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What special precautions should I follow?
Allergies¡XTell your doctor if you have ever had any unusual or allergic reaction to Nasonex or other corticosteroids. Also tell your health care professional if you are allergic to any other substanc s, such as foods, preservatives, or dyes.

Precautions while Using this Medicine
The presence of other medical problems may affect the use of Nasonex. Make sure you tell your doctor if you have any other medical problems, especially:
- Injury to the nose (recent) or
- No se surgery (recent) or
- Sores in the nose¡XNasal Nasonex may prevent proper healing of these conditions
- Liver disease
- Tuberculosis (active or history of)
- Underactive thyroi
- Weak heart or
- Recent heart attack¡XUse of dexamethasone may worsen these conditions

Other Medicines
Tell your health care professional if you are taking any prescription or nonprescription (over-the-counter [OTC]) medicines, such as:

- Ephedrine or
- Phenobarbital or
- Rifampin (e .g., Rifadin)¡XEphedrine, phenobarbital, and rifampin may decrease the blood levels of nasal Nasonex, such as dexamethasone, warranting an increase in corticosteroid dose

How to Use
Nasonex comes as a spray to inhale through the nose. It is usually sprayed once a day in each nostril. To help you remember to use Nasonex nasal inhalation, use it around the same time every day. Foll ow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use Nasonex nasal inhalation exactly as directed. Do not use more o r less of it or use it more often than prescribed by your doctor.

Shake the pump well before each use.

Do not spray Nasonex nasal inhalation into the eyes.

For the preventio n of nasal symptoms of seasonal allergies, begin using Nasonex nasal inhalation 2--4 weeks before the beginning of the pollen season.

What side effects may occur?
Check with your doctor as soon as possible if any of the following side effects occur:

- Bad smell; blindness; bloody mucus or unexplained nosebleeds; blurred or gradual loss of vision; b urning or stinging after use of spray or irritation inside nose (continuing); crusting, white patches, or sores inside nose; discharge or redness in eye, eyelid, or inner lining of the eyelid; eye pain; headache; hives ; light-headedness or dizziness; loss of sense of taste or smell; muscle pain; nausea or vomiting; ringing in the ears ; shortness of breath; skin rash; sore throat, co ugh, or hoarseness; stomach pains; stuffy, dry, or runny nose or watery eyes (continuing); swelling of eyelids, face, or lips;

Symptoms of overdose
Acne; blurred vision; bone fractures; excess hair growth in females; fullness or rounding of the face, neck, and trunk; high blood pressure; impotence in males ; increased urination or thirst; lack of menstrual periods; menstrual changes; muscle wasting and weakness




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