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Indications

Asmanex is a medication used to control and prevent symptoms of asthma, such as wheezing and shortness of breath. Asmanex contains the active ingredient mometasone and is available as an inhalation aerosol or a twisted halter.

Asmanex is typically used as a maintenance treatment for the prevention and control of asthma symptoms in adults and children over four.

Asmanex is not a rescue medication and should not be used to treat sudden, severe symptoms of asthma and is an inhaled corticosteroid and works by decreasing inflammation in the lungs.

Use and Dosage

Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. Follow the illustrated directions for the proper use of this medication and proper cleaning of the mouthpiece. If you have any questions, consult your doctor or pharmacist.

Inhale this medication by mouth as directed by your doctor, usually once or twice a day. Do not breathe out (exhale) into the inhaler. The dosage is based on your medical condition, age, and response to treatment.

If two inhalations/puffs are prescribed, wait at least one minute between them. If you are using other inhalers at the same time, wait at least 1 minute between the use of each medication, and use this drug (the corticosteroid) last.

To prevent dry mouth, hoarseness, and oral yeast infections from developing, gargle, rinse your mouth with water and spit out after each use. Do not swallow the rinse water.

Use this medication regularly to get the most benefit from it. This medication works best if used at evenly spaced intervals. To help you remember, use it at the same time(s) each day. Do not increase your dose, use this medication more frequently, or stop using it without first consulting your doctor.

Always have your quick-relief inhaler with you. Keep track of the number of inhalations you use. The inhaler should be discarded when every inhalation has been used (when the dose indicator reads ”00”) or if it has been 45 or 60 days (depending on your brand) after removal from its foil overwrap pouch, whichever comes first.

Some conditions (such as asthma, allergies) may become worse when the drug is suddenly stopped. If you suddenly stop taking the drug, you may also have withdrawal symptoms (such as weakness, weight loss, nausea, muscle pain, headache, tiredness, and dizziness). To help prevent withdrawal, your doctor may slowly lower the dose of your old medication after you begin using mometasone. Tell your doctor or pharmacist right away if you have withdrawal. See also the Precautions section.

It may take 1 to 2 weeks before you get the full benefit of this drug. Tell your doctor if your symptoms do not improve or if they worsen.

Side Effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Serious side effects include:

• Wheezing, choking, or other breathing problems after using this medication
• Blurred vision, tunnel vision, eye pain, or seeing halos around lights
• Worsening asthma symptoms
• Signs of infection: fever, feeling tired, body aches, pain, chills
• Signs of thrush (a fungal infection): sores or white patches in your mouth or throat, trouble swallowing
• Symptoms of low adrenal gland hormones: extreme tiredness or weakness, nausea, vomiting, a light-headed feeling (like you might pass out)
• Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using mometasone inhalation

Common side effects of mometasone inhalation may include:

• Fungal infection
• Increased sinus allergy symptoms (runny nose, stuffy nose, sinus pain), sore throat, or nosebleed
• Headache
• Muscle, bone, or back pain
• Flu symptoms
• Indigestion or upset stomach
• Menstrual pain
• Hoarseness or deepened voice

This is not a complete list of side effects and others may occur.

Cautions

Before using mometasone, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients (such as lactose, and milk proteins), which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: current/past infections (such as tuberculosis, herpes), bone loss (osteoporosis), eye problems (such as cataracts, glaucoma), diabetes, decreased adrenal gland function.

If you have switched from a corticosteroid taken by mouth (such as prednisone tablets) to this inhaler within the past 12 months, or if you have been using this product in higher-than-usual doses for a long time, it may be more difficult for your body to respond to physical stress. Before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used a corticosteroid taken by mouth within the past 12 months. Tell your doctor right away if you develop unusual/extreme tiredness or weight loss. Carry a warning card or medical ID bracelet that says you use (or have used) corticosteroid medications.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This medication may mask signs of infection. It can make you more likely to get infections or may make current infections worse.

This medication may temporarily slow down a child’s growth if used for a long time. However, poorly controlled asthma can also slow down growth. See the doctor regularly so your child’s height can be checked.

During pregnancy, this medication should be used only when needed. Discuss the risks and benefits with your doctor.

It is unknown if this drug passes into breast milk. Consult your doctor before breastfeeding.

Form and Strengths

Asmanex is available in the following form and strengths:

Asmanex Powder Inhaler:

• 100 mcg
• 200 mcg
• 400 mcg

FAQ

What happens if I miss a dose?

Use the medicine as soon as you can but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention.

What should I avoid while using mometasone inhalation?

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using mometasone.

Resources:

1. https://www.drugs.com/mtm/mometasone-inhalation.html#side-effects
2. https://www.webmd.com/drugs/2/drug-93720/asmanex-twisthaler-inhalation/details
3. https://www.asmanex.com/