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When intranasal steroids are used at higher than recommended dosages or in susceptible individuals at recommended dosagessystemic corticosteroid effects such as hypercorticism and adrenal suppression may appearIf such changes occurthe dosage of NASONEX Nasal Spray should be discontinued slowlyconsistent with accepted procedures for discontinuing oral corticosteroid therapy.
Patients receiving corticosteroids who are potentially immunosuppressed should be warned of the risk of exposure to certain infectionse.gchickenpoxmeaslesand of the importance of obtaining medical advice if such exposure occurs.
Read all patient informationmedication guidesand instruction sheets provided to youAsk your doctor or pharmacist if you have any questions.
Blow your nose gentlyKeep your head upright and insert the tip of the bottle into one nostrilPress your other nostril closed with your fingerBreathe in quickly and gently spray the medicine into your noseThen use the spray in your other nostril.
Treatment with higher than recommended doses may result in clinically significant adrenal suppressionIf there is evidence for higher than recommended doses being usedthen additional systemic corticosteroid cover should be considered during periods of stress or elective surgery.
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