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Medically reviewed by Militian Inessa Mesropovna, PharmD. Last updated on 26.06.2023
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Vancenase Pockethaler Nasal Inhaler is used for the control of bronchial asthma in persons requiring continuous treatment. Such patients may include those with frequent asthmatic episodes that require medications to dilate the airways in the lung or those with asthmatic episodes at night.
Vancenase Pockethaler Nasal Inhaler is used to help control symptoms of asthma and improve breathing. It is used when a patient's asthma has not been controlled sufficiently on other asthma medicines, or when a patient's condition is so severe that more than one medicine is needed every day. Vancenase Pockethaler Nasal Inhaler will not relieve an asthma attack that has already started.
Vancenase Pockethaler Nasal Inhaler belongs to the family of medicines known as corticosteroids or steroids (cortisone-like medicines). It works by preventing certain cells in the lungs and breathing passages from releasing substances that cause asthma symptoms.
Vancenase Pockethaler Nasal Inhaler is available only with your doctor's prescription.
Usual Adult Dose for Allergic Rhinitis
Nasal metered aerosol (80 mcg): 2 nasal aerosol sprays in each nostril once a day (total dose 320 mcg per day)
Maximum dose: 4 nasal aerosol sprays per day
Nasal metered spray (42 mcg): 1 to 2 nasal inhalations (42 to 84 mcg) in each nostril twice a day (168 to 336 mcg/day)
Comments:
-Nasal metered spray: Symptomatic relief usually occurs within a few days after starting therapy; however, in some patients it may take as long as 2 weeks.
-Nasal metered spray should not be continued beyond 3 weeks in the absence of significant symptomatic improvement.
Uses:
-Treatment of the nasal symptoms associated with seasonal and perennial allergic rhinitis
-Relief of the symptoms of nonallergic (vasomotor) rhinitis
-Prevention of recurrence of nasal polyps following surgical removal
Usual Adult Dose for Prevention of Nasal Polyps
Nasal metered aerosol (80 mcg): 2 nasal aerosol sprays in each nostril once a day (total dose 320 mcg per day)
Maximum dose: 4 nasal aerosol sprays per day
Nasal metered spray (42 mcg): 1 to 2 nasal inhalations (42 to 84 mcg) in each nostril twice a day (168 to 336 mcg/day)
Comments:
-Nasal metered spray: Symptomatic relief usually occurs within a few days after starting therapy; however, in some patients it may take as long as 2 weeks.
-Nasal metered spray should not be continued beyond 3 weeks in the absence of significant symptomatic improvement.
Uses:
-Treatment of the nasal symptoms associated with seasonal and perennial allergic rhinitis
-Relief of the symptoms of nonallergic (vasomotor) rhinitis
-Prevention of recurrence of nasal polyps following surgical removal
Usual Pediatric Dose for Allergic Rhinitis
6 to 12 years of age:
Initial dose: Nasal metered spray (42 mcg): 1 to 2 nasal inhalations (42 to 84 mcg) in each nostril twice a day (168 to 336 mcg/day)
Maintenance dose: Nasal metered spray (42 mcg): 1 nasal inhalation (42 mcg) in each nostril twice a day (168 mcg/day)
Maximum dose: Nasal metered spray (42 mcg): 2 nasal inhalations (84 mcg) in each nostril twice a day (336 mcg/day)
12 years and older:
Nasal metered aerosol (80 mcg): 2 nasal aerosol sprays in each nostril once a day (total dose 320 mcg per day)
Maximum dose: 4 nasal aerosol sprays per day
Nasal metered spray (42 mcg): 1 to 2 nasal inhalations (42 to 84 mcg) in each nostril twice a day (168 to 336 mcg/day)
Comments:
-Nasal metered spray: Symptomatic relief usually occurs within a few days after starting therapy; however, in some patients it may take as long as 2 weeks.
-Nasal metered spray should not be continued beyond 3 weeks in the absence of significant symptomatic improvement.
Uses:
-Treatment of the nasal symptoms associated with seasonal and perennial allergic rhinitis
-Relief of the symptoms of nonallergic (vasomotor) rhinitis
-Prevention of recurrence of nasal polyps following surgical removal
Usual Pediatric Dose for Prevention of Nasal Polyps
6 to 12 years of age:
Initial dose: Nasal metered spray (42 mcg): 1 to 2 nasal inhalations (42 to 84 mcg) in each nostril twice a day (168 to 336 mcg/day)
Maintenance dose: Nasal metered spray (42 mcg): 1 nasal inhalation (42 mcg) in each nostril twice a day (168 mcg/day)
Maximum dose: Nasal metered spray (42 mcg): 2 nasal inhalations (84 mcg) in each nostril twice a day (336 mcg/day)
12 years and older:
Nasal metered aerosol (80 mcg): 2 nasal aerosol sprays in each nostril once a day (total dose 320 mcg per day)
Maximum dose: 4 nasal aerosol sprays per day
Nasal metered spray (42 mcg): 1 to 2 nasal inhalations (42 to 84 mcg) in each nostril twice a day (168 to 336 mcg/day)
Comments:
-Nasal metered spray: Symptomatic relief usually occurs within a few days after starting therapy; however, in some patients it may take as long as 2 weeks.
-Nasal metered spray should not be continued beyond 3 weeks in the absence of significant symptomatic improvement.
Uses:
-Treatment of the nasal symptoms associated with seasonal and perennial allergic rhinitis
-Relief of the symptoms of nonallergic (vasomotor) rhinitis
-Prevention of recurrence of nasal polyps following surgical removal
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Precautions
-The safety and efficacy of the nasal metered spray in patients younger than 6 years have not been established.
-The safety and efficacy of the nasal metered aerosol in patients younger than 12 years have not been established.
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
-This drug should be administered by intranasal route only.
-Metered aerosol should be primed prior to initial use by actuating four times. If aerosol is not used for 7 consecutive days it should be primed by spraying 2 times.
-The manufacturer product information should be consulted for proper use.
Storage requirements:
-Consult the manufacturer product information.
General:
Metered aerosol:
-Do not puncture; do not use or store near heat or open flame.
-Do not throw canister into fire or incinerator.
Patient advice:
-Do not exceed the labeled dose amount.
-Avoid spraying into the eyes or mouth.
-Consult your patient leaflet for information regarding how to properly use and store this drug.
-If you have an applicator, check your patient leaflet for proper cleaning of your device.
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What is the most important information I should know about Vancenase Pockethaler Nasal Inhaler?
QVAR is contraindicated in the primary treatment of status asthmaticus or other acute episodes of asthma where intensive measures are required.
Hypersensitivity to any of the ingredients of this preparation contraindicates its use.
Use Vancenase Pockethaler Nasal Inhaler aerosol as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Vancenase Pockethaler Nasal Inhaler aerosol comes with an additional patient leaflet, including detailed instructions for use of Vancenase Pockethaler Nasal Inhaler aerosol. Talk to your pharmacist if you have questions about this information.
- Vancenase Pockethaler Nasal Inhaler aerosol is only for the nose.
- Before using Vancenase Pockethaler Nasal Inhaler aerosol for the first time, you must prime the device. Do not prime the device every day. To prime Vancenase Pockethaler Nasal Inhaler aerosol, remove the protective dust cap from the device. Hold the device upright between your thumb and forefinger (the canister should be on top, pointing down). Spray 4 times into the air, away from your eyes and face. After the first priming, the dose counter should read 120.
- If Vancenase Pockethaler Nasal Inhaler aerosol has not been used in more than 7 days, re-prime it by spraying 2 times.
- Clear your nose before using Vancenase Pockethaler Nasal Inhaler aerosol by blowing it gently.
- To use Vancenase Pockethaler Nasal Inhaler aerosol, remove the cap from the device.
- Tilt your head forward slightly. Carefully insert the tip of the spray container into one nostril, keeping the bottle upright. Point the tip slightly away from the nasal septum (wall between your nostrils). Using a finger from your other hand, press against the opposite nostril to close it off.
- Hold your breath and squeeze the spray container to release 1 spray. Continue to hold your breath for 5 seconds, then breathe out slowly through your mouth. Remove the device from your nostril.
- Repeat these steps in the same nostril or in your other nostril as directed by your health care provider.
- Do not spray Vancenase Pockethaler Nasal Inhaler aerosol directly onto the nasal septum (the wall between your nostrils).
- Do not blow your nose for 15 minutes after using Vancenase Pockethaler Nasal Inhaler aerosol.
- Wipe the nasal tip with a clean, dry tissue or cloth after use. Keep the device clean and dry at all times. Always replace the cap when finished.
- Throw the bottle away after 120 sprays (not counting the 4 sprays used to prime the device). Do not use Vancenase Pockethaler Nasal Inhaler aerosol after the device reads 0. You may no longer receive the correct amount of medicine with each spray. Do not transfer any remaining medicine to another bottle.
- Do not use this device with a canister of medicine from any other inhaler. Do not use the canister with a device from any other inhaler. Do not remove the canister from the device.
- Use Vancenase Pockethaler Nasal Inhaler aerosol on a regular schedule to get the most benefit from it. Using Vancenase Pockethaler Nasal Inhaler aerosol at the same time each day will help you remember to use it.
- If you miss a dose of Vancenase Pockethaler Nasal Inhaler aerosol, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use Vancenase Pockethaler Nasal Inhaler aerosol.
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.How to use Vancenase Pockethaler Nasal Inhaler inhalation
No drug interactions have been described with inhaled Vancenase Pockethaler Nasal Inhaler.
See also:
What are the possible side effects of Vancenase Pockethaler Nasal Inhaler?
The most commonly noted side effects associated with inhaled Vancenase Pockethaler Nasal Inhaler are mild cough or wheezing due to chemical irritation; these effects may be minimized by using an inhaled bronchodilator (e.g., albuterol or Ventolin) prior to the Vancenase Pockethaler Nasal Inhaler.
Oral candidiasis or thrush, a fungal infection of the mouth and throat, can occur in between 1 in 20 and 1 in 8 persons who use Vancenase Pockethaler Nasal Inhaler. The risk of thrush is greater with higher doses, but the risk in children is lower than in adults. Hoarseness may occur in as few as 1 in 20 or as many as 1 in 2 persons and is due to chemical irritation. A spacer device that can be attached to the inhaler and washing out the mouth with water following each use of Vancenase Pockethaler Nasal Inhaler reduces the amount of Vancenase Pockethaler Nasal Inhaler in the mouth and throat and reduces the risk of thrush and hoarseness.
Higher doses of inhaled Vancenase Pockethaler Nasal Inhaler (more than 1000 mcg/day) may result in more absorption into the body. This may decrease bone formation and increase bone breakdown (resorption), resulting in weak bones and a risk of fractures. Even higher doses (more than 1500 mcg/day in adults and 400 mcg/day in children) may suppress the adrenal glands and impair their ability to make natural glucocorticoid. People with such suppression (which can be identified by testing) need increased amounts of glucocorticoid orally or by the intravenous route during periods of high physical stress since higher amounts of glucocorticoids are needed by the body to fight physical stress. Patients receiving Vancenase Pockethaler Nasal Inhaler may develop easy bruising if enough Vancenase Pockethaler Nasal Inhaler is absorbed into the body from the lungs.
An anti-inflammatory, synthetic glucocorticoid. It is used topically as an anti-inflammatory agent and in aerosol form for the treatment of asthma.