Asmanex Twisthaler 200 mcg

Asmanex Twisthaler 200 mcg is a prescription inhaled corticosteroid medicine that contains mometasone 200 mcg in each inhaled dose. It is used to help control asthma by reducing inflammation and swelling in the airways. Asmanex Twisthaler 200 mcg is not a rescue inhaler and does not treat sudden asthma attacks. It is intended for regular use as part of a long-term asthma control plan.

How it works: Mometasone is a corticosteroid that calms inflammation inside the airways, which can reduce swelling, mucus, and irritation over time. In Asmanex Twisthaler 200 mcg, the medicine is inhaled into the lungs so it can work where asthma inflammation starts.

Asmanex Twisthaler 200 mcg is a higher-strength option than the 200 mcg listed alongside the 400 mcg sibling strength only in the sense that it provides a full 200 mcg dose per actuation, so it may be chosen when a doctor wants stronger controller treatment than lower-dose mometasone products would provide. Because this is a prescription inhaled steroid, the best fit depends on how well your asthma is controlled and whether your clinician wants a once-daily controller dose that matches your symptoms and lung function.

• Maintenance treatment of asthma
• Reduction of airway inflammation
• Help to improve long-term asthma control
• Prevention of asthma symptoms when used regularly

• Use Asmanex Twisthaler 200 mcg exactly as prescribed; it is an inhaled dry-powder dose, not a tablet to swallow.
• Do not take it for a sudden wheezing episode or asthma attack; keep a rescue inhaler for quick relief if prescribed.
• Prepare the Twisthaler device only when you are ready to inhale the dose.
• Breathe in quickly and deeply through the mouthpiece, then hold your breath for as long as comfortable.
• After inhaling, rinse your mouth with water and spit it out to lower the chance of oral thrush.
• Take it at the same time each day if your doctor has directed once-daily use.

Each dose of Asmanex Twisthaler 200 mcg provides 200 mcg of mometasone. Your doctor decides how often you should take it; inhaled corticosteroid schedules may be once daily or divided depending on asthma control and your prior treatment. Do not use more than the maximum daily amount prescribed for you, because the right daily dose depends on your age, asthma severity, and response.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Mometasone may include:

• Headache
• Throat irritation
• Hoarseness
• Cough after inhalation
• Nasal or upper respiratory symptoms
• Oral thrush in the mouth or throat
• Mild stomach upset

• Asmanex Twisthaler 200 mcg is a controller medicine, not a rescue inhaler for sudden asthma symptoms.
• Rinse and spit after each use to reduce the risk of thrush, which can be more noticeable with regular higher-strength inhaled steroid use.
• Tell your doctor if you have tuberculosis, untreated infections, herpes eye infection, or a weakened immune system.
• Use caution if you are switching from oral steroids, because steroid tapering may be needed.
• Let your clinician know if you have glaucoma, cataracts, or a history of high eye pressure.
• Tell your doctor about liver problems and any recent exposure to chickenpox or measles.
• Alcohol does not directly interact with mometasone, but it may irritate asthma symptoms in some people.

• Other corticosteroids, including oral, inhaled, nasal, or topical steroid products
• Strong CYP3A4 inhibitors such as ketoconazole or ritonavir, which can raise steroid exposure
• Live vaccines if you are immunosuppressed or taking other immune-affecting medicines
• Other asthma medicines should be reviewed so your overall controller plan is appropriate

Store Asmanex Twisthaler 200 mcg in a dry place at room temperature, and keep the device tightly closed until use.