Beclomethasone Nasal Spray

Beclomethasone nasal spray is used to relieve symptoms of sneezing, runny, stuffy, or itchy nose (rhinitis) caused by hay fever, other allergies, or vasomotor (nonallergic) rhinitis. It is also used to prevent nasal polyps (swelling of the lining of the nose) after nasal polyp removal surgery. Beclomethasone nasal spray should not be used to treat symptoms (e.g., sneezing, stuffy, runny, itchy nose) caused by the common cold. Beclomethasone nasal spray is in a class of medications called corticosteroids. It works by blocking the release of certain natural substances that cause allergy symptoms.

Beclomethasone comes as a suspension (liquid) to spray in the nose. It is usually sprayed in each nostril twice a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use beclomethasone 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 beclomethasone nasal spray. Children younger than 6 years of age should not use this medication.

Beclomethasone 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 beclomethasone nasal spray should only be used by one person. Do not share beclomethasone nasal spray because this may spread germs.

Beclomethasone nasal spray controls the symptoms of hay fever or allergies but does not cure these conditions. Your symptoms may begin to improve a few days after you first use beclomethasone, but it may take 1 to 2 weeks before you feel the full benefit of beclomethasone. Beclomethasone works best when used regularly. Use beclomethasone 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 beclomethasone nasal spray for 3 weeks. If you are using beclomethasone nasal spray to prevent the recurrence of nasal polyps after surgery, you may have to continue treatment for several weeks as directed by your doctor.

Beclomethasone 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 beclomethasone nasal spray for the first time, read the written directions that come with it. Follow these steps:

1. Shake the bottle gently before each use.
2. Remove the dust cover.
3. If you are using the pump for the first time or have not used it for a week or more, you must prime it by following steps 4 to 5 below. If you have used the pump in the past week, skip to step 6.
4. 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.
5. If you are using the spray for the first time, press down and release the pump six times. If you have used the pump before, but not within the past week or have just cleaned the nozzle, press down and release the spray until you see a fine spray.
6. Gently blow your nose to clear the nostrils.
7. Hold one nostril closed with your finger.
8. Tilt your head slightly forward and carefully put the nasal applicator tip into your other nostril. Be sure to keep the bottle upright.
9. Hold the pump with the applicator between your forefinger and middle finger and the bottom resting on your thumb.
10. Begin to breathe in through your nose.
11. While you are breathing in, use your forefinger and middle finger to press firmly down on the applicator and release a spray.
12. Breathe gently in through the nostril and breathe out through your mouth.
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 beclomethasone nasal spray,

• tell your doctor and pharmacist if you are allergic to beclomethasone, any other medications, or any of the ingredients in beclomethasone 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. 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, or if you have sores in your nose, or 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 breastfeeding. If you become pregnant while using beclomethasone, 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.

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

• headache
• nasal irritation, stuffiness, or dryness
• sneezing
• nosebleed
• joint or muscle pain
• nausea
• lightheadedness
• unpleasant taste or smell
• muscle weakness
• bruise easily
• menstrual period changes
• acne
• white patches in your throat, mouth, or nose

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

• wheezing
• hives
• rash
• itching
• difficulty breathing or swallowing
• swollen face, lower legs, or ankles
• vision changes

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.

Beclomethasone 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 (https://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 (https://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. https://www.upandaway.org

Keep all appointments with your doctor.

You should clean your nasal spray applicator periodically. You will need to remove the dust cap and then pull on the applicator to remove it from the bottle. Wash the dust cap and applicator in cold water and rinse them in cold water, let them dry at room temperature, and then put them back on the bottle.

If the spray tip is clogged, wash it in warm water and then rinse it in cold water and dry it. Do not use pins or other sharp objects to remove the blockage.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

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