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Drug Uses

Nasonex is a nasal allergy spray for the treatment of seasonal and perennial allergy symptoms. Nasonex helps relieve itchy, runny noses, sneezing and congestion caused by dust mites, pet dander and tree and grass pollen. Nasonex Nasal Spray is a corticosteroid demonstrating anti-inflammatory properties. The Corticosteroids have been shown to have a wide range of effects on multiple cell types.

How Taken

Shake Nasonex well before each use. Prime the spray pump as instructed by your pharmacist. Use as directed generally two sprays in each nostril daily. Do not use this drug more often or longer than prescribed. Use Nasonex regularly during the prescribed treatment period for full benefit. If the drug is used for seasonal allergy, therapy is best started 2-4 weeks before the season. Improvement in symptoms occurs generally within 2 days and full benefit occurs after 1-2 weeks of use.

Warnings/Precautions

Before using Nasonex, tell your doctor and pharmacist if you have a viral, bacterial, or fungal infection of any kind. The absorption of this drug into your system can inhibit your body's ability to fight off infections. You may not be able to use Nasonex if you have an infection. Before using Nasonex, tell your doctor if you have a nasal septum ulcer, recently had nasal surgery, or nasal damage. You may not be able to use Nasonex, or you may require a dosage adjustment or special monitoring during your treatment. Nasonex is in the FDA pregnancy category C. This means that it is not known whether Nasonex will harm an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant. It is unknown whether Nasonex passes into breast milk. Do not use Nasonex without first talking to your doctor if you are breast feeding a baby. Nasonex is not approved for children use younger than 3 years of age.

Missed Dose

If you miss a dose of Nasonex, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

Possible Side Effects

Headache or sore throat might occur. If these effects persist or worsen, notify your doctor promptly. Very unlikely but report promptly: vision changes, unusual nasal bleeding or irritation/pain, blood-tinged mucus/phlegm, unusual increase in thirst or urination, nausea, weakness, weight loss. In the unlikely event you have an allergic reaction to Nasonex, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Storage

Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F). Protect from light. When Nasonex Nasal Spray, 50 mcg is removed from its cardboard container, prolonged exposure of the product to direct light should be avoided. Brief exposure to light, as with normal use, is acceptable.

Overdose

An overdose of this medication is not likely to occur. If you do think that an overdose has occurred, call an emergency room or poison control left.

More Information

Avoid items or activities that you know are allergens for you if they make your symptoms worse. Clean areas where dust or pet fur may aggravate your condition. Avoid exposing yourself to known sources of infection. Stay away from people with chicken pox, measles, or any other type of infectious disease. Your immune system may not be strong enough to fight off an infection while you are using Nasonex.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.




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Can Allergies and Asthma Be Prevented?
Can allergies and asthma be prevented from developing in children? There are many studies that have looked at a variety of ways to reduce the development of allergies and asthma in children, some successful and some not. Various strategies, implemented during pregnancy, infancy and early childhood, may act to reduce the chance that your child will develop allergies or asthma.
Prevention of Allergies and Asthma in Children
Over the past 50 years or so, there has been a large increase in the occurrence of allergic diseases (asthma, hayfever, atopic dermatitis and food allergy) in the population. This may be due to the increased use of antibiotics, childhood vaccinations, and a cleaner environment around us. As a result of the increase in allergic diseases, there has been an interest in preventing the onset of allergies and asthma, particularly in children.
There are many factors at play that can influence the development of allergies and asthma in children. These include family background, early introduction of certain foods, breastfeeding, infections, exposure to allergens and pollution, and exposure to tobacco smoke.
Early introduction of solid or allergenic foods has been associated with the development of allergic disease, particularly atopic dermatitis.
Certain infections in babies, such as with RSV, has been associated with the development of asthma. Mothers who smoke during and after pregnancy put their babies at risk for the development of allergies and asthma.
What Strategies Have Been Shown to Reduce, Prevent or Delay the Onset of Allergic Diseases?
Exclusive breastfeeding. Although somewhat controversial, there is some evidence that exclusive breastfeeding during early infancy may be associated with reduction of allergy development. This may be due, at least in part, to the avoidance of cow’s milk and soy proteins in addition to the benefits of breast milk.
Hydrolyzed milk formulas. Hydrolyzed formulas use milk proteins that are broken down into small parts, and therefore are less allergenic. When used exclusively or when combined with breast milk, there seems to be some protective effect of these formulas on the development of allergic diseases.
Maternal avoidance of allergenic foods during pregnancy. There does not appear to be a long-term benefit for mothers to avoid highly allergenic foods during pregnancy, and may be harmful if the diet affects weight-gain of the mother and baby.
Maternal avoidance of allergenic foods during breast-feeding. There may be some benefit for nursing mothers to avoid highly allergenic foods during breast-feeding. Various studies have shown that avoidance of cow’s milk, egg, fish, peanut and soy proteins can reduce the occurrence of atopic dermatitis in young children. However, this strategy is likely to only work for highly motivated mothers of children at high risk for allergic disease (such as a strong family history of allergies), and should be done only under medical supervision to ensure the baby is receiving adequate nutrition.
Late introduction of solid and highly allergenic foods. There is some evidence that delaying introduction of solid foods until 4 months of age, and longer for highly allergenic foods, may reduce or delay the occurrence of atopic dermatitis.
Avoidance of house dust mite. Various studies have looked at implementing dust mite avoidance precautions during pregnancy, at birth, and in childhood in an attempt to prevent development of dust mite allergy and other allergic disease. This had little to no effect on long-term development of allergies, although results are somewhat mixed.
Avoidance of allergenic foods and house dust mite. One study looked at the effects of avoidance of dust mites as well as exclusive breastfeeding, use of a hydrolyzed milk formula, and delayed introduction of solid foods in infants from birth to one year of age. The results showed a decrease in asthma and atopic dermatitis at 4 years of age, and a decrease in asthma at 8 years of age.
Diet. Various studies have looked at the supplementation of various antioxidants, such as vitamins A, C and E, and selenium, in the prevention of allergic diseases. None of these show convincing evidence of prevention. Studies do consistently show benefit of omega-3 polyunsaturated fatty acids (as found in fish) in the protection against allergic disease.
Exposure to endotoxin. Various studies show a benefit with the presence of endotoxin, a protein that influences the immune system to not make allergies, during the early years of life. Household dogs are a common source of endotoxin, and the presence of 2 or more indoor dogs during childhood has been shown to reduce the occurrence of asthma.
Probiotics. Lactobacillus, a live bacteria found in yogurt, given during pregnancy and to infants for 6 months seemed to protect against atopic dermatitis for the first 2 years of life.
Allergy shots. Immunotherapy given to children with allergic rhinitis has been shown to decrease the development of new allergies and has decreased the chance of developing asthma for years, even after the allergy shots were stopped.
Medications. Zyrtec has been shown to reduce the development of asthma in children with atopic dermatitis who were allergic to grass pollen and house dust mite.

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