Merck ASMANEX TWISTHALER Quick Start Manual

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Patient Information
®
ASMANEX
TWISTHALER
®
ASMANEX
TWISTHALER
FOR ORAL INHALATION ONLY
Please read this leaflet carefully before taking ASMANEX
This leaflet does not contain the complete information about this medication. If you have any questions
about ASMANEX TWISTHALER, ask your health care provider or pharmacist.

IMPORTANT POINTS TO REMEMBER ABOUT ASMANEX TWISTHALER

• Your health care provider has prescribed ASMANEX TWISTHALER for you or your child. It contains a
medicine called mometasone furoate, which is a man-made corticosteroid. This medicine is used as
maintenance treatment that helps prevent and control asthma symptoms.
• ASMANEX TWISTHALER is not a bronchodilator and should not be used for sudden symptoms of
shortness of breath. Use an inhaled short-acting bronchodilator such as albuterol to relieve sudden
symptoms of shortness of breath.
• Your health care provider may prescribe bronchodilators such as albuterol for emergency relief if an
acute asthma attack occurs.
• Use your ASMANEX TWISTHALER regularly and at the same time each day, as prescribed by your
health care provider. You or your child may not get the most benefit for 1 to 2 weeks or longer after
starting ASMANEX. If you or your child's symptoms do not improve in that time frame or if your condition
gets worse, contact your health care provider.
• The cap is needed to use the ASMANEX TWISTHALER. Do not twist the mouthpiece with your hand.
When the cap is removed from the TWISTHALER, the dose counter will count down by one, and show
the number of doses available after this use.
• The inhaler delivers your medicine as a very fine powder that you or your child may not taste, smell,
or feel. Do not take or give extra doses unless your health care provider has told you to.
• It is important to replace the cap after each inhalation to protect the inhaler from moisture.
• Do not use the inhaler if you notice that it is not working correctly. Take it to your health care provider
or pharmacist.

WHO SHOULD NOT USE ASMANEX TWISTHALER

Do not use ASMANEX TWISTHALER:
To treat sudden, severe symptoms of asthma.
If you have an allergy to milk proteins. Ask your health care provider if you are not sure.

HOW TO USE ASMANEX TWISTHALER OR GIVE TO YOUR CHILD

Remove the ASMANEX TWISTHALER from its foil pouch and write the date on the cap
label.
Throw away the inhaler 45 days after this date or when the dose counter reads "00",
indicating the final dose has been inhaled, whichever comes first.
Follow steps 1 and 2 below each time you inhale a dose from your ASMANEX
TWISTHALER.
®
220 mcg (mometasone furoate inhalation powder)
®
110 mcg (mometasone furoate inhalation powder)
®
®
TWISTHALER
1
.

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Summary of Contents for Merck ASMANEX TWISTHALER

  • Page 1 • The cap is needed to use the ASMANEX TWISTHALER. Do not twist the mouthpiece with your hand. When the cap is removed from the TWISTHALER, the dose counter will count down by one, and show the number of doses available after this use.
  • Page 2 Inhaler Parts: See Figures 1 and 2 below to become familiar with the inhaler parts. Figure 1: Inhaler (upright position) Figure 2: Inhaler with Cap Removed Step 1: Open inhaler Hold the inhaler straight up (upright position) with the colored portion (the base) on the bottom (see Figure 3 below).
  • Page 3 Figure 4: Inhalation Remove the TWISTHALER from your mouth and hold your breath for about 10 seconds, or as long as you comfortably can. IMPORTANT: DO NOT BREATHE OUT (EXHALE) INTO THE INHALER. After you take your medicine, it is important that you wipe the mouthpiece dry, if needed, and then REPLACE THE CAP, firmly closing the TWISTHALER right away (see Figures 5 and 6 below).
  • Page 4 Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. ASMANEX TWISTHALER may affect the way other medicines work, and other medicines may affect how ASMANEX TWISTHALER works. Especially, tell your healthcare provider if you take antifungal medicines, antibiotic medicines, or anti-HIV medicines such as: ritonavir, ketoconazole, nefazodone, nelfinavir, indinavir, atazanavir, clarithromycin, saquinavir, telithromycin, itraconazole, and cobicistat-containing products.
  • Page 5 • Adrenal insufficiency (your adrenal gland cannot produce enough steroids since you were on oral steroid medicine). If you or your child took steroids by mouth and are having them decreased (tapered) or you are being switched to ASMANEX TWISTHALER, you should be followed closely by your health care professional.

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