Asmanex (120 Metered Doses)

Asmanex (120 Metered Doses) is FDA-approved for the maintenance treatment of asthma in adults and children aged 4 years and older. It is intended to be used on a regular basis to control and prevent asthma symptoms and is not suitable for use during an acute asthma attack. Off-label uses may include treatment for other inflammatory conditions of the airways, as advised by a healthcare provider.

Asmanex should not be used in patients with a known hypersensitivity to mometasone furoate or any of the other ingredients in the inhaler. It is also contraindicated in patients experiencing acute asthma attacks, as it is not a fast-acting medication. Patients with untreated infections, such as tuberculosis or fungal infections of the lungs, should use Asmanex with caution.

Patients using Asmanex should be instructed on the proper inhaler technique to ensure the medication is delivered effectively to the lungs. It is important to rinse the mouth with water after each use to prevent oral thrush, a common side effect of inhaled corticosteroids. Patients should not discontinue the use of Asmanex abruptly, as this could lead to a worsening of asthma symptoms. Regular follow-ups with a healthcare provider are recommended to monitor asthma control and adjust the treatment as necessary.

Common side effects of Asmanex include headache, sore throat, and hoarseness. Some patients may experience oral thrush, a fungal infection in the mouth, which can be minimized by rinsing the mouth after using the inhaler. Serious side effects, though rare, may include severe allergic reactions, vision problems, and adrenal suppression. Patients should seek immediate medical attention if they experience symptoms of a severe allergic reaction, such as difficulty breathing or swelling of the face, lips, or throat.

Asmanex may suppress the immune system, increasing the risk of infections such as oral thrush or respiratory infections. Long-term use of corticosteroids can lead to bone thinning (osteoporosis), cataracts, and glaucoma, especially if used at high doses. Regular monitoring by a healthcare provider is essential to minimize these risks and ensure that the medication is being used safely and effectively.

Asmanex may interact with other corticosteroids or medications that suppress the immune system, increasing the risk of side effects. It may also interact with medications that affect liver enzymes, such as certain antifungal drugs (e.g., ketoconazole) or HIV protease inhibitors, potentially altering the levels of mometasone in the body. Patients should inform their healthcare provider of all medications and supplements they are taking to avoid potential interactions.

Alternative treatments to Asmanex include other inhaled corticosteroids such as fluticasone (Flovent) or budesonide (Pulmicort). Combination inhalers that include both a corticosteroid and a long-acting beta agonist (LABA), such as Advair (fluticasone/salmeterol) or Symbicort (budesonide/formoterol), may also be considered for patients who require additional control of their asthma symptoms. The choice of alternative treatment will depend on the patient’s specific condition and response to previous therapies.