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To use the sprayremove the protective capClose one nostril by pressing it with your fingerTilt your head slightly forward andkeeping the bottle uprightcarefully insert the nasal applicator into the other nostrilPress down firmly on the pump to deliver the prescribed number of spraysDo not spray directly onto the middle wall of your nosenasal septumBreathe in gently through your nose and out through your mouthRepeat in the other nostrilWipe the applicator tip and replace the plastic capAvoid blowing your nose for 15 minutes after using this medication.

EpistaxisulcerationsCandida albicans infectionimpaired wound healingsee WARNINGS AND PRECAUTIONSCataracts and glaucomasee WARNINGS AND PRECAUTIONSImmunosuppressionsee WARNINGS AND PRECAUTIONSHypothalamic-pituitary-adrenalHPAaxis effectsincluding growth reductionsee WARNINGS AND PRECAUTIONSUse In Specific Populations

Visual disturbance may be reported with systemic and topicalincludingintranasalinhaled and intraocularcorticosteroid useIf a patient presents with symptoms such as blurred vision or other visual disturbancesthe patient should be considered for referral to an ophthalmologist for evaluation of possible causes of visual disturbances which may include cataractglaucoma or rare diseases such as central serous chorioretinopathyCSCRwhich have been reported after use of systemic and topical corticosteroids.

Nasonex nasal spray is used to treat nasal symptoms of seasonal or year-round allergiesincluding congestionsneezingand runny noseThis medicine is approved for this use in adults and children who are at least 2 years old.

Corticosteroids may cause a reduction in growth velocity when administered to pediatric patientsMonitor the growth routinely of pediatric patients receiving NASONEX Nasal SprayTo minimize the systemic effects of intranasal corticosteroidsincluding NASONEX Nasal Spraytitrate each patient’s dose to the lowest dosage that effectively controls his/her symptomssee Use In Specific Populations

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