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ZETONNA (CICLESONIDE)
- Allergic rhinitis
- Perennial allergic rhinitis
- Seasonal allergic rhinitis
37 mcg/actuation nasal HFA inhaler
- Spray 1 spray (37 mcg) in each nostril by intranasal route once daily
Allergic rhinitis
- Spray 1 spray (37 mcg) in each nostril by intranasal route once daily
Perennial allergic rhinitis
- Spray 1 spray (37 mcg) in each nostril by intranasal route once daily
Seasonal allergic rhinitis
- Spray 1 spray (37 mcg) in each nostril by intranasal route once daily
- None
Contraindicated
- boceprevir
- elvitegr-cobicist-emtric-tenof
- Incivek
- Kaletra
- Korlym
- lopinavir-ritonavir
- Mifeprex
- mifepristone
- Norvir
- Norvir Soft Gelatin
- ritonavir
- Stribild
- telaprevir
- Victrelis
Severe
Moderate
- amoxicil-clarithromy-lansopraz
- Biaxin
- Biaxin Xl
- Biaxin Xl Pak
- clarithromycin
- Erythrocin
- erythromycin
- erythromycin-sulfisoxazole
- itraconazole
- ketoconazole
- Omeclamox-pak
- omeprazole-clarith-amoxicillin
- Onmel
- Prevpac
- Sporanox
- Sporanox Pulsepak
- Nasal septal ulcers
- Nasal trauma
- Operation on nose
Contraindicated
- Active tuberculosis
- Inactive tuberculosis
- Nasal candidiasis
- Ocular herpes simplex
- Parasitic infection
Severe
Moderate
- Cataracts
- Epistaxis
- Glaucoma
- Ocular hypertension
ZETONNA (CICLESONIDE)
- Allergic rhinitis
- Perennial allergic rhinitis
- Seasonal allergic rhinitis
- Epistaxis
- Dry nose
- Headache disorder
- Nasal pain
More Frequent
Severe
Less Severe
- None
- Cough
- Pharyngitis
- Sinusitis
- Upper respiratory infection
- Urinary tract infection
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Angioedema
- Cataracts
- Glaucoma
- Hypothalamic-pituitary insufficiency
- Immunosuppression
- Impaired wound healing
- Lesion of nasal mucosa
- Nasal candidiasis
- Nasal septal perforation
- Pharyngeal candidiasis
Less Severe
- Dizziness
- Earache
- Nasal congestion
- Tonsillitis
Contraindicated
None
Severe Precaution
Ciclesonide (Nasal)
Decreased growth velocity. Monitor growth. Efficacy not established age < 6 years.
- 1 Day – 6 Years
- Decreased growth velocity. Monitor growth. Efficacy not established age < 6 years.
Management or Monitoring Precaution
Ciclesonide (Nasal)
Growth velocity decreased. Monitor growth rate.
May decrease growth velocity. Use in age < 12 years only for seasonal allergic rhinitis.
- 12 Years – 18 Years
- Growth velocity decreased. Monitor growth rate.
- May decrease growth velocity. Use in age < 12 years only for seasonal allergic rhinitis.
- 6 Years – 12 Years
- Growth velocity decreased. Monitor growth rate.
- May decrease growth velocity. Use in age < 12 years only for seasonal allergic rhinitis.
Ciclesonide (nasal)
- Severity Level:
2
- Additional Notes: Insufficient human data available.
Contraindicated
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Precaution Exists
Ciclesonide (nasal)
Insufficient human data; low levels detectable in lactating rat milk.
| General | Excretion Potential | Effect on Infant | Notes |
| Evaluate use carefully | Unknown | Not known; no or inclusive data | Insufficient human data; low levels detectable in lactating rat milk. |
No Known Risk
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Contraindicated
None
Precaution Exists
None
No Known Risk
None
- None
| Allergic rhinitis | |
| J30.1 | Allergic rhinitis due to pollen |
| J30.2 | Other seasonal allergic rhinitis |
| J30.5 | Allergic rhinitis due to food |
| J30.8 | Other allergic rhinitis |
| J30.81 | Allergic rhinitis due to animal (cat) (dog) hair and dander |
| J30.89 | Other allergic rhinitis |
| J30.9 | Allergic rhinitis, unspecified |
| Perennial allergic rhinitis | |
| J31.0 | Chronic rhinitis |
| Seasonal allergic rhinitis | |
| J30.1 | Allergic rhinitis due to pollen |
| J30.2 | Other seasonal allergic rhinitis |
| 0-9 | A-Z |
|---|---|
| J30.1 | Allergic rhinitis due to pollen |
| J30.1 | Allergic rhinitis due to pollen |
| J30.2 | Other seasonal allergic rhinitis |
| J30.2 | Other seasonal allergic rhinitis |
| J30.5 | Allergic rhinitis due to food |
| J30.8 | Other allergic rhinitis |
| J30.81 | Allergic rhinitis due to animal (cat) (dog) hair and dander |
| J30.89 | Other allergic rhinitis |
| J30.9 | Allergic rhinitis, unspecified |
| J31.0 | Chronic rhinitis |
Formulary Reference Tool