ZETONNA® (ciclesonide) Nasal Aerosol Q&A
Frequently asked questions and answers about ZETONNA
What is ZETONNA Nasal Aerosol?
ZETONNA Nasal Aerosol is a prescription medicine that treats seasonal and year-round nasal allergy symptoms in adults and children 12 years of age and older. It is a dry nasal aerosol, which means that the medicine is formulated into fine, dry particles and delivered directly to your nasal passages with an HFA aerosol inhaler.
ZETONNA contains ciclesonide, which is a man-made (synthetic) corticosteroid. Corticosteroids are natural substances found in the body and reduce inflammation. When you spray ZETONNA in your nose, it may help reduce seasonal and year-round nasal symptoms of allergic rhinitis (inflammation of the lining of the nose) such as stuffy nose, runny nose, itching and sneezing. ZETONNA may also help if you have seasonal eye allergy symptoms like red, itchy, and watery eyes.
It is not known if ZETONNA is safe and effective in children 11 years of age and younger.
To learn more, please see Patient Information and Important Safety Information.
What allergy symptoms does ZETONNA Nasal Aerosol help relieve?
When you spray ZETONNA Nasal Aerosol into your nose, the medicine may help reduce seasonal and year-round nasal allergy symptoms such as stuffy nose, runny nose, itching and sneezing. ZETONNA may also help you if you have seasonal eye allergy symptoms such as red, itchy, watery eyes.
To learn more, please see Patient Information and Important Safety Information.
What are the ingredients in ZETONNA Nasal Aerosol?
The active ingredient in ZETONNA Nasal Aerosol is ciclesonide (sye-KLES-oh-nide). The inactive ingredients are HFA propellant and ethanol.
To learn more, please see Patient Information and Important Safety Information.
Is ZETONNA Nasal Aerosol a steroid?
ZETONNA Nasal Aerosol is an intranasal steroid. It contains ciclesonide, which is a man-made (synthetic) corticosteroid. Corticosteroids are natural substances that are found in the body and reduce inflammation. They are NOT the same as anabolic steroids — the kind of steroids you may hear about some athletes misusing.
As with other steroids, there may be side effects. The most common side effects with ZETONNA include nasal discomfort, headache and nose bleeds. These are not all the possible side effects. To learn more, please see Patient Information and Important Safety Information.
How does ZETONNA Nasal Aerosol work?
When you spray ZETONNA Nasal Aerosol into your nose, the medicine may help reduce nasal symptoms of seasonal and year-round allergies such as stuffy nose, runny nose, itching and sneezing. ZETONNA may also help you if you have seasonal eye allergy symptoms such as red, itchy, watery eyes.
To learn more, please see Patient Information and Important Safety Information.
How effective is ZETONNA Nasal Aerosol?
In clinical trials, ZETONNA Nasal Aerosol was shown to significantly improve nasal allergy symptoms including sneezing, runny nose, itchy nose, and congestion in people with seasonal and year-round allergies. ZETONNA was also shown to be effective at reducing red, itchy, watery eyes in people with seasonal allergies.
To learn more, please see Patient Information and Important Safety Information.
How quickly does ZETONNA Nasal Aerosol start to work?
ZETONNA Nasal Aerosol may begin to work within 36 hours after you take your first dose. Maximum benefit is usually achieved within 1 to 2 weeks after you begin using ZETONNA on a daily basis. If your symptoms do not improve or get worse, call your healthcare professional.
To learn more, please see Patient Information and Important Safety Information.
How long does one dose of ZETONNA Nasal Aerosol last?
One dose of ZETONNA Nasal Aerosol works for a full 24 hours to improve year-round nasal allergy symptoms like sneezing, runny nose, itchy nose, and congestion, as well as seasonal eye allergy symptoms like red, itchy, watery eyes.
ZETONNA may begin to work within 36 hours after you take your first dose. Maximum benefit is usually achieved within 1 to 2 weeks after initiation of dosing.
To learn more, please see Patient Information and Important Safety Information.
Can ZETONNA Nasal Aerosol be used in children younger than 12 years of age?
ZETONNA Nasal Aerosol is a prescription medicine that treats seasonal and year-round allergy symptoms in adults and children 12 years of age and older. It is not known if ZETONNA is safe and effective in children 11 years of age and younger.
If you have any questions about who should use ZETONNA, contact a healthcare professional.
To learn more, please see Patient Information and Important Safety Information.
What are the most common side effects of ZETONNA Nasal Aerosol?
The most common side effects with ZETONNA Nasal Aerosol include nasal discomfort, headache, and nose bleeds.
These are not all the possible side effects. To learn more, please see Patient Information and Important Safety Information.
Please contact your healthcare professional to discuss any side effects or other concerns while taking ZETONNA. 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.
How much does ZETONNA Nasal Aerosol cost?
The cost of ZETONNA Nasal Aerosol varies depending on your insurance plan and how you pay for your medicines. You also may be eligible for the Relief Is Here Co-pay Program. If you qualify, you may be able to reduce your co-pay to $17* on each of your next 12 prescriptions or refills of ZETONNA. Learn more about how to get ZETONNA for $17.*
To learn more, please see Patient Information and Important Safety Information.
Can I get a sample of ZETONNA Nasal Aerosol?
Samples of ZETONNA Nasal Aerosol are available from certain healthcare professionals. Please check with your doctor or other healthcare professional to find out if a product sample is available.
To learn more, please see Patient Information and Important Safety Information.
What should I tell my healthcare professional before using ZETONNA Nasal Aerosol?
Before you use ZETONNA Nasal Aerosol tell you healthcare professional if you:
- have had recent nose problems such as a hole in the cartilage of your nose, nasal ulcers, nasal surgery or nasal injury.
- have or have had eye problems such as intraocular pressure, glaucoma, or cataracts.
- have any infections including turberculosis or ocular herpes simplex.
- have not had or been vaccinated for chicken pox or measles.
- are pregnant or plan to become pregnant. It is not known if ZETONNA will harm your unborn baby. Talk to your healthcare professional about the best way to feed your baby if you are using ZETONNA.
- are breastfeeding or plan to breastfeed. It is not known if ZETONNA passes into your breast milk. Talk to your healthcare professional about the best way to feed your baby if you are using ZETONNA.
You should also tell your healthcare professional about all the medicines you take, including:
- prescription medicines
- non-prescription medicines
- vitamins
- and herbal supplements
To learn more, please see Patient Information.
How do I use ZETONNA Nasal Aerosol?
ZETONNA Nasal Aerosol is used 1 time each day, 1 spray in each nostril. Do not use more than a total of 1 spray in each nostril per day. ZETONNA may begin to work within 36 hours after the first dose. Maximum benefit is usually achieved within 1 to 2 weeks after initiation of dosing.
Be sure to use ZETONNA exactly as your healthcare professional tells you to use it. Do not take more of your medicine or take it more often than your healthcare professional tells you. If your symptoms do not improve or get worse, call your healthcare professional.
You should receive complete instructions along with your prescription — it is important to read all of the instructions before using. To learn more, see the ZETONNA Patient Information.
How much ZETONNA Nasal Aerosol do I use each day?
ZETONNA Nasal Aerosol is used 1 time each day, 1 spray in each nostril. Do not use more than a total of 1 spray in each nostril per day. Be sure to use ZETONNA exactly as your healthcare professional tells you to use it. Do not take more of your medicine or take it more often than your healthcare professional tells you.
To learn more, please see ZETONNA Patient Information.
How long does each ZETONNA Nasal Aerosol prescription fill last?
Each canister of ZETONNA Nasal Aerosol contains enough medicine for you to spray 60 times. This does not count the first 3 priming sprays. When used as directed, one prescription fill of ZETONNA will last 30 days. Discard the actuator once the indicator reaches 0.
To learn more, please see the Patient Information and Important Safety Information.
How do I clean my ZETONNA Nasal Aerosol actuator?
The outside of the nose piece should be cleaned weekly, by wiping with a clean, dry tissue or cloth. Do not wash or put any part of the ZETONNA Nasal Aerosol unit or actuator in water.
To learn more, please see the Patient Information and Important Safety Information.
How should I store ZETONNA Nasal Aerosol?
- Store ZETONNA Nasal Aerosol at room temperature between 59°F and 86° F (15°C to 30° C).
- Do not puncture the ZETONNA canister.
- Do not store the ZETONNA canister near heat or flame. Temperatures above 120° F (49° C) may cause the canister to burst.
- Do not throw the ZETONNA canister into a fire or an incinerator.
- Safely throw away medicine that is out of date or no longer needed.
- Keep ZETONNA clean and dry at all times.
Keep ZETONNA and all medicines out of the reach of children
To learn more, please see the Patient Information and Important Safety Information.
How can I tell if my ZETONNA Nasal Aerosol is empty?
Each canister of ZETONNA Nasal Aerosol contains enough medicine for you to spray 60 times. This does not count the first 3 priming sprays. When used as directed, one prescription fill of ZETONNA will last 30 days.
The actuator of your ZETONNA unit is fitted with a dose indicator, which shows you how much medicine is left after each use. The dose indicator will display the number of sprays remaining in groups of 5 or 10 actuations.
At first, the display window will show a green color. As you continue to use the medicine, the window will show a yellow color. A yellow color in the window means that you will need to replace your medicine soon. When the medicine is almost empty, the window will show a red color. Discard the actuator once the indicator reaches 0.
Do not throw your ZETONNA canister in the fire or an incinerator.
Do not use your ZETONNA after 0 is shown in the window of the dose indicator even though it may look like there is medicine left in the canister. You many not get the right amount of medicine.
Talk with your healthcare professional before your supply of ZETONNA runs out to see if you should get a refill of your medicine.
To learn more, please see the Patient Information and Important Safety Information.
Can I keep using ZETONNA Nasal Aerosol if it looks like there's medicine left
in the unit, even if the dose indicator reads zero?
No. Do not use your ZETONNA Nasal Aerosol after zero is shown in the window of the dose indicator even though it may look like there is medicine left in the canister. You may not get the right amount of medicine. When the medicine is almost empty, the window will show a red color. Discard the actuator once the indicator reaches 0.
To learn more, please see the Patient Information and Important Safety Information.
What happens if I drop my ZETONNA Nasal Aerosol unit?
If you drop your ZETONNA Nasal Aerosol unit, the canister may become separated from the actuator. If this happens, insert the canister into the actuator and test spray once into the air away from your face, then use as described in the Patient Instructions for Use.
Note that if the ZETONNA unit has been dropped, the dose indicator may not work. If you drop your unit, it's best to keep track of the number of sprays you use, so you'll know when it's time to refill.
To learn more, please see the Patient Information and Important Safety Information.