Flunisolide Nasal Spray: MedlinePlus Drug Information

pronounced as (floo niss’ oh lide)

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Flunisolide nasal spray is used to relieve symptoms of sneezing, runny, stuffy, or itchy nose caused by hay fever or other allergies. Flunisolide nasal spray should not be used to treat symptoms (e.g., sneezing, stuffy, runny, itchy nose) caused by the common cold. It is in a class of medications called corticosteroids. It works by blocking the release of certain natural substances that cause allergy symptoms.

Flunisolide comes as a solution (liquid) to spray in the nose. It is usually sprayed in each nostril 2 to 3 times a day but may be used less frequently after your symptoms are controlled.. Use flunisolide at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use flunisolide exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

An adult should help children younger than 12 years old to use flunisolide nasal spray. Children younger than 6 years of age should not use this medication.

Flunisolide nasal spray is only for use in the nose. Do not swallow the nasal spray and be careful not to spray it into your mouth or eyes.

Each bottle of flunisolide nasal spray should only be used by one person. Do not share flunisolide nasal spray because this may spread germs.

Flunisolide nasal spray controls the symptoms of hay fever or allergies but does not cure these conditions. Your symptoms may improve several days after you first use flunisolide, but it may take 1 to 2 weeks before you feel the full benefit of flunisolide. Flunisolide works best when used regularly. Use flunisolide on a regular schedule unless your doctor has told you to use it as needed. Call your doctor if your symptoms get worse or do not improve after you use flunisolide nasal spray for 3 weeks.

Flunisolide nasal spray is designed to provide a certain number of sprays. After the marked number of sprays has been used, the remaining sprays in the bottle might not contain the correct amount of medication. You should keep track of the number of sprays you have used and throw away the bottle after you have used the marked number of sprays even if it still contains some liquid.

Before you use flunisolide nasal spray for the first time, read the written directions that come with it. Follow these steps:

To use the nasal spray, follow these steps:

1. Remove the dust cover.
2. If you are using the pump for the first time, have not used it for 5 days or more, or have just cleaned the nozzle, you must prime it by following steps 3 to 4 below. If you have used the pump in the past 5 days, skip to step 5.
3. Hold the spray with the applicator between your forefinger and middle finger and the bottom of the bottle resting on your thumb. Point the applicator away from your face.
4. If you are using the spray for the first time, have used the pump before but not within the past 5 days, or have just cleaned the nozzle, press down and release the pump 5 or 6 times until you see a fine spray.
5. Gently blow your nose to clear the nostrils.
6. Tilt your head slightly forward and carefully put the nasal applicator tip into your nostril. Be sure to keep the bottle upright.
7. Hold one nostril closed with your finger.
8. Hold the pump with the applicator between your forefinger and middle finger and the bottom resting on your thumb.
9. Begin to breathe in through your nose.
10. While you are breathing in, use your forefinger and middle finger to press firmly and quickly down on the applicator and release a spray.
11. Breathe gently in through the nostril and breathe out through your mouth.
12. Remove the pump from the nostril and bend your head back to let the medication spread over the back of the nose.
13. If your doctor told you to use two sprays in that nostril, repeat steps 6 to 12.
14. Repeat steps 6 to 13 in the other nostril.
15. Wipe the applicator with a clean tissue and cover it with the dust cover.Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

Before using flunisolide nasal spray,

• tell your doctor and pharmacist if you are allergic to flunisolide, any other medications, or any of the ingredients in flunisolide nasal spray. Ask your pharmacist for a list of the ingredients.
• tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention: prednisone (Rayos). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• tell your doctor if you have recently had surgery on your nose, or injured your nose in any way, frequent nose bleeds, or if you have sores in your nose, if you have or have ever had cataracts (clouding of the lens of the eye), glaucoma (an eye disease), asthma (sudden episodes of wheezing, shortness of breath, and trouble breathing), any type of infection, or a herpes infection of the eye (an infection that causes a sore on the eyelid or eye surface). Also tell your doctor if you have chicken pox, measles, or tuberculosis (TB; a type of lung infection), or if you have been around someone who has one of these conditions.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using flunisolide, call your doctor.

Use the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not use a double dose to make up for a missed one.

Flunisolide nasal spray may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• headache
• nasal irritation, burning, stuffiness, or dryness
• sore throat
• sneezing
• severe or frequent nosebleeds
• watery eyes
• bloody mucus in nose
• loss of smell or taste
• nausea
• vomiting
• lack of energy
• depression
• joint or muscle pain
• muscle weakness
• bruise easily

Some side effects can be serious. If you experience any of the following symptoms, stop using flunisolide nasal spray or get emergency medical treatment:

• vision problems
• white patches in the throat, mouth, or nose

You should know that this medication may cause children to grow at a slower rate. Talk to your child’s doctor to see how long your child needs to use this medication. Talk to your child’s doctor if you have concerns about your child’s growth while they are using this medication.

Flunisolide nasal spray may cause other side effects. Call your doctor if you have any unusual problems while using this medication.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org

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Last Revised – 03/15/2016

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Flunisolide Nasal: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Uses

Flunisolide is used to prevent and treat seasonal and year-round allergy symptoms (such as stuffy/runny nose, itchy eyes/nose/throat, sneezing). Flunisolide belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) in the nasal passages.

How to use Flunisolide Spray, Non-Aerosol

Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. Follow the illustrated directions for the proper use of this medication. If you have any questions, ask your doctor or pharmacist.

This medication is for use in the nose, usually 1 or 2 sprays in each nostril 2 to 3 times a day or as directed by your doctor. Avoid spraying this medication in your eyes. Gently blow your nose before using this drug. Gently shake the container before each use. Follow the instructions to properly prime the spray pump if you are using it for the first time, or if you have not used it for 5 or more days, or if you have taken the pump apart to clean. Follow the instructions to clean the spray pump if needed.

To use the spray, first remove the safety clip and plastic cap. Close one nostril by pressing it with your finger. Tilt your head slightly forward and, keeping the bottle upright, carefully insert the nasal applicator into the other nostril. Press down firmly on the pump to deliver the prescribed number of sprays while gently breathing in through the nose, keeping your mouth closed. Do not spray directly onto the middle wall of your nose (nasal septum). After spraying, remove the applicator tip and tilt your head back for a few seconds. This will allow the medication to spread over the back of your nose. Repeat in the other nostril. Wipe the applicator tip and replace the plastic cap. Avoid blowing your nose for 15 minutes after using this medication.

Dosage is based on your medical condition and response to treatment. Younger children may need a smaller dose and help from an adult to use this medication properly. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day. Do not increase your dose or use it more frequently than directed.

This medication does not work right away. Some people will feel this medication working within 1 to 2 days, but it may take up to 2 weeks before the full benefit of this drug takes effect. Ask your doctor or pharmacist if you should also use other medications (such as nose drops/spray, allergy drugs taken by mouth) along with this drug until it takes full effect.

Keep track of the number of sprays used from the bottle. Discard the bottle after you have used the number of sprays specified on the manufacturer’s package. Do not pour any remaining medication into another container. Follow the package instructions to unblock the spray tip if needed and to clean the spray bottle.

Tell your doctor if your condition does not improve after 3 weeks or if it worsens.

Side Effects

Temporary nose/throat dryness or irritation, cough, nosebleeds, sneezing and unpleasant taste/smell may occur. If any of these side effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: loss of taste or smell, pain/sores in your nose.

Rarely, it is possible that corticosteroids given in the nose will be absorbed into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children and people who use this medication for a long time and in high doses. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems.

Corticosteroids may weaken the body’s ability to fight infections. This may make you more likely to get a serious (rarely fatal) infection or make any infection you have worse. This effect might also rarely occur with corticosteroids inhaled through the nose (such as flunisolide). The risk may be increased if high doses are used, especially when used for a long time. Tell your doctor right away if you have any signs of infection (such as sore throat that doesn’t go away, ear pain, fever, chills, white patches inside the nose or on the back of the throat).

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, wheezing/trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before using nasal flunisolide, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: eye problems (such as glaucoma, cataracts), infections (including tuberculosis), recent nose problems (such as injury, ulcers, surgery).

Stay away from anyone who has an infection that may easily spread (such as chickenpox, COVID-19, measles, flu). Talk to your doctor if you have been exposed to an infection or for more details.

Rarely, using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stress. Before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past few months.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Though it is unlikely, this medication may temporarily slow down a child’s growth if used for a long time. See the doctor regularly so your child’s height can be checked.

During pregnancy, this medication should be used only when clearly needed. Rarely, infants born to mothers who have been using corticosteroids (including flunisolide) for a long time may have low levels of corticosteroid hormone. Tell your doctor right away if you notice symptoms such as nausea/vomiting that doesn’t stop, severe diarrhea, or weakness in your newborn. Discuss the risks and benefits with your doctor.

It is unknown if nasal flunisolide passes into breast milk. However, similar drugs pass into breast milk. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Check all prescription medicine labels carefully since similar medications (other corticosteroids such as prednisone) may increase your risk of side effects if taken together with this drug. Ask your doctor or pharmacist if you have any questions about your medications.

Does Flunisolide Spray, Non-Aerosol interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

Do not share this medication with others.

If you use this medication for a long time, lab and/or medical tests (such as nose exams, height measurement in children) may be done while you are using this medication. Keep all medical and lab appointments. Consult your doctor for more details.

Avoid substances (such as pollen, pet dander, dust mites, mold, and smoke) that can worsen allergy symptoms.

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

Store at room temperature with the protective cap in place. Keep container upright. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired, or if the container has been opened for longer than 3 months, or if it is no longer needed. Consult your pharmacist or local waste disposal company for more details.

Images

flunisolide 25 mcg (0.025 %) nasal spray

Color: colorlessShape: Imprint:

This medicine is a colorless, clear, aerosol

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Flunisolide – instructions for use

Flunisolide

Instruction:

• Pharmacological action
• Pharmacokinetics
• Readings
• Contraindications
• With care
• Pregnancy and breastfeeding
• Dosage and Administration
• Side effects
• Precautions
• Sports medicine
• Classification

Pharmacological action

Flunisolide is a topical glucocorticosteroid. Violates the metabolism of arachidonic acid and the synthesis of leukotrienes and Pg. It has anti-edema, anti-inflammatory, immunosuppressive and anti-allergic effects. Restores the response to bronchodilators, allowing you to reduce the frequency of their use; does not have a bronchodilatory effect and is not used in asthmatic conditions requiring intensive intervention.

Pharmacokinetics

After inhalation, 1 mg undergoes rapid transformation in the respiratory tract with the formation of σ- and β-hydroxy metabolites and first-pass metabolism through the liver. Bioavailability is about 40%. Due to high first pass metabolism, oral bioavailability is very low. Does not accumulate even when taking maximum doses. The half-life (T _½ ) is 1.8 hours.

Indications

Bronchial asthma, chronic obstructive bronchitis, allergic rhinitis.

Contraindications

Hypersensitivity to flunisolide, acute bronchospasm, asthmatic status (as a first-line drug), non-asthmatic bronchitis, pregnancy (I trimester), children’s age (up to 5 years).

Precautions

Cirrhosis of the liver, glaucoma, hypothyroidism, systemic infections (bacterial, fungal, parasitic, viral), osteoporosis, pulmonary tuberculosis, pregnancy (II and III trimesters), lactation.

Pregnancy and lactation

FDA fetal category N.

Contraindicated in the first trimester of pregnancy. With caution in the II, III trimesters of pregnancy and lactation.

Neonates whose mothers received flunisolide during pregnancy should be monitored for possible manifestations of adrenal insufficiency.

Dosage and administration

The dosing regimen is individual, depending on the indications and dosage form.

Side effects

Burning in the nasal cavity, irritation of the nasal mucosa, epistaxis, nasal congestion, perforation of the nasal septum, irritation of the pharyngeal mucosa, candidiasis of the oral cavity and pharynx, hoarseness, paradoxical bronchospasm; with long-term administration in high doses – the development of systemic side effects.

Precautions

Long-term use requires regular monitoring of the function of the adrenal cortex. After switching to an inhaled glucocorticosteroid, patients with signs of adrenal suppression should always carry a card with a warning about the need for additional use of systemic glucocorticosteroids in a severe attack of bronchial asthma, severe intercurrent diseases, surgical interventions and injuries.

Additional therapy may be required to control eye symptoms in seasonal allergic rhinitis.

Not intended for the relief of asthma attacks.

To prevent the development of candidiasis after inhalation of glucocorticosteroids, rinse the mouth, if necessary, prescribe an antifungal drug locally.

To prevent paradoxical bronchospasm, inhalation of β ₂ -agonist should be performed before inhalation.

Sports medicine

Athletes should be made aware that flunisolide may cause anti-doping rule violations and positive results in doping controls.

Flunisolide belongs to the Glucocorticoid class of the WADA Prohibited List.

Glossary

Classification

• ATX

  R01AD04, R03BA03

• Pharmacological group

  Glucocorticosteroids

• ICD codes 10

  J30 Vasomotor and allergic rhinitis

  J30. 1 Pollen allergic rhinitis

  J44 Other chronic obstructive pulmonary disease

  J45 Asthma

• FDA pregnancy category

  N
  (not FDA classified)

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Learn more about the active ingredient Flunisolide:

• INN
• Reviews
• Questions
• Latin name
• Chemical formula

Information about the active substance Flunisolide is intended for medical and pharmaceutical professionals, for reference purposes only. The instructions are not intended to replace professional medical advice, diagnosis or treatment. The information contained here may change over time. The most accurate information on the use of preparations containing the active substance Flunisolide is contained in the manufacturer’s instructions attached to the package.

Flunisolide (Oral Inhalation | Memorial Sloan Kettering Cancer Center

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Provided by Lexicomp ^® , this document contains all the information you need to know about this medicine, including indications, directions for use, side effects, and when your healthcare provider should be contacted.

What is this drug used for?

• The drug is used to treat asthma.
• Do not take this drug to treat asthma attacks. Use a special inhaler. Consult your doctor.

What should I tell my doctor BEFORE taking this drug?

• If you have an allergy to flunisolide or any other part of this drug.
• If you have an allergy to this drug, any of its ingredients, other drugs, foods or substances. Tell your doctor about your allergies and how they have manifested.

Combining this drug with certain drugs and conditions may be unfavorable.

Tell your doctor and pharmacist about all medicines you take (prescription and over-the-counter, natural products and vitamins) and any health problems you have. You need to make sure that this drug is safe for your conditions and in combination with other drugs you are already taking. Do not start or stop taking any drug or change the dosage without your doctor’s advice.

What do I need to know or do while taking this drug?

• Tell all your health care workers that you are taking this drug. These are doctors, nurses, pharmacists and dentists.
• If your respiratory symptoms get worse, your rescue inhaler isn’t working, or if you need to use your rescue inhaler more often, call your doctor right away.
• If you have been taking this drug for several weeks, talk to your doctor before stopping it. It may be best to gradually stop taking this medicine.
• It may take several weeks to achieve full effect.
• You may be at increased risk of developing an infection. Wash your hands frequently. Try not to contact with carriers of the infection, incl. with people who have a cold or the flu.
• People who take steroid medicines such as this drug can get very bad chickenpox or rubella and sometimes die. If you have never had chickenpox or rubella, avoid contact with people who have these diseases. In case of contact with a person with chickenpox or rubella, consult your doctor.
• When switching from an oral steroid to another form of steroid, very serious, sometimes deadly, side effects can occur. Symptoms may include weakness, feeling very tired, dizziness, nausea, vomiting, confusion, and low blood sugar. If any of these symptoms occur, contact your doctor immediately. In the event of a serious injury, surgery, or any kind of infection, you may need to increase the dosage of oral steroids. Increasing the dose of steroids will help your body cope with these stresses. Carry a card with you that indicates that you may need an increased dose of steroids in certain cases.
• With prolonged use, the likelihood of developing cataracts or glaucoma increases. Consult your doctor.
• If you take the drug for a long time, check your eye pressure regularly. Consult your doctor.
• Long-term use of this drug can cause brittle bones (osteoporosis). If you have an increased risk of increased bone fragility or have questions, talk to your doctor.
• Get a bone density test as directed by your doctor. Consult your doctor.
• Consult your doctor before any vaccination. Taking some vaccines with this drug may increase your chance of getting an infection or make the vaccine less effective.
• If you are 65 years of age or older, use this drug with caution. You may experience more side effects.
• In some cases, the drug may affect the growth rate in children and adolescents. They may need regular growth rate checks. Consult your doctor.
• Tell your doctor if you are pregnant or plan to become pregnant. The benefits and risks of taking this drug during pregnancy will need to be discussed.
• Tell your doctor if you are breastfeeding. It is necessary to consult whether the drug poses any risk to the child.

What side effects should I report to my doctor immediately?

WARNING. In rare cases, this drug can cause serious and sometimes deadly side effects in some patients. Call your doctor or get medical help right away if you have any of the following signs or symptoms that could be associated with serious side effects:

• Signs of an allergic reaction, such as rash, hives, itching, red and swollen skin with blisters or peeling, possibly accompanied by fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue or throat.
• Signs of infection, such as fever, chills, very bad pain in the throat, ear, or sinuses, cough, more sputum or change in color, pain when urinating, mouth sores, or a sore that doesn’t heal.
• Signs of adrenal dysfunction, such as severe nausea or vomiting, severe dizziness or loss of consciousness, muscle weakness, feeling very tired, mood changes, decreased appetite, or weight loss.
• Feeling extremely tired or weak, irritable, trembling, have a fast heartbeat, dizziness, sweating, or dizziness if you missed a drug or recently stopped taking it.
• Redness or white patches in the mouth or throat.
• Pain in the bones or joints.
• Vision change.
• This drug can cause severe breathing problems immediately after ingestion. Sometimes it can be life threatening. If you have trouble breathing, difficulty breathing, wheezing, or coughing after using this drug, use a rescue inhaler immediately and get medical help.

What are some other side effects of this drug?

Any medicine can have side effects. However, for many people, side effects are either minor or non-existent. Contact your doctor or seek medical attention if these or any other side effects bother you or do not go away:

• Headache.
• Sore throat.
• Stuffy nose.
• Runny nose.
• Nausea.

This list of possible side effects is not exhaustive. If you have any questions about side effects, please contact your doctor. Talk to your doctor about side effects.

You can report side effects to the National Health Board.

You can report side effects to the FDA at 1-800-332-1088. You can also report side effects at https://www.fda.gov/medwatch.

What is the best way to take this drug?

Use this drug as directed by your doctor. Read all the information provided to you. Strictly follow all instructions.

• Keep using this drug as directed by your doctor or other health care professional, even if you feel well.
• For inhalation only.
• Shake well before use.
• If the inhaler will be used for the first time or has not been used for more than 2 weeks, it must be prepared. To do this, spray 2 doses of the drug into the air.
• Rinse your mouth after each use. Do not swallow water after rinsing. Spit the water.
• Do not use near open flames or while smoking. Explosive.
• After completing the dose, close the cap.
• Do not use a spacer with this inhaler.

What if I miss a dose of a drug?

• Skip the forgotten dose and return to your regular schedule.
• Do not use 2 doses or an additional dose at the same time.

How do I store and/or discard this drug?

• Store at room temperature. Don’t freeze.
• Do not expose to heat and sunlight. Do not pierce or burn, even if it appears to be empty.
• Keep all medicines in a safe place. Keep all medicines out of the reach of children and pets.
• Dispose of unused or expired drugs. Do not empty into a toilet or sewer unless instructed to do so. If you have any questions about disposing of medicines, ask your pharmacist. Drug disposal programs may be in place in your area.

General information about medicines

• If your health does not improve or even worsens, see your doctor.
• Do not give your medicine to anyone and do not take other people’s medicines.
• Some medicines may come with other patient information leaflets. If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other health care professional.
• Some medicines may come with other patient information leaflets. Check with your pharmacist. If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other health care professional.
• If you think you have overdosed, call a poison control center or get medical help right away. Be prepared to tell or show what drug you took, how much, and when it happened.

Consumer Use of Information and Limitation of Liability

This summary information includes a summary of the diagnosis, treatment, and/or drug product. It is not intended to be a comprehensive source of data and should be used as a tool to help the user understand and/or evaluate potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a particular patient. It should not be considered medical advice or a substitute for medical advice, diagnosis or treatment provided by a physician based on a medical examination and assessment of the patient’s specific and unique circumstances. Patients should consult with their physician for full information about their health, medical issues, and treatment options, including any risks or benefits regarding the use of medications. This information is not a guarantee that a treatment or drug is safe, effective, or approved for a particular patient.