Instructions

Keep this medicine at room temperature.

This medicine is for use in the nose. Avoid getting the medicine into the eyes or mouth. Rinse the eyes with water if the medicine is sprayed into the eyes.

Ask your doctor, nurse or pharmacist to show you how to use this medicine correctly.

The first time you open a new spray bottle, you need to get it ready to use. Point the bottle away from you and spray into the air 10 times. You should see some medicine come out while doing this. It is now ready to use. This process is called priming the spray.

Read and carefully follow package instructions for preparing, using and cleaning the pump.

Blow and wipe your nose with a clean tissue before using this product.

Sit up straight or stand, and tilt the head slightly forward before spraying.

Do not spray the medicine directly on the middle wall of your nose (nasal septum).

If you forget a dose, you may skip it and continue your regular schedule.

Drug interactions can change how medicines work or increase risk for side effects. Tell your health care providers about all medicines taken. Include prescription and over-the-counter medicines, vitamins, and herbal medicines. Speak with your doctor or pharmacist before starting or stopping any medicine.

Tell your doctor if symptoms do not get better or if they get worse.

If you need to stop this medicine, your doctor may wish to gradually reduce the dosage before stopping.

Discard any remaining medicine 4 weeks after opening.

Do not share this medicine with anyone who has not been prescribed this medicine.

Keep all appointments for medical exams and tests while on this medicine.

This medicine may affect your blood sugar levels. If you have diabetes, talk to your doctor before changing the dose of your diabetes medicine.

Cautions

This medicine is not approved for use in children younger than 18.

During pregnancy, this medicine should be used only when clearly needed. Talk to your doctor about the risks and benefits.

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine.

This medicine is associated with a rare but very serious medical condition. Please speak with your doctor about symptoms you should look out for while on this medicine. Notify your doctor immediately if you develop those symptoms.

Do not use the medication any more than instructed.

If possible, avoid using with alcohol, marijuana, or other medicines that can cause dizziness or drowsiness. These include allergy/cold products, muscle relaxers, sleep aids, and pain relievers.

Be very careful not to spray the medicine into your eyes. Wash your hands thoroughly before touching your eyes.

Your ability to stay alert or to react quickly may be impaired by this medicine. Do not drive or operate machinery until you know how this medicine will affect you.

This medicine passes into breast milk. Ask your doctor before breastfeeding.

Some patients have serious side effects from this medicine. Ask your pharmacist to show you the information from the Food and Drug Administration (FDA) and discuss it with you.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• agitated feeling or trouble sleeping
• diarrhea
• dizziness or drowsiness
• lack of energy and tiredness
• headaches
• changes in taste or unpleasant taste

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• breast pain or swelling
• confusion
• depression or feeling sad
• swelling of the legs, feet, and hands
• face appearing mask-like
• high fever
• hallucinations (unusual thoughts, seeing or hearing things that are not real)
• fast or irregular heart beats
• menstruation changes (missed or fewer periods)
• uncontrollable movement of face, tongue, arms or legs
• muscle aches, spasms or abnormal movements
• muscle trembling
• shakiness
• suicidal thoughts

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.