Merck ASMANEX TWISTHALER Instructions For Use Manual

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What is ASMANEX TWISTHALER?

ASMANEX TWISTHALER is an inhaled corticosteroid (ICS) prescription medicine used as maintenance treatment for
the prevention and control of asthma symptoms in people 4 years of age and older.
 ASMANEX TWISTHALER is not used to treat sudden severe symptoms of asthma.
 ASMANEX TWISTHALER should not be used as a rescue inhaler.
 It is not known if ASMANEX TWISTHALER is safe and effective in children less than 4 years of age.
Do not use ASMANEX TWISTHALER:
 to treat sudden severe symptoms of asthma.
 if you are allergic to milk proteins, mometasone furoate, or any of the ingredients in ASMANEX TWISTHALER. See
the end of this Patient Information leaflet for a complete list of ingredients in ASMANEX TWISTHALER.
Before you use ASMANEX TWISTHALER, tell your healthcare provider about all of your medical conditions including if
you:
 have liver problems.
 have osteoporosis.
 have an immune system problem.
 have eye problems such as increased pressure in the eye (glaucoma), cataracts, blurred vision, or other changes in
your vision.
 are allergic to any medicines.
 are exposed to chickenpox or measles.
 have or have had tuberculosis (TB), any untreated fungal, bacterial or viral infections or parasitic infections, or eye
infections caused by herpes.
 are pregnant or planning to become pregnant. It is not known if ASMANEX TWISTHALER may harm your unborn
baby.
 are breastfeeding. It is not known if ASMANEX TWISTHALER passes into your breast milk and if it can harm your
baby. You and your healthcare provider should decide if you will either take ASMANEX TWISTHALER or breastfeed.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter
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
 atazanavir
 clarithromycin
 cobicistat-
containing
products
Ask your healthcare provider if you are not sure if any of your medicines are the kinds listed above.
For some medicines (including medicines for HIV such as ritonavir, cobicistat-containing products, and certain
antifungals and antibiotics) your healthcare provider may wish to monitor you carefully.
Know the medicines you take. Keep a list and show it to your healthcare provider and pharmacist each time you get a
new medicine.
Patient Information
®
ASMANEX
TWISTHALER
(mometasone furoate inhalation powder)
for oral inhalation use only
 nefazodone
 nelfinavir
 saquinavir
 telithromycin
1
®
(AZ-ma-neks)
 indinavir
 itraconazole

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Summary of Contents for Merck ASMANEX TWISTHALER

  • Page 1  are pregnant or planning to become pregnant. It is not known if ASMANEX TWISTHALER may harm your unborn baby.  are breastfeeding. It is not known if ASMANEX TWISTHALER passes into your breast milk and if it can harm your baby. You and your healthcare provider should decide if you will either take ASMANEX TWISTHALER or breastfeed.
  • Page 2  Call your healthcare provider or get medical care right away if you have asthma and your symptoms do not improve after using ASMANEX TWISTHALER regularly for 1 to 2 weeks.  Do not use the ASMANEX TWISTHALER if the inhaler or any of its parts are not working properly. Take it to your healthcare provider or pharmacist.
  • Page 3 Tell your healthcare provider about any side effect that bothers you or that does not go away. These are not all the side effects with ASMANEX TWISTHALER. Ask your healthcare provider or pharmacist for more information. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA- 1088.
  • Page 4 Read this Instructions for Use before you start using ASMANEX TWISTHALER and each time you get a refill. There may be new information. This information does not take the place of talking to your healthcare provider about your medical condition or treatment.
  • Page 5  Bring the TWISTHALER up to your mouth or your child’s mouth with the mouthpiece facing toward you or your child.  Place the mouthpiece in your mouth or your child’s mouth, holding it in a horizontal (on its side) position as shown below (see Figure D).
  • Page 6  Clean mouthpiece if needed by gently wiping with a dry cloth or tissue.  Throw away the ASMANEX TWISTHALER 45 days after opening the foil pouch or when the dose counter reads “00” and you have inhaled the final dose, whichever comes first.

This manual is also suitable for:

Az-ma-neks

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