What is Asmanex Twisthaler?Asmanex Twisthaler is an asthma inhaler with a medicine called an inhaled corticosteroid. Asmanex Twisthaler is used to prevent and control asthma symptoms for patients older than 4 years of age.
What is the most important information I should know about Asmanex Twisthaler?Asmanex Twisthaler should not be used to treat asthma attacks and should not be used to relieve sudden asthma symptoms. Use a short-acting bronchodilator such as albuterol if you are experiencing an asthma attack or seek medical help immediately.
Asmanex Twisthaler may slow the rate of growth in children.
It is very important to rinse your mouth every time after using Asmanex Twisthaler to prevent fungal infections of the mouth or throat.
Avoid coming in contact with measles, chickenpox virus, tuberculosis, or any other infections before or while using Asmanex Twisthaler. Contact your doctor immediately if you have been exposed.
Patients who use inhaled steroid medicines for a long time may have an increased risk of decreased bone mass, which can affect bone strength. Talk with your doctor about your bone health.
Use your Asmanex Twisthaler regularly and at the same time each day, as prescribed by your doctor. You may not get the most benefit for 1-2 weeks or longer after starting this medication. If your symptoms do not improve in that time frame or if your condition gets worse, contact your doctor.
Who should not take Asmanex Twisthaler?You should not use Asmanex Twisthaler if you are having an asthma attack.
Do not use if you are allergic to any of the ingredients of Asmanex Twisthaler.
What should I tell my doctor before I take the first dose of Asmanex Twisthaler?Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Asmanex Twisthaler. Also, talk to your doctor about your complete medical history, especially if you have a history of liver disease, glaucoma, cataracts, or change in vision. Tell your doctor if you have or had tuberculosis, have been exposed to anyone with chickenpox or measles, or of any other infections you had before or while using Asmanex Twisthaler.
What is the usual dosage?The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.
Adults and children ≥12 years: Patients who have received bronchodilators alone: The recommended dose is 220 micrograms (mcg) once daily in the evening.
Patients who have received inhaled corticosteroids: The recommended dose is 220 mcg once daily in the evening.
Patients who have received oral corticosteroids: The recommended dose is 440 mcg twice daily.
Children 4-11 years: The recommended dose is 110 mcg once daily in the evening.
How should I take Asmanex Twisthaler?If Asmanex Twisthaler is given only once a day, you should take it in the evening. Make sure to record the date of pouch opening on the cap label, and throw out the inhaler 45 days after opening the foil pouch or when the dose counter reads "00" and the final dose has been inhaled, whichever comes first. The inhaler should be held upright while removing the cap.
Speak to your doctor about the correct way to use the Asmanex Twisthaler and refer to the detailed instructions that accompany the drug. Breathe rapidly and deeply, and do not breathe out through the inhaler. Do not take or give extra doses unless your doctor has told you to. The mouthpiece should be wiped dry and the cap replaced immediately following each inhalation. Rinse your mouth after each inhalation.
What should I avoid while taking Asmanex Twisthaler?You should avoid exhaling into the inhaler.
What are possible food and drug interactions associated with Asmanex Twisthaler?If Asmanex Twisthaler is taken with certain other drugs, the effect of either could be increased, decreased, or altered. Asmanex Twisthaler should be used with caution when combined with ketoconazole.
What are the possible side effects of Asmanex Twisthaler?Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.
Side effects may include: back pain, fungal infection in the mouth, headache, muscle and bone pain, nasal allergy symptoms, painful menstrual periods, sinus infection, sore throat, upper respiratory tract infection, upset stomach
Can I receive Asmanex Twisthaler if I am pregnant or breastfeeding?The effects of Asmanex Twisthaler during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
What should I do if I miss a dose of Asmanex Twisthaler?If you miss a dose, take it as soon as you remember. If you do not remember until it is time for your next dose, skip the missed dose and go back to your regular schedule. Do not take two doses at once.
How should I store Asmanex Twisthaler?Store at room temperature in a dry place. Keep your inhaler clean and dry at all times.
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