Merck ASMANEX TWISTHALER Quick Start Manual page 5

• Possible increased risk of infection due to a weakened immune system with using steroid
medicines. Tell your health care provider if you or your child have or had TB, are exposed to anyone with
chickenpox or measles, or about any other infections you or your child had before or while using
ASMANEX TWISTHALER.
• 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.
Death can occur. Tell your health care professional right away about any symptoms such as feeling tired
or exhausted, weakness, nausea, vomiting, or symptoms of low blood pressure (such as dizziness or
faintness). If you or your child is under stress, such as with surgery, after surgery or trauma, you may
need steroids by mouth again.
• Decreased bone mass (bone mineral density). Patients who use inhaled steroid medicines for a long
time may have an increased risk of decreased bone mass, which can affect bone strength. Talk with your
health care provider about any questions about bone health.
• Glaucoma, cataract, and visual disturbance. Contact your doctor if you experience blurred vision or
other changes in your vision.
The most common side effects with ASMANEX TWISTHALER include: headache, nasal allergy
symptoms, sore throat, upper respiratory tract infection, sinus infection, fungal infections in the mouth,
painful menstrual periods, muscle and bone pain, back pain, and upset stomach.
Tell your health care professional about any side effects that bother you or do not go away. These are not
all of the possible side effects with ASMANEX TWISTHALER. For more information, ask your health care
professional.
Manufactured by:
MSD International GmbH (Singapore Branch)
Singapore 638030, Singapore
For patent information: www.merck.com/product/patent/home.html
Copyright © 2008-2018 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
All rights reserved.
Revised: 03/2018
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