medication into the throat. Gargling with water after use may help reduce this irritation.
• Ear pain: Ear discomfort is a less common side effect. If you experience ear pain, monitor the symptoms & consult your healthcare provider if it persists.

Serious side effects of Omnaris: In some cases, Omnaris can cause certain rare but severe symptoms that require prompt medical attention and may become fatal if not treated promptly. You should seek prompt medical attention if you have the following signs and symptoms. This list does not include all possible side effects, and there may be others too. Your doctor prescribed Omnaris to you after determining that this medication is safe for you to use. Its serious side effects include: 

• Too much corticosteroids: When corticosteroids, including Omanris, are given in the nose, they can be absorbed into the bloodstream, which can lead to signs and symptoms that can indicate too much corticosteroids. This risk is especially high in patients who have been using this medication either in high doses or more often. Tell your doctor immediately if you have unusual fatigue, weight loss, fever, throat pain, pain while swallowing, whistling sound while breathing, or eye pain. 
• Severe allergic reactions: While rare, a severe allergic reaction to Omnaris is possible. Patients who have a known hypersensitivity to any of the active or inactive ingredients present in the drug should avoid using Omnaris. Its symptoms may include:
  • Swelling of the throat, face, tongue, or lips
  • Nasal septum perforation. Its signs may include:
  • Difficulty while breathing
  • Crusting
  • Hives
  • Nose bleeds
  • Pain and discomfort in the nose
• Worsening of infection symptoms: Omnaris can suppress the immune system, making users more prone to infections or worsening existing ones. This occurs because corticosteroids reduce the body’s natural immune response. To prevent this, avoid exposure to contagious diseases, monitor for symptoms like fever or sore throat, and inform your medical provider about any pre-existing infections. It may include:
  • Fever
  • Pain
  • Aches
  • Chills
  • Feeling tired
  • Nausea
  • Vomiting
• Slower growth of adolescents: Long-term use of Omnaris may slow growth in adolescents due to its effect on the hypothalamic-pituitary-adrenal (HPA) axis, which regulates growth hormones. To manage this risk, healthcare providers should monitor the child’s growth regularly, use the lowest effective dose, and reassess the treatment plan periodically.

[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]

Omnaris has certain warnings that users should take into consideration while using it. Individuals with certain risk factors have a greater risk of developing side effects. Key points of the warning include:

• Impaired Wound Healing: Due to the inhibitory effect of corticosteroids, like Omnaris, on wound healing, patients with active nasal septal ulcers, nasal trauma, or nasal surgery should avoid using nasal sprays until their condition improves. Talk to your medical professional for complete information on this.
• Immunosuppression: Patients using immunosuppressive doses of corticosteroids should avoid exposure to chickenpox or measles and consult their medical provider immediately if they are exposed to them. Patients should also be informed of potential exacerbations of existing tuberculosis, viral, bacterial, or parasitic infections.
• Candida Infection: Clinical studies with Omnaris nasal spray have reported cases of localized Candida albicans infections of the nose and pharynx. In such situations, doctors may discontinue the use of Omnaris and treat patients with appropriate local therapy. That’s why it is important for patients using such medications for longer periods to monitor for Candida infection frequently.
• Ophthalmologic: Nasal and inhaled corticosteroids can cause glaucoma and cataracts. Patients with vision changes or a history of eye pressure, glaucoma, or cataracts should be monitored closely.
• Systemic Effects: While rare, Omnaris nasal spray may develop hypersensitivity reactions or contact dermatitis. These reactions may vary from wheezing and nasal septum perforation to epistaxis. Therefore, it is advised not to use the medication directly on the nasal septum. Talk to your healthcare provider if such reactions occur. 
• Systemic Steroid Replacement by a Topical Steroid: Switching from systemic to topical corticosteroids may cause adrenal insufficiency and withdrawal symptoms like joint pain, fatigue, and depression. Patients transferring to topical corticosteroids who have been treated with systemic corticosteroids for prolonged periods should be monitored for acute adrenal insufficiency, especially those with asthma or other conditions requiring corticosteroids.

There are some precautions that people should consider before using Omnaris. You should not use Omnaris if you have certain conditions or if you have ever had an allergic reaction to any of the ingredients present in it.

• If you are using ciclesonide, make sure to tell your doctor about your allergies or if you are allergic to any of Omnaris’s ingredients. The product may contain certain inactive components that can cause severe allergic reactions. If you are unsure about the ingredients present in the product, you may ask a medical professional or pharmacist. 
• Before starting your treatment with this medication, tell your doctor about your medical history, especially of:
  • Tuberculosis
  • Herpes eye infection
  • Glaucoma
  • Cataracts
  • Nose injury or surgery
• Avoid contact with patients who may have infections that may spread easily, such as chickenpox, measles, flu, or COVID-19. If you have been exposed to such people, consult a medical professional to avoid future complications.
• Long-term use of corticosteroid medications can impact your body’s response to physical stress. So, if you are undergoing surgery or any medical procedure and get a serious injury, talk to your healthcare provider right away. Inform them about the products you are using or have used within the past few months.
• While highly uncommon, prolonged use of this medication can temporarily slow down your child’s growth. Visit your doctor frequently and closely monitor your child’s height.
• If your condition does not improve or get worse, immediately see a medical professional.
• If you are pregnant or planning to get pregnant, make sure to only use this medication when clearly needed. Talk to your doctor and discuss every risk and benefit with them before starting your treatment.
• It is still unknown whether Omnaris passes into the breast milk of lactating mothers or not. Therefore, consult with an expert healthcare provider and ask if you should stop breastfeeding.

It is not recommended for patients who have:

• Hypersensitivity to any of the medication’s ingredients.

Patients are strictly advised not to miss or skip any of the doses of Omnaris. However, if someone has mistakenly forget a dose, they should follow the below instructions:

• Take the missed dose as soon as possible, whenever remembered.
• If it is almost time for your next dose, you can omit the missed one and continue with your regular dosing schedule.
• Remember to not take double doses to make up for the missed dose. Doing this can result in adverse reactions.
• Take the help of medication apps and phone reminders to avoid missing any doses of your medication.
• If you are still unsure and have certain doubts or concerns about the skipped dose, talk to your medical practitioner; they will suggest some alternate options.

[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]

Taking an overdose of any medication can result in serious side effects. If you have also taken an exceeding amount of your maximum daily dose, immediately contact your doctor or visit the nearest clinic. Omnaris overdose may cause signs and symptoms of hypercorticism. So, if you are feeling unusual signs like fainting or trouble breathing, discuss it with your doctor or get medical assistance by calling 911.

[Note: If you consumed more than the recommended dose, get medical help right away or call the Poison Help line at 1-800-222-1222.]

Following proper storage guidelines is essential to ensuring the accuracy and potency of your nasal spray. Unless you are ready to use it, store it in its original foil packaging in a cool, dry place. You can also ask your medical practitioner or doctor how to properly store Omnaris. You may also follow the guidelines given below.

• Store the Omnaris nasal spray at room temperature of 15°C – 25°C.
• Do not freeze your medication.
• Avoid exposure to the temperature above 49°C.
• Keep your nasal spray away from your children and pets’ reach.
• Do not flush the bottle down the toilet.
• Do not keep the container in damp areas like the bathroom or near the sink.
• Discard the product after 4 months once you open the foil pouch in which the bottle comes.
• Avoid using the product when it is not in use or reaches its expiration date.
• Keep the medicine in an upright position and away from heat or moisture.
• Avoid keeping the medication under direct sunlight.
• To find out how to get rid of a medication when it’s not in use, speak with your pharmacist or healthcare provider.

[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]

There are certain medicines that can interact with Omnaris and reduce its effectiveness or cause unwanted side effects. You should tell your doctor or medical provider about all the medicines you are currently using or plan to use alongside Omnaris. These include all prescription medicines, non-prescription and over-the-counter drugs, herbs, or vitamin supplements. This information helps you and your doctor determine if there is any potential interaction between two or more medicines. If an interaction is found, your doctor will alter your dosage of one or more medications or suggest you use a different medicine altogether. Potential Omnaris interactions include:

• Amprenavir
• Atazanavir
• Bcg
• Boceprevir
• Ceritinib
• Clarithromycin
• Cobicistat
• Conivaptan
• Darunavir
• Delavirdine
• Esketamine
• Fosamprenavir
• Idelalisib
• Indinavir
• Itraconazole
• Ketoconazole
• Levoketoconazole
• Lonafarnib
• Miconazole
• Nadofaragene firadenovec
• Nefazodone
• Nelfinavir
• Posaconazole
• Ritonavir
• Saquinavir
• Stiripentol
• Telaprevir
• Telithromycin
• Troleandomycin
• Tucatinib
• Voriconazole

[Note: This isn’t a complete list, and there could be other drugs that interact with Omnaris. Make sure to tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]

What Are the Other Omnaris Interactions?

Certain substances may interact with herbs, vitamins, food items, supplements, food items & beverages and affect how it works. If you are concerned about such interactions, you should talk to your doctor and discuss your diet or lifestyle. To prevent such interactions, your doctor may suggest you make certain changes. It is unknown if there is any interaction between Omnaris and alcohol or tobacco. These substances can interfere with certain drugs. Apart from these interactions, there are certain disease interactions that can interfere with how Omnaris works. These include:

• Infections
• Ocular toxicities
• Ocular herpes simplex
• Hyperadrenocorticism

While Omnaris is an effective medication for treating allergies, it can be contraindicated or unsuitable for use. For this reason, people are finding alternatives to Omnaris. While many substitutes are available on the market, you should not use them without consulting your doctor. Based on your medical condition, tolerability, and other factors, they will help you determine the medicine that is most suitable for you to use. These include:

• Zyrtec
• Cetirizine
• Fluticasone nasal
• Loratadine
• Montelukast
• Allegra
• Claritin
• Singulair
• Clarinex
• Flonase
• Rhinocort
• Nasonex
• Afrin
• Neo-synephrine
• Astelin
• Patanase

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]

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The content provided on the Polar Bear Meds website serves to increase knowledge about healthcare products and medical conditions and is strictly for informational purposes. It should not replace professional medical advice. We urge you to consult with a qualified healthcare professional prior to utilizing any prescription or over-the-counter medication. Our platform grants access to an extensive array of products, sourced internationally, including Canada. We collaborates with a licensed pharmacy partner in Canada and trusted dispensing pharmacies globally. All affiliated fulfillment centers are accredited by the regulatory authorities of their respective countries.