Proper Use

Drug information provided by: Merative, Micromedex®

Use this medicine only as directed. Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of side effects.

This medicine comes with patient information leaflet. Read and follow these instructions carefully. Ask your doctor if you have any questions.

This medicine is only used in the nose. Do not get it in your eyes, on the nasal septum (the wall between the two nostrils), or on your skin. If it does get on these areas, rinse it off right away and call your doctor.

In order for this medicine to help you, it must be used on a regular basis as ordered by your doctor. This medicine usually begins to work in about 2 days, but up to 2 weeks may pass before you feel the full effects.

Do not use this medicine for any other nose problem without checking with your doctor first.

To use the spray:

  • Shake the canister gently before each use.
  • When you use the Zetonna™ nasal spray for the first time or if you have not used this medicine for 10 days in a row, you must prime the spray. Press down fully on the top of the canister 3 times or until a fine spray comes out.
  • Gently blow your nose before using the spray. Tilt your head back slightly and insert the tip of the nose piece into your nostril.
  • Close the opposite nostril with a finger. Release 1 spray and at the same time, breathe in gently through the nostril.
  • Hold your breath for a few seconds then breathe out slowly through your mouth.
  • Spray the opposite nostril using the same steps.
  • Do not blow your nose for 15 minutes after using the spray.
  • Wipe the tip of the outside of the nose piece with a clean, dry tissue or cloth and put the cap back on. Do not wash or put any part of Zetonna™ nasal spray in water.
  • After you prime the Zetonna™ nasal spray, there will only be 60 doses or sprays. At first, the display window will show a green color. A yellow color indicates that your medicine needs to be replaced soon. When the medicine is almost empty, the window will show a red color.
  • If the Zetonna™ nasal spray is dropped, the dose counter may not work. Keep track of the number of sprays taken based on your records.
  • Throw this medicine away after you use 60 sprays or when the window shows red and the dose indicator read zero "0".

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For nasal dosage form (spray):
    • For treatment of perennial allergic rhinitis:
      • Adults and teenagers—
        • Omnaris™: 2 sprays in each nostril once a day.
        • Zetonna™: 1 spray in each nostril once a day. Each spray contains 37 micrograms (mcg). However, the total dose is usually not more than 74 mcg in each nostril per day.
      • Children younger than 12 years of age—Use and dose must be determined by your doctor.
    • For seasonal allergic rhinitis:
      • Adults and teenagers—
        • Omnaris™: 2 sprays in each nostril once a day.
        • Zetonna™: 1 spray in each nostril once a day. Each spray contains 37 micrograms (mcg). However, the total dose is usually not more than 74 mcg in each nostril per day.
      • Children—
        • Omnaris™:
          • Children 6 years of age and older—2 sprays in each nostril once a day.
          • Children younger than 6 years of age—Use and dose must be determined by your doctor.
        • Zetonna™:
          • Children younger than 12 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.