Mometasone Nasal: Makes use of, Facet Results, Dosages


What Is Mometasone – Nasal?

Mometasone, beforehand bought below the model identify Nasonex, is a nasal spray used to deal with or forestall seasonal allergy signs and nasal polyps. Mometasone belongs to the corticosteroid drug class.

It’s obtainable in an over-the-counter (OTC) model below the model identify Nasonex 24HR Allergy or by prescription from a healthcare supplier.

Allergy signs happen when your physique reacts to publicity to allergens. Signs embrace a runny nostril, sneezing, stuffy nostril (congestion), itchy eyes or throat, and cough. Constant publicity to allergens may cause irritation and irritation in your nasal passages. Mometasone reduces the swelling in your nostril, making it simpler to breathe.

Mometasone is run by spraying it into every nostril. Additionally it is obtainable as a nasal implant for folks with nasal polyps below the model identify Sinuva. Nevertheless, this text will deal with the nasal spray model of the drug.

Drug Info

Generic Identify: Mometasone

Model Identify(s): Nasonex (discontinued), Sinuva

Drug Availability: Prescription

Administration Route: Nasal

Therapeutic Classification: Anti-inflammatory

Accessible Generically: Sure

Managed Substance: N/A

Lively Ingredient: Mometasone furoate

Dosage Kind(s): Nasal spray, implant (Sinuva)

What Is Mometasone Used For?

The Meals and Drug Administration (FDA) accredited mometasone to:

  • Deal with nasal signs of allergic reactions (also called hay fever)
  • Deal with nasal congestion related to seasonal allergic reactions
  • Forestall seasonal allergic reactions
  • Deal with nasal polyps

Take Mometasone

Mometasone is available in a nasal spray that goes in your nostril. Don’t take this treatment by mouth.

At all times comply with the instructions given to you by your prescribing healthcare supplier when taking your drugs.

Typically, mometasone is given as two sprays (one in every nostril) as soon as a day.

To organize the mometasone bottle to be used:

  • If that is your first bottle or you might be beginning a brand new bottle, you could prime the bottle earlier than you utilize it.
  • To prime the bottle, maintain it together with your thumb on the underside of the bottle and your index and center finger on either side of the nozzle.
  • Shake the bottle properly earlier than every use.
  • Take away the plastic cap on prime.
  • Press down on the nozzle and launch the pump 10 instances or till a wonderful spray seems. Do NOT spray into your eyes.
  • The nasal spray is now prepared to be used.

To manage the treatment:

  • Gently blow your nostril to clear your nostrils.
  • Shut one nostril together with your finger.
  • Tilt your head ahead barely and maintain the bottle upright. Gently insert the nozzle into the opposite (open) nostril.
  • Assist the bottom of the bottle together with your thumb and press firmly down on the edges of the nozzle utilizing your index and center fingers one time.
  • Breathe gently and slowly by your nostril as you spray the bottle. Breathe out by your mouth. Don’t spray instantly onto the onerous a part of the partitions of your nostril.
  • Repeat the steps above for the opposite nostril.
  • If you’re achieved, wipe the highest of the nozzle with a clear tissue and change the plastic cap on the bottle.

You possibly can retailer the bottle unused for as much as one week with out having to prime it once more. After one week with out utilizing it, you will have to prime the bottle once more by spraying it two instances or till a wonderful spray seems. 


Retailer mometasone in a cool, dry place away from gentle. Don’t retailer it in areas uncovered to warmth or humidity like your lavatory. These environments can have an effect on how properly drugs work. Maintain the bottle out of attain of youngsters and pets.

Off-Label Makes use of

Suppliers could prescribe mometasone nasal spray for different circumstances that it’s not accredited for by the FDA. This is called off-label use.

For instance, mometasone might be useful for treating signs of irritation of the nasal passages and sinus cavities (rhinosinusitis), equivalent to:

How Lengthy Does Mometasone Take to Work?

Mometasone can enhance the signs of seasonal allergic reactions inside one to 2 days after you start utilizing it. Nevertheless, you could begin to expertise some symptom reduction inside 12 hours after your first dose.

To greatest forestall seasonal allergic reactions, it is suggested that you simply start utilizing this treatment two to 4 weeks earlier than the beginning of the pollen season.

What Are the Facet Results of Mometasone?

This isn’t an entire listing of uncomfortable side effects, and others could happen. A healthcare supplier can advise you on uncomfortable side effects. When you expertise different results, contact your healthcare supplier or pharmacist. You might report uncomfortable side effects to the FDA at or 1-800-FDA-1088.

Frequent Facet Results

The most typical uncomfortable side effects of mometasone nasal spray are listed beneath:

Extreme Facet Results

Contact your healthcare supplier instantly you probably have critical uncomfortable side effects. Dial 911 in case your signs really feel life-threatening or when you assume you’re having a medical emergency. Critical uncomfortable side effects of mometasone nasal spray and their signs can embrace the next:

  • Thrush (oral candidiasis), a fungal an infection with signs like white coating or patches, redness, or soreness contained in the mouth or throat
  • Eye issues equivalent to glaucoma or cataracts with signs equivalent to adjustments in imaginative and prescient or blurry imaginative and prescient
  • Gradual wound therapeutic

Lengthy-Time period Facet Results

Utilizing corticosteroids for a protracted interval or at larger doses than really helpful may cause:

  • Elevated susceptibility to infections
  • Lowered development in youngsters
  • Hypercorticism (also called Cushing’s syndrome or excessive cortisol ranges within the physique) and adrenal suppression

Nevertheless, since this drug is a nasal spray, these uncomfortable side effects are much less more likely to happen.

Report Facet Results

Mometasone could trigger different uncomfortable side effects. Name your healthcare supplier you probably have any uncommon issues whereas taking this treatment.

When you expertise a critical aspect impact, you or your healthcare supplier could ship a report back to the FDA’s MedWatch Hostile Occasion Reporting Program or by telephone (1-800-332-1088).

Dosage: How A lot Mometasone Ought to I Take?

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The dose of this medication shall be totally different for various sufferers. Observe your physician’s orders or the instructions on the label. The next data consists of solely the typical doses of this medication. In case your dose is totally different, don’t change it except your physician tells you to take action.

The quantity of drugs that you simply take is dependent upon the power of the drugs. Additionally, the variety of doses you’re taking every day, the time allowed between doses, and the size of time you’re taking the drugs rely on the medical downside for which you might be utilizing the drugs.

  • For nasal dosage type (spray):

    • For prevention of seasonal allergic rhinitis:

      • Adults and kids 12 years of age and older—2 sprays in every nostril as soon as a day. Every spray comprises 50 micrograms (mcg) of mometasone.
      • Kids youthful than 12 years of age—Use and dose have to be decided by your physician.
    • For therapy of nasal polyps:

      • Adults—2 sprays in every nostril 2 instances a day or as soon as a day. Every spray comprises 50 micrograms (mcg) of mometasone.
      • Kids—Use and dose have to be decided by your physician.
    • For therapy of seasonal and perennial allergic rhinitis:

      • Adults and kids 12 years of age and older—2 sprays in every nostril as soon as a day. Every spray comprises 50 micrograms (mcg) of mometasone.
      • Kids 2 to 11 years of age—1 spray in every nostril as soon as a day.
      • Kids youthful than 2 years of age—Use and dose have to be decided by your physician.


There are not any particular adjustments that might must be made based mostly in your age or whether or not you might be pregnant or nursing. Mometasone is usually dosed the identical for folks in these conditions.

Missed Dose

When you miss a dose, take it as quickly as you bear in mind. Nevertheless, whether it is near the time to your subsequent scheduled dose, skip the missed dose and proceed together with your common dosing schedule. Don’t take a couple of dose at a time.

Lacking one dose of this treatment just isn’t dangerous, however you will need to take it every day to regulate your allergy signs.

Overdose: What Occurs If I Take Too A lot Mometasone?

Analysis has not recognized a particular dose or quantity of sprays that might be an overdose of mometasone.

Nasal sprays are unlikely to be absorbed into the bloodstream. This is called having low systemic bioavailability, which is a measure of how a lot of a given drug enters the bloodstream. A drug that has a better systemic bioavailability could have a higher impact throughout overdoses.

Mometasone is a corticosteroid and will carry a threat for Cushing’s syndrome. Nevertheless, the chance is taken into account theoretical due to how the treatment is taken. A nasal spray just isn’t more likely to be absorbed into your bloodstream. For the chance to be extra more likely to occur, you would want to take a a lot larger dose of the treatment than is really helpful and take it for a very long time.

Regardless that it could be onerous to overdose on this treatment, you may nonetheless unintentionally use too many sprays. Taking an excessive amount of mometasone on a given day could trigger a headache or sore throat.

What Occurs If I Overdose on Mometasone?

When you assume you or another person could have overdosed on mometasone, name a healthcare supplier or the Poison Management Middle (1-800-222-1222).

If somebody collapses or is not respiratory after taking mometasone, name 911 instantly.


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It is vitally vital that your physician examine your or your kid’s progress at common visits to verify this medication is working correctly and to examine for negative effects.

In case your or your kid’s signs don’t enhance inside a number of days or in the event that they turn into worse, examine together with your physician.

This medication could trigger fungus an infection of the mouth or throat (thrush). Inform your physician instantly you probably have white patches within the mouth or throat, or ache when consuming or swallowing.

This medication could enhance your threat of getting issues together with your nostril. Examine together with your physician instantly when you or your baby have bloody mucus, sores contained in the nostril, or unexplained nosebleeds while you’re utilizing this medication.

Examine together with your physician instantly if blurred imaginative and prescient, problem in studying, or every other change in imaginative and prescient happens throughout or after therapy. Your physician might want your eyes be checked by an ophthalmologist (eye physician).

When you or your baby have problem with respiratory, or any allergic response to this medication, examine together with your physician instantly.

Keep away from shut contact with anybody who has chickenpox or measles you probably have by no means had these circumstances earlier than. That is particularly vital for youngsters. Inform your physician instantly when you assume you’ve been uncovered to chickenpox or measles.

Utilizing an excessive amount of of this medication or utilizing it for a very long time could enhance your threat of getting adrenal gland issues. Discuss to your physician when you or your baby have a couple of of those signs whereas utilizing this medication: darkening of the pores and skin, diarrhea, dizziness, fainting, lack of urge for food, psychological despair, nausea, pores and skin rash, uncommon tiredness or weak point, or weight reduction.

This medication could trigger youngsters to develop extra slowly than ordinary. Discuss to your kid’s physician you probably have any considerations.

Don’t take different medicines except they’ve been mentioned together with your physician. This consists of prescription or nonprescription (over-the-counter [OTC]) medicines and natural or vitamin dietary supplements.

What Are Causes I Shouldn’t Take Mometasone?

You shouldn’t take or be prescribed mometasone you probably have skilled an allergic response to the drug or any of the components.

A drug allergy may cause these signs:

  • Pores and skin rash
  • Fever
  • Hives
  • Swelling

What Different Drugs Work together With Mometasone?

No medical research have been achieved to take a look at mometasone’s interactions with different medication. Nevertheless, there are a number of drug-drug interactions which might be thought-about theoretically attainable.

Mometasone is damaged down within the physique by a bunch of proteins in your liver referred to as cytochrome P450 (CYP450) enzymes. The CYP450 enzymes are a big group of proteins and there are various subclasses of them. Every one has totally different capabilities. A particular CYP450 enzyme, CYP3A4, breaks down mometasone. Different medication can have an effect on the flexibility of those enzymes to do their jobs.

Theoretically, taking drugs that block the CYP3A4 enzyme (equivalent to ketoconazole) may have an effect on how properly mometasone works.

Earlier than you begin therapy with mometasone, inform your supplier about all of the drugs you’re taking, together with prescription and over-the-counter (OTC) merchandise, nutritional vitamins, and natural dietary supplements. It is also vital to inform your healthcare supplier that you’re utilizing mometasone once they prescribe new drugs for you.

What Drugs Are Comparable?

Mometasone is a corticosteroid administered by a nasal spray. It’s accredited by the FDA to deal with signs related to allergic reactions, equivalent to nasal congestion.

Listed beneath are drugs that may be taken for comparable functions:

  • Fluticasone: Fluticasone is a nasal corticosteroid obtainable in each prescription and OTC kinds. It’s used to deal with signs of nonallergic rhinitis, seasonal allergic reactions, or nasal polyps.
  • Dymista (azelastine and fluticasone): Dymista is a prescription nasal treatment used to alleviate seasonal allergy signs.
  • Nasacort Allergy 24HR (triamcinolone): Nasacort Allergy 24HR is an OTC nasal corticosteroid used for allergy signs. Additionally it is obtainable in generic kinds.

This can be a listing of medicines that may also be used for allergy signs. It’s NOT an inventory of medicine which might be really helpful to take with mometasone. In reality, taking these medication collectively can enhance the chance of uncomfortable side effects. Discuss to your pharmacist or healthcare supplier you probably have any questions on your drugs.

Steadily Requested Questions

  • What’s mometasone used for?

    Mometasone nasal spray is used to deal with or forestall signs of allergic reactions. It may also be used to deal with nasal polyps. Mometasone just isn’t meant for the reduction of signs related to the frequent chilly, which might be much like allergy signs.

  • What ought to I do if I get a nosebleed from utilizing mometasone?

    Mometasone could trigger uncomfortable side effects however they’re normally gentle. Nosebleeds are one frequent impact of utilizing mometasone. When you’ve got a nosebleed, don’t attempt to blow it out or swallow the blood. Keep upright and pinch your nostrils closed or place a chilly compress throughout the bridge of your nostril.

  • What ought to I do if mometasone doesn’t assist my allergic reactions?

    If mometasone just isn’t working for you, there are different choices that you simply may be capable of attempt. Ask your supplier what different therapies can be found to your signs.

    OTC merchandise may be one possibility. For instance, Flonase is an OTC treatment that can be used for allergic reactions. You should purchase Flonase and not using a prescription.

    You additionally may need to attempt non-drug methods for dealing with allergic reactions. For instance, utilizing an air air purifier.

    At all times contact your healthcare supplier earlier than altering, stopping, or beginning any drugs.

How Can I Keep Wholesome Whereas Taking Mometasone?

To remain wholesome while you’re utilizing mometasone, take it precisely as directed by your healthcare supplier. Utilizing it constantly will assist management or forestall your allergy signs.

Along with taking treatment, there are different methods to search out reduction throughout allergy season. Non-pharmacologic suggestions for managing allergy signs embrace:

  • Controlling publicity to allergens, equivalent to pet dander or home mud mites, that set off your signs.
  • Utilizing an air air purifier to take away allergens from the air in your house.
  • Closing the home windows and doorways in your house as a lot as attainable to stop allergens from coming in from exterior.
  • Checking pollen counts to arrange for high-pollen days.
  • Vacuuming incessantly to rid your own home of potential allergens, equivalent to mud, dander, and different substances.

Medical Disclaimer

Verywell Well being’s drug data is supposed for instructional functions solely and isn’t supposed to switch medical recommendation, prognosis, or therapy from a healthcare supplier. Seek the advice of your healthcare supplier earlier than taking any new treatment(s). IBM Watson Micromedex supplies a few of the drug content material, as indicated on the web page.

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