Veramyst (generic: fluticasone) is a prescription medication used to reduce seasonal and year-round nasal allergy symtoms such as stuffy nose, runny nose, itching, and sneezing. Veramyst may also help red, itchy, and watery eyes caused by seasonal allergic rhinitis.
Veramyst contains fluticasone furoate, which is a man-made (synthetic) corticosteroid. Corticosteroids are natural substances found in the body that reduce inflammation.
This medication comes in the form of a nasal spray to be used once daily.
Common side effects of Veramyst include headaches, and nosebleeds.
Veramyst is a prescription medicine used to treat seasonal and year-round allergy symptoms in adults and children 2 years old and older. Veramyst may also help red, itchy, and watery eyes in adults and teenagers with seasonal allergic rhinitis.
This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.
- Allergic reactions including breathing problems; suddenly feeling weak or lightheaded; swelling of the face, mouth, tongue, and/or throat, including difficulty swallowing; rash; and hives. These may be serious. Call your doctor and stop taking Veramyst right away if such reactions occur.
- Some patients taking Veramyst had nosebleeds or nasal sores. These are not all of the possible side effects of Veramyst. For more information, ask your healthcare provider or pharmacist.
Tell your doctor about all the medicines you take including prescripion and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:
- Some antibiotics and some antifungals, including: Clarithromycin (Biaxin); Erythromycin (Ery-Tab); Isoniazid (Nydrazid); Itraconazole (Sporanox); Ketoconazole (Nizoral); Telithromycin (Ketek).
- Protease inhibitors, including: Amprenavir (Agenerase); Atazanavir (Reyataz); Fosamprenavir (Lexiva); Indinavir (Crixivan); Nelfinavir (Viracept); Ritonavir (Norvir); Saquinavir (Invirase).
- Some patients may get a nasal fungal infection. This happened in about 1 out of 1,000 patients in clinical studies with Veramyst.
- Corticosteroids can slow the healing of wounds. Do not use Veramyst until your nose has healed if you have a sore in your nose, if you have surgery on your nose, or if your nose has been injured.
- Some patients may have eye problems, including glaucoma and cataracts. You should have regular eye exams.
- Immune system effects may increase the risk of infections.
- Corticosteroids may slow growth in children. A child taking Veramyst should have his/her growth checked regularly.
Medicines can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of Veramyst there are no specific foods that you must exclude from your diet when receiving Veramyst.
Tell your healthcare provider about all of your medical conditions, including if you are:
- pregnant (or planning to become pregnant).
- breastfeeding a baby.
- exposed to chickenpox or measles.
- feeling unwell or have any symptoms that you do not understand.
- Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal products. Veramyst and other medicines may affect each other, causing side effects. See "Drug Interactions".
- Be certain to tell your healthcare provider if you are taking a medicine that contains ritonavir (commonly used to treat HIV infection or AIDS).
There are no adequate and well-controlled studies in pregnant women. Veramyst Nasal Spray should be used during pregnancy only if the potential benefit justifies the potential risk to the unborn baby.
It is not known whether fluticasone furoate (the active ingredient in Veramyst) is excreted in human breast milk. However, other corticosteroids have been detected in human milk. Since there are no data from controlled trials on the use of intranasal fluticasone furoate by nursing mothers, caution should be exercised when Veramyst Nasal Spray is administered to a nursing woman.
- This medicine is for use in the nose only. Do not spray it in your eyes or mouth.
- An adult should help a young child use this medicine.
- This medicine has been prescribed for you by your healthcare provider. DO NOT give this medicine to anyone else.
- Use Veramyst exactly as your healthcare provider tells you to. DO NOT take more of your medicine or take it more often than your healthcare provider tells you. The prescription label will usually tell you how many sprays to take and how often. If it does not or if you are not sure, ask your healthcare provider or pharmacist.
- For people aged 12 years and older, the usual starting dosage is 2 sprays in each nostril, once a day. After you begin to feel better, your healthcare provider may tell you that 1 spray in each nostril once a day may be enough for you.
- For children aged 2 to 11 years, the usual starting dosage is 1 spray in each nostril, once a day. Your healthcare provider may tell you to take 2 sprays in each nostril once a day. After you begin to feel better, your healthcare provider may change the dosage to 1 spray in each nostril once a day. An adult should help a young child use this medicine.
- Do not use Veramyst after 120 sprays (plus the initial priming sprays) have been used or after the expiration date, whichever comes first. (The sample bottle contains 30 sprays.) The bottle may not be completely empty. The expiration date is printed as “EXP” on the product label and box. Before you throw away Veramyst, talk to your healthcare provider to see if you need a refill of your prescription. If your healthcare provider tells you to continue using Veramyst, throw away the empty or expired bottle and use a new bottle of Veramyst. Follow the Patient Instructions for Usebelow.
- Do not take extra doses or stop taking Veramyst without telling your healthcare provider.
- Veramyst may begin to work within 24 hours after you take your first dose. It may take several days before it has its greatest effect.
- You will get the best results if you keep using Veramyst regularly each day without missing a dose. If you miss a dose by several hours, just take your next dose at the usual time. DO NOT take an extra dose.
Take Veramyst exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.
Adults and Adolescents Aged 12 Years and Older
The recommended starting dosage is 110 mcg once daily administered as 2 sprays (27.5 mcg/spray) in each nostril. Titrate an individual patient to the minimum effective dosage to reduce the possibility of side effects. When the maximum benefit has been achieved and symptoms have been controlled, reducing the dosage to 55 mcg (1 spray in each nostril) once daily may be effective in maintaining control of allergic rhinitis symptoms.
Children Aged 2 to 11 Years
The recommended starting dosage in children is 55 mcg once daily administered as 1 spray (27.5 mcg/spray) in each nostril. Children not adequately responding to 55 mcg may use 110 mcg (2 sprays in each nostril) once daily. Once symptoms have been controlled, the dosage may be decreased to 55 mcg once daily.
If you take too much Veramyst, call your doctor or local Poison Control Center right away.
Veramyst Nasal Spray, 27.5 mcg per spray, is supplied in a brown glass bottle enclosed in a nasal device with a nozzle and a mist-release button to actuate the spray in a box of 1 with FDA-Approved Patient Labeling (see Patient Instructions for Use for proper actuation of the device). Each bottle contains a net fill weight of 10 g of white, liquid suspension and will provide 120 metered sprays. After priming [see Dosage and Administration (2)], each spray delivers a fine mist containing 27.5 mcg of fluticasone furoate in 50 microliters of formulation through the nozzle. The contents of the bottle can be viewed through an indicator window. Shake the contents well before each use. The correct amount of medication in each spray cannot be assured before the initial priming and after 120 sprays have been used, even though the bottle is not completely empty. The nasal device should be discarded after 120 sprays have been used.
Active ingredient: fluticasone furoate.
Inactive ingredients: 0.015% w/w benzalkonium chloride, dextrose anhydrous, edetate disodium, microcrystalline cellulose, carboxymethylcellulose sodium, polysorbate 80, and purified water.
Store the device in the upright position with the cap in place between 15° and 30°C (59° and 86°F). Do not freeze or refrigerate. Keep this and all medicines out of the reach of children.
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