Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
CICLESONIDE
DKSH MALAYSIA SDN BHD
CICLESONIDE
60Units Units; 120Units Units
CONTRACT PHARMACEUTICALS LIMITED
CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) OMNARIS (CICLESONIDE) NASAL SPRAY, 50MCG 60 PUFFS AND 120 PUFFS Page 1 WHAT IS IN THIS LEAFLET 1. What Omnaris is used for 2. How Omnaris works 3. Before you use Omnaris 4. How to use Omnaris 5. While you are using Omnaris 6. Side Effects 7. Storage and Disposal of Omnaris 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT OMNARIS IS USED FOR This medicine is used to treat nasal symptoms (i.e., runny nose, itchy nose, sneezing, and nasal congestion) that happen with: • Seasonal nasal allergy in adults and adolescents 12 years of age and older. • Year-round nasal allergy symptoms in adults and adolescents 12 years of age HOW OMNARIS WORKS Omnaris Nasal Spray contains a medicine called ciclesonide, which is a synthetic corticosteroid (a substance that reduces inflammation). BEFORE YOU USE OMNARIS _-_ _ _ _Before you start to use it _ Before you take Omnaris, tell your doctor if you : • are pregnant or plan to become pregnant. • are breastfeeding or plan to breastfeed. It is not known if Omnaris passes into your breast milk. You and your doctor should decide if you will take Omnaris or breastfeed. You should not do both without first talking with your doctor. _-_ _ _ _Taking other medicines _ TELL YOUR DOCTOR OR PHARMACIST IF YOU ARE TAKING, HAVE RECENTLY TAKEN OR MIGHT TAKE ANY OTHER MEDICINES , including prescription and non- prescription medicines, vitamins, and herbal supplements. In particular, tell your doctor or pharmacist about the following medicines: • Medicines to treat fungal infections, such as ketoconazole and itraconazole • medicines for HIV such as ritonavir, nelfinavir or cobicistat-containing products These medicines may affect or may be affected by the treatment with Omnaris. They may also increase the effects of Omnaris and your doctor may wish to monitor you carefully if you are taking them. Ask your doctor if you are not sure if you are taking a medicine listed above. Know the medicines you Baca dokumen lengkap
AG16853_GA_30003_C_V02_Omnaris_Outsert_Template - TOP FRONT Width: 312 mm, Length: 480 mm Fold Size: 63 mm x 80 mm DESCRIPTION The active component of OMNARIS ® Nasal Spray is ciclesonide, a non-halogenated glucocorticoid. Ciclesonide is delivered as the R-epimer. The empirical formula is C 32 H 44 O 7 and its molecular weight is 540.7. OMNARIS ® Nasal Spray is a metered-dose, manual-pump spray formulation containing a hypotonic aqueous suspension of ciclesonide. OMNARIS ® Nasal Spray also contains microcrystalline cellulose, carboxymethylcellulose sodium, hypromellose, potassium sorbate and edetate disodium; and hydrochloric acid to adjust the pH to 4.5. The contents of one 7.1 g bottle provide 60 actuations and 12.5 g bottle provide 120 actuations, after initial priming. CLINICAL PHARMACOLOGY MECHANISM OF ACTION Ciclesonide is a pro-drug that is enzymatically hydrolyzed to a pharmacologically active metabolite, C21-desisobutyryl-ciclesonide (desciclesonide or RM1) following intranasal application. The precise mechanism through which ciclesonide affects allergic rhinitis symptoms is not known. Corticosteroids have been shown to have a wide range of effects on multiple cell types (e.g., mast cells, eosinophils, neutrophils, macrophages, and lymphocytes) and mediators (e.g., histamine, eicosanoids, leukotrienes, and cytokines) involved in allergic inflammation. PHARMACODYNAMICS In a 12-week study in children 6-11 years of age with perennial allergic rhinitis, daily doses of 200 mcg, 100 mcg, and 25 mcg of OMNARIS ® Nasal Spray were compared to placebo nasal spray. Adrenal function was assessed by measurement of 24-hour urinary free cortisol (in 32 to 44 patients per group) and morning plasma cortisol levels (in 45 to 61 patients per group) before and after 12 consecutive weeks of treatment. The ciclesonide-treated groups had a numerically greater decline in 24-hour urinary free cortisol compared to the placebo treated group. The differences (and 95% confidence intervals) from placebo in the mean change from ba Baca dokumen lengkap