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Qnasl

PATIENT INFORMATION

QNASL
(kyoo nay' zel)
(beclomethasone dipropionate) Nasal Aerosol

Read this Patient Information before you start using QNASL Nasal Aerosol and each time you get a refill. There may be new information. This information does not take the place of talking to your healthcare provider about your medical condition or your treatment.

What is QNASL Nasal Aerosol?

QNASL Nasal Aerosol is a prescription medicine that treats seasonal nasal and year-round nasal allergy symptoms in adults and adolescents 12 years of age and older.

QNASL Nasal Aerosol contains beclomethasone dipropionate, which is a man-made (synthetic) corticosteroid. Corticosteroids are natural substances found in the body that reduce inflammation. When you spray QNASL Nasal Aerosol into your nose, it may help reduce the nasal symptoms of allergic rhinitis (inflammation of the lining of the nose), such as stuffy nose, runny nose, itching, and sneezing.

It is not known if QNASL Nasal Aerosol is safe and effective in children under 12 years of age.

Who should not use QNASL Nasal Aerosol?

Do not use QNASL Nasal Aerosol if you are allergic to beclomethasone dipropionate or any of the ingredients in QNASL Nasal Aerosol. See the end of this Patient Information leaflet for a complete list of ingredients in QNASL Nasal Aerosol.

What should I tell my healthcare provider before using QNASL Nasal Aerosol?

Before you use QNASL Nasal Aerosol, tell your healthcare provider if you:

  • Have had recent nose problems such as nasal sores, nasal surgery, or a nasal injury
  • Have or have had eye problems, such as increased pressure in your eye (glaucoma) or cataracts
  • Have tuberculosis or any untreated fungal, bacterial, or viral infections, or eye infections caused by herpes
  • Have not had or been vaccinated for chickenpox or measles
  • Are pregnant or plan to become pregnant. It is not known if QNASL Nasal Aerosol will harm your unborn baby. Talk to your healthcare provider if you are pregnant or plan to become pregnant
  • Are breastfeeding or plan to breastfeed. It is not known if QNASL Nasal Aerosol passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby if you are using QNASL Nasal Aerosol

Tell your healthcare provider about all of the medications you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

QNASL Nasal Aerosol and other medications may affect each other and cause side effects. QNASL Nasal Aerosol may affect the way other medications work, and other medications may affect the way QNASL Nasal Aerosol works.

Especially tell your healthcare provider if you take other corticosteroid medicines.

Ask your healthcare provider for a list of these medicines if you are not sure.

Know the medications you take. Keep a list of your medications with you to show your healthcare provider and pharmacist when a new medication is prescribed.

How should I use QNASL Nasal Aerosol?

  • Read the Instructions for Use at the end of this leaflet for specific information about the right way to use QNASL Nasal Aerosol
  • QNASL Nasal Aerosol is for use in the nose only. Do not spray it in your eyes or mouth
  • Use QNASL Nasal Aerosol exactly as your healthcare provider tells you to use it. Do not use more of your medicine or take it more often than your healthcare provider tells you
  • QNASL Nasal Aerosol must be primed before you use it for the first time and if you do not use it for 7 or more days in a row. Do not prime your QNASL Nasal Aerosol every day
  • Your QNASL Nasal Aerosol has a spray counter which should read 120 sprays after your 4 initial priming sprays
  • Do not use your QNASL Nasal Aerosol after the spray counter reads 0. You may not get the right amount of medicine
  • The usual dose of QNASL Nasal Aerosol is 2 sprays in each nostril, 1 time a day. You should not use more than a total of 4 sprays per day
  • You will get the best results if you keep using QNASL Nasal Aerosol regularly each day. If your symptoms do not improve or get worse, call your healthcare provider

What are the possible side effects of QNASL Nasal Aerosol?

QNASL Nasal Aerosol may cause serious side effects, including:

  • Nose bleeds or nasal ulcers. Your healthcare provider should check the inside of your nose (nasal mucosa) while you take QNASL Nasal Aerosol for problems. Talk to your healthcare provider if you have nose bleeds or nasal ulcers
  • 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 QNASL Nasal Aerosol until your nose has healed if you have a sore in your nose, you have had surgery on your nose, or 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 QNASL Nasal Aerosol
  • Adrenal insufficiency. Adrenal insufficiency is a condition in which the adrenal glands do not make enough steroid hormones. Symptoms of adrenal insufficiency may include:
    • Tiredness
    • Weakness
    • Dizziness
    • Nausea
    • Vomiting
  • Allergic reactions. Serious allergic reactions can happen in people taking QNASL Nasal Aerosol. Stop using QNASL Nasal Aerosol and call your healthcare provider right away or get emergency medical help if you have:
    • Shortness of breath or trouble breathing
    • Skin rash, redness, or swelling
    • Severe itching
    • Swelling of your lips, tongue or face
  • 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 infection. Avoid contact with people who have contagious diseases such as chicken pox or measles while you use QNASL Nasal Aerosol. Symptoms of an infection may include:
    • Fever
    • Pain
    • Aches
    • Chills
    • Feeling tired
    • Nausea
    • Vomiting
  • Slowed growth in children. A child's growth should be checked regularly while using QNASL Nasal Aerosol

The most common side effects with QNASL Nasal Aerosol include:

  • Nasal discomfort
  • Nose bleeds
  • Headache

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

These are not all the possible side effects of QNASL Nasal Aerosol. For more information, ask your healthcare provider or pharmacist.

Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store QNASL Nasal Aerosol?

  • Store QNASL Nasal Aerosol at room temperature 59°F to 86°F (15°C to 30°C)
  • Do not puncture the QNASL Nasal Aerosol canister
  • Do not store the QNASL Nasal Aerosol canister near heat or a flame. Temperatures above 120°F (49°C) may cause the canister to burst
  • Do not throw the QNASL Nasal Aerosol canister into a fire or an incinerator
  • Safely throw away medicine that is out of date or no longer needed

Keep QNASL Nasal Aerosol and all medicines out of the reach of children.

General information about the safe and effective use of QNASL Nasal Aerosol

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use QNASL Nasal Aerosol for a condition for which it was not prescribed. Do not give QNASL Nasal Aerosol to other people, even if they have the same symptoms that you have. It may harm them.

This Patient Information summarizes the most important information about QNASL Nasal Aerosol. If you would like more information, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about QNASL Nasal Aerosol that is written for health professionals.

For more information, go to www.QNASL.com or call 1-855-55-QNASL (1-855-557-6275).

What should I know about allergic rhinitis?

“Rhinitis” means inflammation of the lining of the nose. Allergic rhinitis is sometimes called “hay fever.” Allergic rhinitis can be caused by allergies to pollen, animal dander, house dust mites, mold spores, and other things. If you have allergic rhinitis, your nose becomes stuffy, runny, and itchy. You may also sneeze a lot. You may also have red, itchy, watery eyes or an itchy throat; or blocked, itchy ears.

What are the ingredients in QNASL Nasal Aerosol?

Active ingredient: beclomethasone dipropionate

Inactive ingredient: propellant HFA-134a and ethanol

INSTRUCTIONS FOR USE

QNASL
(kyoo nay' zel)
(beclomethasone dipropionate) Nasal Aerosol

Read these Instructions for Use for QNASL Nasal Aerosol before you start using it and each time you get a refill. There may be new information. This leaflet does not take the place of talking to your healthcare provider about your medical condition or treatment.

Note: For Use in the Nose Only.

  • Do not spray QNASL Nasal Aerosol in your eyes or directly onto your nasal septum (the wall between your 2 nostrils)

The parts of your QNASL Nasal Aerosol

The QNASL Nasal Aerosol device comes as a canister that fits into a nasal actuator with a built-in spray counter and protective dust cap. (See Figure A)

Figure A

QNASL Nasal Aerosol device - Illustration

  • Do not use the QNASL Nasal Aerosol actuator with a canister of medicine from any other inhaler
  • Do not use the QNASL Nasal Aerosol canister with an actuator from any other inhaler
  • Do not remove the QNASL Nasal Aerosol canister from the actuator

Priming your QNASL Nasal Aerosol for Use

  • Remove your QNASL Nasal Aerosol device from its package
  • Your QNASL Nasal Aerosol device must be primed before you use it for the first time or if it has not been used for more than 7 days in a row
  • Remove the protective dust cap from the device
  • Hold the nasal actuator upright between your thumb and forefinger (index finger). The canister should be on top and the white nasal actuator tip on bottom (See Figure B)

Figure B

Hold the nasal actuator upright - Illustration

  • If you have never used your QNASL Nasal Aerosol device before, spray it 4 times into the air, away from your eyes and face, by pressing down fully on the top of the canister 4 times (See Figure C). Your QNASL Nasal Aerosol device is now ready to use

Figure C

Spray it 4 times into the air - Illustration

  • After the first time you prime your QNASL Nasal Aerosol device, the spray counter should read 120 (See Figure D)

Figure D

The spray counter - Illustration

  • Do not prime your QNASL Nasal Aerosol device every day
  • If you have used your QNASL Nasal Aerosol device before, but it has not been used in more than 7 days, it must be reprimed. To reprime your QNASL Nasal Aerosol device, spray 2 times into the air, away from your eyes and face, by pressing down fully on the top of the canister 2 times. Your QNASL Nasal Aerosol device is now ready to use

Using Your QNASL Nasal Aerosol Device

Step 1: Blow your nose to clear your nostrils.

Step 2: Remove the protective dust cap from your QNASL Nasal Aerosol device.

Step 3: Inspect the nasal actuator tip to confirm it is clear of foreign objects.

Step 4: Hold your QNASL Nasal Aerosol device upright and insert the nasal actuator tip into one nostril (See Figure E).

Figure E

Insert the nasal actuator tip into one nostril - Illustration

Step 5: Point the QNASL Nasal Aerosol device slightly away from the wall between your nostrils (nasal septum) while holding your other nostril closed (See Figure F).

Figure F

Hold your other nostril closed - Illustration

Step 6: Hold your breath and press down firmly and completely on the canister to release 1 spray (See Figure G). Continue to hold your breath for 5 seconds after releasing the spray and then breathe out slowly through your mouth. Take the QNASL Nasal Aerosol device out of your nostril.

Figure G

Release 1 spray - Illustration

Step 7: Repeat steps 3-6 for the second spray in the same nostril.

Step 8: Repeat steps 3-7 for your other nostril.

Step 9: You should not blow your nose for the next 15 minutes.
Note: The spray counter will count down each time there is a spray released from your QNASL Nasal Aerosol device.

Step 10: Clean and store your device. See “Cleaning Your QNASL Nasal Aerosol device.”

Cleaning Your QNASL Nasal Aerosol device

  • Wipe the nasal actuator tip with a clean, dry tissue or cloth (See Figure H)
  • Do not wash or put any part of the QNASL Nasal Aerosol canister or actuator in water
  • Replace the protective dust cap
  • Keep your device clean and dry at all times

Figure H

Wipe the nasal actuator tip - Illustration

How to know when to stop using your QNASL Aerosol device

  • The QNASL Nasal Aerosol device has a spray counter, which is there to let you know how many sprays of medicine you have left
  • Do not use your QNASL Nasal Aerosol device when 0 is shown in the spray counter window (See Figure I).

Figure I

Spray counter window - Illustration

  • Throw away your QNASL Nasal Aerosol device when the spray counter reaches 0
  • Do not throw your QNASL Nasal Aerosol canister into a fire or an incinerator
  • Talk with your health care provider before your supply of QNASL Nasal Aerosol runs out to see if you should get a refill

This PPI and Instructions for Use has been approved by the U.S. Food and Drug Administration.

Last reviewed on RxList: 4/1/2014
This monograph has been modified to include the generic and brand name in many instances.

A A A

Report Problems to the Food and Drug Administration

 

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


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