What Rhinocort Aqua is used for and how to use it
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Rhinocort Aqua - Consumer Medicine Information

Manufacture: AstraZeneca
Country: Canada
Condition: Allergic Rhinitis
Class: Nasal steroids
Form: Aerosol, Nasal suppositories
Ingredients: budesonide, carboxymethylcellulose sodium, disodium edetate, glucose anhydrous, hydrochloric acid, microcrystalline cellulose, polysorbate 80, potassium sorbate, and purified water

RHINOCORT AQUA

budesonide (aqueous nasal spray)

What is Rhinocort Aqua Used for and how does it Work

RHINOCORT is a brand name for a drug called budesonide. RHINOCORT is an intranasal spray of the drug budesonide. It belongs to a group of medicines called corticosteroids which are used to reduce inflammation. RHINOCORT AQUA reduces and prevents the inflammation.

You should use RHINOCORT AQUA when you experience symptoms such as congestion (blocked nose), runny nose, sneezing and nasal itching. These symptoms may be felt when you are exposed to pollen such as ragweed or grass (hay fever) or dust in your house.

RHINOCORT AQUA can also be used to treat nasal polyps. It can prevent new polyps from appearing as well as get rid of ones you already have.

What is in Rhinocort Aqua

RHINOCORT AQUA contains budesonide as the active ingredient and comes in a concentration of 64 mcg per spray. Your nasal spray contains 120 doses.

Most medicines contain more ingredients than just the active drug. Check with your doctor if you think you might be allergic to any of these items (listed in alphabetical order): budesonide, carboxymethylcellulose sodium, disodium edetate, glucose anhydrous, hydrochloric acid, microcrystalline cellulose, polysorbate 80, potassium sorbate, and purified water.

What Should I Tell my Doctor before Taking Rhinocort Aqua

Tell your doctor:

  • About all health problems you have now or have had in the past, especially if you have had lung tuberculosis or any other recent infection;
  • if you have or had liver problems;
  • about other medicines you take, including ones you can buy without a prescription;
  • if you take, or have taken steroid medicines within the past several months;
  • if you have ever had a bad, unusual or allergic reaction to budesonide or any of the other ingredients;
  • if you are pregnant, plan to become pregnant or are breastfeeding;
  • if you take medications against fungal infections or ritonavir (medication used to treat HIV infection or AIDS). These medications may interact with RHINOCORT AQUA.

How do I Take Rhinocort Aqua Properly

RHINOCORT AQUA has been prescribed for your current condition only. Do not use it for other problems unless you are told by your doctor. Never lend your nasal spray to someone else.

It is important that you use RHINOCORT AQUA daily at the intervals recommended by your doctor. Do not stop or change dosage without asking your doctor.

Children using RHINOCORT AQUA should be supervised by an adult. This is to ensure that the correct dose is given as prescribed by the doctor.

RHINOCORT AQUA is not recommended for continuous, long-term treatment in children.

If you follow the instructions below, you will receive the medication.

1. Before use, turn the bottle upside-down 3 to 4 times.
Remove the protective cap from the nose piece.
2. When using the spray for the first time, you must load the pump by pressing downwards on the collar. Use your index and middle fingers while supporting the base of the bottle with your thumb (as illustrated). Press down 5 to 10 times until a fine mist spray appears. The spray is now ready for use. If not used daily the pump must be loaded again. This time it is sufficient to pump just once into the air.


3. Gently blow your nose. Hold the bottle as shown. Tilt your head forward slightly, close one nostril with a finger and gently insert the tip of the nose piece into the other nostril.
4. For each spray your doctor has instructed you to take, press firmly downwards once on the collar. Breathe gently inwards through the nostril, then breathe out through the mouth.


5. Repeat the procedure for the other nostril.
6. Replace the protective cap on the nose piece. Keep the bottle in an upright position. Store at 15-30°C.

Cleaning

Clean the nose piece and protective cap regularly. To clean the nose piece, remove the protective cap, press upwards on the collar and the nose piece will come off. Wash the nose piece and protective cap under lukewarm water. Air dry and replace the nose piece and the protective cap back on the bottle and reload as in Instruction #2. Do not try to clean the nasal applicator by using a pin or sharp object.

How much Rhinocort Aqua Should I Take

This medicine is prescribed for you by your doctor. Never give it to someone else. It may harm them even if their symptoms are the same as yours.

RHINOCORT AQUA:

  • Is for use in the nose only. Do not use it in your eyes or mouth.
  • May take 2-3 days (and up to 2 weeks) to work. Take it each day without missing a dose to get the best results.

Take RHINOCORT AQUA exactly as recommended by your doctor. Follow your doctor’s directions carefully. They may differ from the information in this leaflet.

Do not take more of your medicine or take it more often than your doctor tells you. Do not stop taking RHINOCORT AQUA even if you feel better unless told to do so by your doctor.

For seasonal allergic rhinitis, RHINOCORT AQUA works best if it is started before allergy season begins.

If your nose is blocked, decongestant nose drops may be used during the first 2-3 days of the treatment.

This drug does not relieve allergy symptoms in the eyes. If your eyes bother you, your doctor may be able to give you some additional medicine to relieve these symptoms.

Tell your doctor if:

  • your symptoms have not improved after 3 weeks of taking RHINOCORT AQUA;
  • your nose becomes irritated;
  • you have a yellow or green discharge from your nose;
  • you have repeated nose bleeds.

Adults and Children (6 years and older)

Rhinitis

RHINOCORT AQUA can be taken once a day or twice a day.

Usual once a day starting dose

2 sprays into each nostril once a day (in the morning).

Usual twice a day starting dose

1 spray into each nostril twice a day (in the morning and evening).

Maintenance dose

Use the lowest effective dose necessary to control symptoms.

Depending on how RHINOCORT AQUA works for you, your doctor may change your dose.

Nasal Polyps

Usual Dose

1 spray into each nostril twice a day (in the morning and evening).

What do I do if I Miss a Dose

If you miss a dose of RHINOCORT AQUA, take it as soon as possible. Then go back to your regular schedule. If it is almost time to take your next dose, skip the missed dose and take the next dose on time.

Never take a double dose of RHINOCORT AQUA to make up for ones you missed. If you are still unsure, check with your doctor or pharmacist to see what you should do.

You may notice that your symptoms improve after the first dose of RHINOCORT AQUA. However, several weeks may pass before the full effect is achieved. Don't forget to take RHINOCORT AQUA even when you feel well.

Treatment with RHINOCORT AQUA should not be stopped abruptly, but tapered off gradually.

What Should I do in Case of Overdose

Telephone your doctor or go to your nearest hospital right away if you think that you or anyone else may have taken too much RHINOCORT AQUA.

Are there any Side Effects

Like any medication, RHINOCORT AQUA may result in side effects in some people.

Common side effects are nasal and throat irritation, nasal bleeding and crusting. Other side effects include itching throat, sore throat, cough, fatigue, nausea/dizziness and headache.

Uncommon side effects include allergic conditions such as asthma, skin rash, itching or swelling in the face and Cushing’s syndrome (hypercorticism). These may not be caused by RHINOCORT AQUA in your case, but only a doctor can tell this. Very few people who have used steroids in the nose, such as RHINOCORT AQUA, have experienced a severe allergic reaction, or have found small holes or ulcers in the skin inside the nose. The likelihood of these side effects occurring is very rare. If you notice anything unusual about the skin inside your nose, talk to your doctor.

Medicines affect different people in different ways. Just because side effects have occurred in other patients does not mean you will get them. If any side effects bother you, please contact your doctor.

Side effects that may occur with the use of local corticosteroids are:

  • itching and swelling in the face;
  • slower healing of wounds. Do not use RHINOCORT AQUA 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;
  • slower growth in children. Your physician should monitor growth regularly for children;
  • worsening of the symptoms of infections.

Do not stop taking RHINOCORT AQUA on your own. Your doctor may want to slowly reduce your dose, especially if you have been using RHINOCORT AQUA for a long time. Although rare, symptoms of steroid withdrawal (i.e. fatigue, muscle or joint aches) may occur if RHINOCORT AQUA is stopped too quickly.

Where Should I Keep Rhinocort Aqua

Remember to keep RHINOCORT AQUA out of the reach of children when you are not using it.

Store the bottle at room temperature (15-30°C) in a dry place, away from moisture.

Do not keep or use RHINOCORT AQUA after the expiry date indicated on the label.

Important Note

This leaflet alerts you to some of the times you should call your doctor. Other situations which cannot be predicted may arise. Nothing about this leaflet should stop you from calling your doctor or pharmacist with any questions or concerns you have about using RHINOCORT AQUA.

NOTE: This INFORMATION FOR THE PATIENT leaflet provides you with the most current information at the time of printing.

For the most current information, the Consumer Information Leaflet plus the full Product Monograph, prepared for health professionals can be found at:

www.astrazeneca.ca

or by contacting the sponsor, AstraZeneca Canada Inc. at:

Customer Inquiries – 1 (800) 668-6000,

Renseignements – 1 (800) 461-3787.