Doctor Discussion Guide

From simple lifestyle changes to medicines, there are a number of ways to treat nasal allergy symptoms. Talk to your healthcare professional at your next visit about how you can best manage your symptoms.

 

Use this interactive checklist to create a personalized Doctor Discussion Guide to take to your next appointment. Simply type in your answers to each question below (your answers will not be saved or shared) — when you're done, you can print out your answers or email them to yourself.

If you would rather fill this out on paper, you can download a printable PDF of the Doctor Discussion Guide now.

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I suffer from the following symptoms:
Sneezing
Itchy nose
Stuffy nose (congestion)
Runny nose
Other   
 
I suffer from allergy symptoms during the:
Spring
Summer
Fall
Winter
 
My allergy symptoms are triggered by:
Trees
Weeds
Grass
Mold
Dust
Animals
 
Other family members who suffer from allergies include:
A spouse
A child/children
Other family member
No one else, only me
 
I've used the following prescription allergy medicines:
Allegra®
Clarinex®
Flonase®
Nasacort AQ®
Nasonex®
Rhinocort Aqua®
Singulair®
Veramyst®
Xyzal®
Other (enter product name)   
 
I've used the following over-the-counter medicines:
Afrin®
Benadryl®
Claritin®
Sudafed AQ®
Zyrtec®
Other (enter product name)   
 
Other questions I'd like to ask my healthcare professional:
 



Your answers will not be saved or shared.
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Indication and Dosing

OMNARIS® (ciclesonide) Nasal Spray is for the treatment of nasal allergy symptoms associated with seasonal allergies in adults and children 6 years of age and older, and with year-round allergies in adults and adolescents 12 and older. It is for use in the nose only. OMNARIS is used 1 time each day, 2 sprays per nostril.

Important Safety Information

Do not spray OMNARIS Nasal Spray in your eyes or directly onto your nasal septum (the wall inside your nose between your two nostrils).

OMNARIS Nasal Spray may cause serious side effects, including:

  • nose bleeds and nasal ulcers. Call your healthcare provider right away if you start to have more nose bleeds or nasal ulcers.
  • hole in the cartilage in the nose (nasal septal perforation). Stop using OMNARIS Nasal Spray and call your doctor right away if you have symptoms of a nasal perforation. Symptoms of nasal perforation may include: crusting in the nose, nosebleeds, runny nose, and a whistling sound when you breathe.
  • thrush (Candida), a fungal infection in your nose, mouth, or throat. Tell your healthcare provider if you have any redness or white colored patches in your mouth or throat.
  • slow wound healing. You should not use OMNARIS Nasal Spray until your nose has healed, if you have a sore in your nose, if you have had surgery in your nose, or if your nose has been injured.
  • eye problems such as glaucoma and cataracts. If you have a history of glaucoma or cataracts or have a family history of eye problems, you should have regular eye exams while you use OMNARIS Nasal Spray.
  • immune system problems that may increase your risk of infections. You are more likely to get infections if you take medicines that may weaken your body's ability to fight infections. Avoid contact with people who have contagious diseases such as chicken pox or measles while you use OMNARIS Nasal Spray. Symptoms of an infection may include: fever, pain, aches, chills, feeling tired, nausea, and vomiting.
  • adrenal insufficiency. Adrenal insufficiency is a condition in which the adrenal glands do not make enough steroid hormones. Call your healthcare provider right away if you experience the following symptoms of adrenal insufficiency: tiredness, weakness, dizziness, nausea, and vomiting.
  • slowed or delayed growth in children. A child's growth should be checked regularly while using OMNARIS Nasal Spray.
  • allergic reactions. Call your healthcare provider right away if you experience swelling of the lips, tongue, or throat.

The most common side effects that may occur with OMNARIS Nasal Spray are headache, nosebleed, sore throat and ear pain.

Tell your doctor if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of OMNARIS Nasal Spray.

For more information, please see the OMNARIS Full Prescribing Information and the OMNARIS Patient Information. You may also call 1-888-394-7377.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call
1-800-FDA-1088.

OMNARIS® (ciclesonide) Nasal Spray is available by prescription. Ask your healthcare professional if OMNARIS Nasal Spray is right for you.

The health information contained on this website is provided for educational purposes only and is not intended to replace discussions with a healthcare professional. This site is intended for U.S. residents 18 years of age and older. The product discussed on this site may have different product labeling in different countries. All decisions regarding patient care must be made with a healthcare professional, considering the unique characteristics of the patient.

OMNARIS is the registered trademark of Takeda GmbH, used under license. Sunovion Pharmaceuticals Inc. is a U.S. subsidiary of Dainippon Sumitomo Pharma Co. Ltd., is a registered trademark of Dainippon Sumitomo Pharma Co. Ltd.

© 2014 Sunovion Pharmaceuticals Inc. All rights reserved. 03/14 OMN010-14.

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