Ciclesonide
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 Overview
Omnaris (ciclesonide) nasal spray is an FDA-approved prescription medication used to treat nasal symptoms associated with perennial & seasonal allergic rhinitis in adults and children aged six and older. Ciclesonide, the main ingredient of Omnaris, is a corticosteroid that minimizes inflammation and alleviates symptoms such as congestion, sneezing, and runny nose.
Omnaris is available in a nasal spray form with a strength of 50 mcg per spray. Medical professionals usually advise to administer one or two sprays per nostril once daily. It’s crucial to follow the precise instructions provided by your healthcare practitioner to ensure effective relief. Omnaris works by targeting nasal passages to reduce swelling and irritation caused by allergens.
While the medication is used to treat nasal allergies, it can have possible side effects. This includes headache, nosebleeds, and nasal irritation. If you experience severe reactions like difficulty breathing or swelling, seek medical attention immediately. Always inform your doctor of your medical history and any other medications you’re taking in detail to avoid interactions. If you have forgotten to take a dose, use your nasal spray as soon as you remember, but skip it if it’s almost time for your next dose. Do not double the dose to catch up. In case of an overdose, get emergency medical help. Moreover, you can store Omnaris at the temperature specified in the instruction manual. Keep the cap tightly closed when not in use. Do not freeze. Follow all storage guidelines to maintain the medication’s effectiveness and make sure it remains safe for use.
Uses of Omnaris
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.
Omnaris Dosage
Strengths and Forms
Omnaris is available as a nasal spray, and each spray delivers 50 mcg of ciclesonide.
Recommended Omnaris Dosage for Different Patients
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.]
How to Take Omnaris?
- To effectively use Omnaris nasal spray, read the patient information leaflet that comes with the product thoroughly.
- Follow the dosage instructions as your medical practitioner provides them.
- Before using this product, gently blow your nose in a sink or in 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.
[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.]
How Does Omnaris Work?
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.
Omnaris Side Effects
Common side effects of Omnaris may include:
- Upper respiratory tract infection
- Headache
- Cough
- Cold
- Nose bleeding
- Throat pain
- Sore nose
- Nose redness, dryness, or crusting
- Nausea
- Muscle cramps
- Bronchitis
- Eye problems like cataracts or glaucoma
- Fever
- Tiredness or weakness
- Vomiting
- Skin rash
- Ear pain
Serious side effects of Omnaris may include:
- Ear pain
- White patches inside the nose or throat
- Weight gain around the face, neck, or trunk
- Chest tightness
- Swelling around the eyes, eyelids, face, or inside the nose
- Loss of vision
- Not feeling hungry
- Difficulty swallowing
- Diarrhea
- Unexplained nosebleeds
- Slow healing of wounds
- Immune issues
- Worsening of infection symptoms. It may include:
- Fever
- Pain
- Aches
- Chills
- Feeling tired
- Nausea
- Vomiting
- Slower growth of adolescents
- Allergic reactions. 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
[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]
Omnaris Warnings
- 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.
Omnaris Precautions
- 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.
- 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.
Omnaris Contraindications
It is not recommended for patients who have:
- Hypersensitivity to any of the medication’s ingredients.
Omnaris Missed Dose
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.]
Omnaris Overdose
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 at 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.]
Omnaris Storage
- 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.]
Omnaris Interactions
- 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.]
Omnaris Alternatives
- 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.]
Frequently Asked Questions
Why Omnaris nasal spray should not be used for more than 4 months?
Omnaris nasal spray should not be used continuously for more than four months to avoid potential side effects such as nasal infections or tissue damage. Prolonged use of corticosteroids can lead to complications, so periodic medical evaluations are necessary to ensure safe and effective use.
Is Omnaris better than Flonase?
Omnaris and Flonase are both effective nasal sprays for allergy relief, but they contain different active ingredients and may work differently for each individual. The best choice depends on personal response and the doctor’s recommendation. Discuss with a medical professional to determine which medication best suits you.
To what age can you use Omnaris nasal spray?
Omnaris nasal spray is approved for use in adults and children aged six and older. It is essential to take medication as directed and talk to a medical professional for appropriate usage, especially in pediatric patients, to ensure safe and effective treatment.
Can I use Omnaris without a doctor’s prescription?
No, Omnaris is a prescription medication and should only be used under the guidance of a medical professional. Using it without a prescription may result in potential side effects and ineffective treatment. Always get your doctor’s approval before beginning your treatment with any new medication.
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