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Omnaris
Omnaris (generic name: ciclesonide) is a corticosteroid used as a nasal spray to treat symptoms of allergic rhinitis, including sneezing, nasal congestion, and runny nose. It is approved for both seasonal allergies (hay fever) and year-round allergic rhinitis (perennial allergic rhinitis) in adults and children. By reducing inflammation in the nasal passages, Omnaris helps relieve allergy symptoms and improves breathing.
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Frequently Asked Questions
How long does it take for Omnaris to work?
You may start to notice symptom relief within 24 hours, but it can take up to several days for full relief. Continue using the spray daily as directed.
Can I use Omnaris for a common cold?
Omnaris is not designed to treat symptoms of the common cold. It is specifically for treating allergic rhinitis and should be used for that purpose.
Can Omnaris cause weight gain?
Since Omnaris has minimal systemic absorption, it is unlikely to cause weight gain. This side effect is more commonly associated with oral or systemic corticosteroids.
Can I use Omnaris if I have asthma?
Yes, Omnaris can be safely used by people with asthma. In fact, treating allergic rhinitis with Omnaris may help improve asthma symptoms by reducing nasal inflammation.
How should I store Omnaris?
Store Omnaris at room temperature, away from direct light and heat. Do not freeze the medication.
Comprehensive Drug Guide
How Does Omnaris Work?
Omnaris works by reducing inflammation in the nasal passages. As a corticosteroid, it decreases the release of inflammatory chemicals and reduces swelling, helping to relieve nasal congestion and other symptoms of allergic rhinitis. Ciclesonide, the active ingredient, is activated in the nasal mucosa to exert its anti-inflammatory effects locally with minimal systemic absorption.
Common Dosages
- Nasal spray: 50 mcg per spray
Typical Dosing
- For seasonal allergic rhinitis and perennial allergic rhinitis, the recommended dose is 2 sprays in each nostril once daily (200 mcg total daily dose).
- For children aged 6-11 years, the dose may be reduced to 1 spray per nostril once daily (100 mcg total daily dose).
Typical Dosing
FDA Approved Indications
- Seasonal allergic rhinitis in adults and children aged 6 years and older
- Perennial allergic rhinitis in adults and children aged 12 years and older
Who Shouldn't Take Omnaris?
- Allergy to ciclesonide or any component of the formulation
- Untreated fungal, bacterial, or viral infections of the nasal passages
Advice From The Pharmacist
- Shake the bottle well before use. Prime the spray by releasing several sprays into the air if you are using it for the first time or if it hasn't been used for more than 4 days.
- Blow your nose before using the spray to clear the nasal passages.
- Avoid contact with the eyes, as the medication is intended for nasal use only.
- Store Omnaris at room temperature and protect it from light and heat.
- It may take several days of regular use for full symptom relief, so continue using the spray even if symptoms improve.
Side Effects of Omnaris
Common Side Effects
- Headache
- Nosebleeds (epistaxis)
- Nasal discomfort or irritation
- Sore throat
Uncommon/Severe Side Effects
- Severe allergic reactions (rash, swelling, difficulty breathing)
- Candida infection in the nose or throat
- Vision problems (glaucoma, cataracts) with prolonged use
Risks and Warnings of Omnaris
- Immune Suppression: Since Omnaris is a corticosteroid, long-term use may suppress the immune system, increasing the risk of infections. Patients with a history of nasal infections should use it with caution.
- Nasal Injuries: Prolonged use of corticosteroids can lead to nasal septum perforation or ulceration. If you notice persistent nasal discomfort or bleeding, consult your doctor.
- Glaucoma/Cataracts: Long-term use of nasal corticosteroids may increase the risk of glaucoma or cataracts. Regular eye exams are recommended for patients on long-term therapy.
Interactions with Omnaris
Common Drug Interactions
Omnaris has minimal systemic absorption, so it is not known to have significant drug interactions. However, patients should inform their healthcare provider of all medications they are using, particularly if they are on other steroid medications.
Alternatives to Omnaris
- Flonase (fluticasone): Another nasal corticosteroid used for allergy symptom relief.
- Nasonex (mometasone): A corticosteroid nasal spray for allergic rhinitis.
- Rhinocort (budesonide): Another corticosteroid nasal spray for treating seasonal and perennial allergies.
- Antihistamines: Such as Claritin (loratadine) or Zyrtec (cetirizine), which can be used alongside or as an alternative to corticosteroid nasal sprays.
