Omnaris (Ciclesonide)
Omnaris
Ciclesonide
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Omnaris (Ciclesonide)

What is Omnaris (Ciclesonide)?

Omnaris is a medication used to treat symptoms of nasal allergies (congestion, runny nose, sneezing). Omnaris contains the active ingredient ciclesonide, which belongs to a drug class called corticosteroids. Omnaris works by reducing inflammation in the nasal passage.

Dosage

This medication is to be taken as a nasal spray. Follow the directions provided by your doctor or pharmacist carefully. Blow your nose before using Omnaris. Prime the bottle according to the instructions when starting each new bottle, or if you haven’t used the bottle for more than four days. The spray should be fine. Omnaris should be used once daily. Using it more than twice per day can increase the risk of side effects. Avoid contact with the eyes and don’t spray directly onto the nasal septum. Wipe the spray tip and replace the protective cap after each use. If the applicator becomes blocked, follow the instructions in the leaflet to unblock it. Each bottle will have a specified number of sprays listed. Discard the bottle after you have used this number of sprays, or four months after the bottle was opened.

Storage

Store this medication in a location that will not exceed 25°C. Do not allow to freeze. Keep out of reach of children and pets. Do not use expired product. Dispose of expired or surplus medication responsibly, following the instructions of your healthcare provider. Do not dispose of Omnaris down the toilet or sink.

Side Effects

Common Side Effects

All medications come with a risk of side effects. It is important to recognize that your doctor has determined that your risk of side effects is outweighed by the potential benefit that this medication can provide. Side effects differ between individuals, and it is possible you will not experience any side effects at all. Omnaris spray is commonly associated with nosebleeds, nasal irritation, or pain in the ear. If you experience these symptoms and they worsen or do not resolve on their own, contact your doctor.

Severe Side Effects

Occasionally, corticosteroids administered nasally can be absorbed into the bloodstream, which can lead to side effects. If you experience unusual or extreme fatigue, unexplained weight loss, headache, swelling of the ankles or feet, increased thirst or urination, or unusual changes in your vision, contact your doctor right away.

Prolonged nasal corticosteroid use can lead to fungal infections in the nose or throat. If you experience fever, nasal pain, a severe sore throat, pain upon swallowing, or develop white deposits on the posterior surface of the throat, contact your doctor immediately. Further, if you develop very severe nosebleeds, severe nasal pain, or a whistling sound whilst breathing, contact your doctor.

An allergic reaction to this medication is rare, but not impossible. If you experience a rash, itching, facial swelling, severe dizziness, or difficulty breathing, seek immediate medical assistance.

Warnings & Precautions

Do not use ciclesonide if you are allergic to it or any of the ingredients of Omnaris. Tell your doctor of all allergies you have, and if you have had an allergic reaction to the medication before.

Ensure your doctor is aware of your complete personal and family medical history, including nose problems, infections (tuberculosis, herpes, etc.), or eye problems (glaucoma or cataracts).

Try to avoid being exposed to chickenpox or measles while using Omnaris. If you have reason to believe you have been exposed, contact your doctor right away.

If you sustain a serious injury or illness, and before having surgery, tell your doctors that you have been taking Omnaris nasal spray. Prolonged corticosteroid use can impair your body’s physical stress response.

Height should consistently be monitored in children that use this medication, as it can temporarily slow growth in rare cases.

Pregnant people should only be prescribed this medication when it is absolutely necessary. It is unknown if Omnaris could have any effects on the unborn baby. If you are pregnant, intend to become pregnant, think you could be pregnant, or become pregnant while using Omnaris, discuss your options with your doctor.

It is not known if this medication can pass into breast milk. Talk to your doctor if you intend to breastfeed while using this medication.

Interactions & Contraindications

When two or more medications are taken concurrently they can interact with one another, changing the way one or more of them function in the body and potentially leading to unwanted side effects. It is important that you keep track of all the medications you take on a regular basis (prescription and non-prescription) and share this with your doctor. They may want to adjust your medication schedule to accommodate Omnaris.

It is not recommended that you use Omnaris alongside desmopressin. If you take desmopressin your doctor may want to change your medication schedule. If you take any of the following, your doctor may need to change the dosage of one or more drugs to allow for Omnaris:  bemiparin, cobicistat, macimorelin, or ritonavir. Do not start, stop, or change the dosage of any medication without first consulting your doctor.

Frequently Asked Questions

Omnaris contains the active ingredient ciclesonide, which is a corticosteroid. It is prescribed to treat symptoms of nasal allergies, such as congestion, sneezing, and runny nose. Omnaris works by reducing inflammation in the nasal passageway to encourage easy breathing.

You should continue to use Omnaris for as long as your doctor tells you to. It may take 1-2 days to see an improvement in your symptoms. Consult your doctor if you do not see results in 2-5 weeks from the first use.

Omnaris spray should only be used once per day. Using it more frequently than this can lead to unwanted side effects.

Insert the applicator tip into your nostril. You should spray two pumps into each nostril once daily and wipe the applicator tip clean after each use.  Do not exceed the recommended dosage.

Omnaris should not be used by people who are allergic to corticosteroids or any of the inactive ingredients of this medication. It is also not recommended for people who are pregnant or breastfeeding.

If you forget to use a dose of Omnaris, use it as soon as you remember. If it is near the time for your next usage, skip the missed dose altogether. Do not double up the dose to catch up, as this can lead to unwanted side effects.