Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Growth in adolescents: Corticosteroids such as ciclesonide nasal spray may impair the growth of adolescents. Your doctor will monitor for this. Talk to your doctor if you have any concerns.
Infections: Corticosteroids such as ciclesonide nasal spray may worsen existing infections, mask the signs of infection, and cause new infections. If you use this medication for several months or longer, your doctor will monitor you periodically for signs of infection. People using this medication who have not had chickenpox or measles or have not been vaccinated against these infections should take special care to avoid exposure to them. People with herpes simplex infection of the eye should talk to their doctor before using this medication.
Other steroid medications: People who have been taking steroid medications by mouth or by inhalation should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Vision problems: Rarely, corticosteroids such as ciclesonide nasal spray causes glaucoma or cataracts. Report any vision changes to your doctor immediately.
Wound healing: Corticosteroids such as ciclesonide nasal spray can impair the ability of wounds to heal. This medication should not be used if you have ulcers in your nose, have had nasal surgery, or have had nasal trauma, until wounds have completely healed.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using this medication, contact your doctor immediately.
Breast-feeding: It is not known if ciclesonide nasal spray passes into breast milk. If you are a breast-feeding mother and are using this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this medication have not been established for children under 12 years of age.