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Persons who are on drugs which suppress the immune system are more susceptible to infections than healthy individualsChickenpox and measlesfor examplecan have a more serious or even fatal course in nonimmune children or adults on corticosteroidsIn such children or adults who have not had these diseasesparticular care should be taken to avoid exposureHow the doserouteand duration of corticosteroid administration affect the risk of developing a disseminated infection is not knownThe contribution of the underlying disease and/or prior corticosteroid treatment to the risk is also not knownIf exposed to chickenpoxprophylaxis with varicella zoster immune globinVZIGmay be indicatedIf exposed to measlesprophylaxis with pooled intramuscular immunoglobulinIGmay be indicatedSee the respective package inserts for complete VZIG and IG prescribing informationIf chickenpox developstreatment with antiviral agents may be considered.

Keep track of the number of sprays used from the containerDiscard the container after you have used the number of sprays specified on the manufacturer’s packageFollow the package instructions to unblock the spray tip if needed and to clean the spray bottle.

Corticosteroids may cause a reduction in growth velocity when administered to pediatric patientsMonitor the growth routinely of pediatric patients receiving NASONEX Nasal SprayTo minimize the systemic effects of intranasal corticosteroidsincluding NASONEX Nasal Spraytitrate each patient’s dose to the lowest dosage that effectively controls his/her symptomssee Use In Specific Populations

Read the Patient Information Leaflet if available from your pharmacist before you start using mometasone and each time you get a refillIf you have any questionsask your doctor or pharmacist.

Avoid contact with people who have infections that may spread to otherssuch as chickenpoxmeaslesfluConsult your doctor if you have been exposed to an infection or for more details.

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