EFNASE NASAL SPRAY

Uses and Benefits of EFNASE NASAL SPRAY (CICLESONIDE)

Ciclesonide is used mainly for the long-term control of asthma in adults and children.

WHAT THIS MEDICINE IS USED FOR

• Regular preventive treatment of asthma
• Reducing frequency and severity of asthma attacks
• Improving overall lung function and breathing over time

HOW IT WORKS

• It is a corticosteroid that reduces inflammation in the air passages of the lungs
• It decreases swelling, mucus production, and sensitivity of airways to triggers
• Being inhaled directly into the lungs, it works locally with lower risk of body-wide effects compared to oral steroids

WHAT IT IS NOT USED FOR

• It is not a rescue inhaler and will not relieve a sudden asthma attack
• It is not used for common cold, cough, or chest infections
• It is not a cure for asthma; it only helps control symptoms with regular use
• It should not be stopped suddenly even if you feel better

Side Effects of EFNASE NASAL SPRAY (CICLESONIDE)

COMMON SIDE EFFECTS

• Throat irritation or dryness
• Headache
• Cough after inhalation
• Hoarseness of voice

LESS COMMON SIDE EFFECTS

• Nasal congestion or runny nose
• Nausea
• Back pain
• Fungal infection in the mouth (oral thrush)

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of allergic reaction such as swelling of face, lips, tongue, or throat, or difficulty breathing
• Severe wheezing or worsening breathlessness right after using the inhaler
• Vision changes, eye pain, or blurred vision
• Signs of a serious infection such as high fever that does not go away
• Unusual tiredness, weight loss, or muscle weakness with long-term use

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use EFNASE NASAL SPRAY (CICLESONIDE)

HOW TO TAKE IT

• Use exactly as prescribed by your doctor, usually once daily
• Shake the inhaler if instructed by the label or your pharmacist
• Breathe out fully, place the mouthpiece in your mouth, and inhale slowly and deeply while pressing the device
• Hold your breath for a few seconds after inhaling, then breathe out slowly
• Rinse your mouth with water after use to reduce the chance of throat irritation or thrush
• Do not increase or decrease the dose without consulting your doctor
• Continue using it regularly even if you feel well, as it is a preventive treatment

IF YOU MISS A DOSE

• Take it as soon as you remember
• If it is almost time for your next dose, skip the missed one and continue your normal schedule
• Do not take a double dose to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep away from heat and open flame
• Keep out of reach of children
• Do not puncture, break, or burn the inhaler canister

Safety Information and Precautions for EFNASE NASAL SPRAY (CICLESONIDE)

This is a prescription-only medicine in India and should be used only under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to ciclesonide or any other ingredient in the inhaler
• Are experiencing a sudden severe asthma attack (this medicine is not a rescue inhaler)

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have or have had tuberculosis or other chest infections
• Have liver disease
• Have or had eye problems such as glaucoma or cataract
• Are pregnant, planning pregnancy, or breastfeeding
• Are taking other steroid medicines, including tablets, creams, or other inhalers
• Have a weakened immune system

MEDICINES THAT CAN INTERACT

• Ritonavir and other strong antifungal or HIV medicines that affect liver enzymes
• Other corticosteroids, whether inhaled, oral, or topical
• Ketoconazole and similar antifungal medicines

FREQUENTLY ASKED QUESTIONS

Can I stop using it once my asthma symptoms improve?

No, you should continue as prescribed since stopping suddenly can cause symptoms to return or worsen.

Will this inhaler help during a sudden asthma attack?

No, it is a preventer medicine and does not act fast enough for immediate relief; use your rescue inhaler for sudden symptoms.

Is it safe to use this inhaler for a long time?

• Yes, when used as directed by your doctor, long-term use is generally considered safe and is monitored through regular check-ups.
• Doctor ya pharmacist se salah lein.