Omnaris Warnings and Precautions

To help minimize risks when using Omnaris, warnings and precautions for the drug should be discussed with your healthcare provider. Before beginning treatment, tell your healthcare provider if you have any infections, sores inside your nose, or recently had nasal surgery. Omnaris warnings and precautions also include knowing that the drug may weaken the immune system (which can cause or worsen infections) or delay healing.

Omnaris: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking Omnaris™ (ciclesonide) if you have:
 
  • Tuberculosis, herpes, or any other infections
  • Not had chickenpox or the measles (and have not been vaccinated against them)
  • Recently had nasal surgery
  • Sores or injury to the inside of your nose
  • Any allergies, including allergies to food, dyes, or preservatives.
     
Also, let your healthcare provider know if you are:
 
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
     
Make sure to tell your healthcare provider about all other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 

Specific Omnaris Warnings and Precautions

Warnings and precautions to be aware of prior to taking Omnaris include the following:
 
  • The medication is a steroid and may, therefore, suppress the immune system. Although this is more likely to occur with oral steroids, it is still possible with nasal steroids such as Omnaris. Taking steroids may put you at a higher risk for infections. Certain infections (such as chickenpox or the measles) may be more dangerous if you are taking Omnaris. Let your healthcare provider know right away if you are exposed to chickenpox or the measles if you have not had these infections and have not been vaccinated against them. In rare cases, Omnaris can lead to yeast infections in the nose and throat as a result of suppressing the immune system.
     
  • If you are switching from an oral steroid to Omnaris (which is a nasal steroid), your healthcare provider should slowly decrease your dose of the oral steroid. Stopping an oral steroid too quickly can be dangerous.
     
  • Omnaris can suppress the body's ability to make natural steroids. Usually, this happens when too much medication is taken or if you are very sensitive to the medication. In such circumstances, Omnaris should be stopped slowly to give your body a chance to begin making natural steroids again.
     
  • Before starting treatment, tell your healthcare provider if you currently have any type of infection. Also, let your healthcare provider know if you have ever had tuberculosis or a herpes infection of the eye, as Omnaris may weaken the immune system, allowing these infections to worsen.
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  • Like all steroids, Omnaris may slow down the growth rate of children and teenagers. Contact your child's healthcare provider if you are concerned about a slow growth rate in your child.
     
  • Corticosteroids (such as Omnaris) can delay healing. Therefore, if you have had recent nasal surgery or nasal sores, you should wait until healing has occurred before taking Omnaris. Also, corticosteroids can cause nosebleeds and nasal sores or irritation.
     
  • Omnaris can potentially interact with at least one other medication (see Omnaris Drug Interactions).
     
  • Omnaris is considered a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are not currently known (see Omnaris and Pregnancy).
     
  • It is unknown if ciclesonide (the active ingredient of Omnaris) passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Omnaris and Breastfeeding).
     
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