Why is this medication prescribed?

Asmanex Twisthaler is prescribed primarily for the management of asthma and chronic obstructive pulmonary disease (COPD). It contains mometasone furoate, a corticosteroid that helps to reduce inflammation in the airways, making it easier to breathe. By controlling inflammation, Asmanex Twisthaler helps prevent asthma attacks and manage symptoms of COPD.

It’s typically used as a maintenance medication rather than a rescue inhaler. This means it’s intended for regular use to control symptoms over time, rather than for immediate relief during an acute asthma attack.

How should this medicine be used?

Asmanex Twisthaler (generic name: mometasone furoate) is an inhaled corticosteroid used to manage asthma and other chronic respiratory conditions. Here’s how to use it:

• Preparation: Make sure you are familiar with the device. Read the patient information leaflet that comes with the Twisthaler.
• Loading the Dose: Hold the Twisthaler upright and twist the cap to open it. You will hear a click, which indicates that the device is loaded and ready for use. Do not shake the device.
• Inhaling the Medication: Breathe out fully before using the inhaler. This helps to ensure that the medication can be properly absorbed. Place the mouthpiece between your lips and close your lips around it. Breathe in slowly and deeply through your mouth. Avoid breathing in through your nose. After inhaling, remove the inhaler from your mouth and hold your breath for about 10 seconds to allow the medication to reach your lungs.
• After Use: Close the Twisthaler by twisting the cap back on. Rinse your mouth with water and spit it out. This helps prevent oral thrush, a possible side effect of inhaled corticosteroids.
• Cleaning: The Twisthaler does not need to be cleaned. Just store it in a dry place at room temperature.
• Dosage and Frequency: Follow your healthcare provider’s instructions regarding dosage and frequency. Typically, it is used once or twice a day.

If you have any specific questions or issues with the inhaler, consult your healthcare provider or pharmacist for guidance.

Other uses for this medicine

Asmanex Twisthaler is primarily used for managing asthma and chronic obstructive pulmonary disease (COPD). However, corticosteroids like mometasone furoate (the active ingredient) can be used in other conditions where reducing inflammation in the airways is beneficial, such as in some forms of allergic rhinitis or in other inflammatory conditions, though these uses are less common.

What special precautions should I follow?

Here are the key special precautions to follow when using Asmanex Twisthaler:

• Adherence to Dosage: Use the inhaler exactly as prescribed by your healthcare provider. Do not exceed or skip doses.
• Oral Hygiene: Rinse your mouth with water and spit it out after each use to help prevent oral thrush (a fungal infection in the mouth and throat) and hoarseness.
• Regular Monitoring: Regular check-ups with your healthcare provider are important to monitor your condition and adjust the dosage if needed.
• Avoid Infection: Corticosteroids can suppress the immune system. Be cautious about exposure to infections and consult your doctor if you notice signs of infection.
• Growth Monitoring in Children: If used in children, monitor their growth regularly, as long-term use of corticosteroids can impact growth.
• Eye Health: Monitor for any changes in vision or eye problems, as long-term use of corticosteroids may increase the risk of cataracts or glaucoma.
• Adrenal Insufficiency: Prolonged use can affect adrenal gland function. Contact your healthcare provider if you experience symptoms like severe fatigue or dizziness.
• Switching Medications: If switching from another inhaled corticosteroid, your doctor will adjust the dosage appropriately.
• Pregnancy and Breastfeeding: Discuss with your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding to understand the risks and benefits.
• Avoid Abrupt Discontinuation: Do not abruptly stop using Asmanex Twisthaler without your doctor’s guidance, as it may lead to worsening symptoms or other issues.
• Proper Inhaler Use: Ensure you use the inhaler correctly to deliver the medication effectively and avoid unnecessary side effects.

Following these precautions will help ensure the safe and effective use of Asmanex Twisthaler for managing asthma or COPD. If you have any concerns or experience unusual symptoms, consult your healthcare provider for advice.

What special dietary instructions should I follow?

There are no specific dietary instructions directly related to Asmanex Twisthaler. However, maintaining a balanced diet can support overall health and help manage conditions like asthma. It’s a good idea to:

• Stay Hydrated: Drink plenty of water.
• Limit Sugar and Salt: High sugar and salt intake can exacerbate asthma symptoms.
• Eat a Balanced Diet: Include fruits, vegetables, whole grains, and lean proteins to support immune function.

What should I do if I forget a dose?

• Take It as Soon as Remembered: If you remember a missed dose soon after the scheduled time, take it as soon as possible.
• Skip if Close to Next Dose: If it’s almost time for your next scheduled dose, skip the missed dose. Do not double up to make up for a missed dose.
• Resume Regular Schedule: Continue with your regular dosing schedule.
• Contact Your Healthcare Provider: If you have missed doses frequently or have concerns about your medication schedule, consult your healthcare provider for advice.

What side effects can this medication cause?

Asmanex Twisthaler (generic name: mometasone furoate) is an inhaled corticosteroid used to manage asthma and chronic obstructive pulmonary disease (COPD). While it is effective in reducing inflammation in the airways, it can cause some side effects. Common side effects include:

• Throat Irritation: You might experience sore throat or hoarseness.
• Oral Candidiasis: This is a fungal infection in the mouth or throat, also known as thrush.
• Cough: Some people may develop a persistent cough.
• Headache: Headaches can occur in some users.
• Nasal Congestion: Blocked or stuffy nose might be experienced.

Less common but serious side effects include:

• Adrenal Suppression: Long-term use can affect your adrenal glands, which produce essential hormones.
• Osteoporosis: Long-term use may weaken bones, increasing the risk of fractures.
• Glaucoma or Cataracts: There may be an increased risk of eye problems with prolonged use.
• Growth Suppression in Children: There can be a risk of slowed growth in children using high doses for extended periods.

It’s important to rinse your mouth with water after using Asmanex Twisthaler to help prevent oral thrush. If you experience any unusual or severe side effects, contact your healthcare provider.

What should I know about storage and disposal of this medication?

Storage and Disposal of Asmanex Twisthaler:

• Storage:
  • Store the inhaler at room temperature, between 59°F and 77°F (15°C and 25°C).
  • Keep it in a dry place. Avoid storing it in damp or humid environments.
  • Do not expose the inhaler to excessive heat or direct sunlight.
  • Keep the inhaler out of reach of children and pets.
• Disposal:
  • Do not use the inhaler past its expiration date.
  • When the inhaler is empty or expired, dispose of it according to local regulations. Many areas have specific guidelines for disposing of medications.
  • Do not puncture or burn the inhaler, even if it’s empty.

In case of emergency/overdose

• Emergency: If you experience severe symptoms such as difficulty breathing, severe dizziness, or symptoms of an allergic reaction, seek immediate medical attention.
• Overdose Symptoms: Symptoms of an overdose may include unusual tiredness, dizziness, or nausea.
• Action: Contact your healthcare provider or local poison control center immediately if you suspect an overdose.

What other information should I know?

• Regular Monitoring: Keep regular appointments with your healthcare provider to monitor your asthma or COPD and adjust your medication as needed.
• Medication Interactions: Inform your healthcare provider about all other medications you are taking, including over-the-counter drugs and supplements, as they can interact with Asmanex Twisthaler.
• Avoid Irritants: Minimize exposure to allergens and irritants, such as smoke and pollutants, which can exacerbate asthma symptoms.
• Emergency Plan: Have an emergency plan in place for managing severe asthma or COPD symptoms, and make sure those around you know how to assist in an emergency.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss with your healthcare provider the risks and benefits of continuing Asmanex Twisthaler.

By following these guidelines, you can help ensure that you use Asmanex Twisthaler safely and effectively.