Asmanex Twisthaler 400 mcg

Asmanex Twisthaler 400 mcg is a prescription medicine that contains mometasone, a corticosteroid used to help control asthma. Each dose provides 400 micrograms of mometasone, which works by reducing inflammation and swelling in the airways. It is used as maintenance therapy to help prevent asthma symptoms such as wheezing, coughing, and shortness of breath. Asmanex Twisthaler 400 mcg is not a rescue inhaler and should not be used for sudden breathing problems.

How it works: Mometasone in Asmanex Twisthaler 400 mcg lowers inflammation in the lungs and airways, which helps make breathing easier over time. By calming the airway lining, this tablet/dose form helps reduce asthma flare-ups and symptom frequency when used regularly as prescribed.

Asmanex Twisthaler 400 mcg is a higher-strength option compared with Asmanex Twisthaler 200 mcg, so it is generally chosen for patients whose asthma needs stronger anti-inflammatory control. It may be prescribed when a clinician wants a larger per-dose amount of mometasone, but it is still a controller medicine rather than a fast-relief inhaler. The 400 mcg strength is meant only for people a doctor has specifically assessed.

• Maintenance treatment of asthma
• Prevention of wheezing
• Reduction of airway inflammation
• Help with chronic cough related to asthma
• Long-term asthma control

• Take Asmanex Twisthaler 400 mcg exactly as prescribed by your doctor, because this is a higher-strength controller dose.
• Use it regularly at the same time each day for best control; it is not meant for sudden asthma symptoms.
• Do not use it to treat an acute asthma attack or rapid worsening of breathing problems.
• Follow the package/device instructions carefully if the product is provided as a Twisthaler inhalation dose; if your label says tablet, do not swallow or chew unless your pharmacist has confirmed that specific form.
• Rinse your mouth after use to lower the risk of mouth and throat irritation or oral thrush.
• Do not stop suddenly without medical advice, especially if you have been using it consistently.

Asmanex Twisthaler 400 mcg delivers 400 micrograms of mometasone per dose, which is a stronger controller dose than the 200 mcg strength. How often it is taken, and whether it is used once daily or in another schedule, depends on the prescriber’s asthma plan and your prior steroid use. The maximum daily amount should not be exceeded unless your doctor specifically instructs you to do so.

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
• Mouth or throat fungal infection (oral thrush)
• Cough after use
• Dry mouth or bad taste
• Nasal or upper respiratory infection symptoms

• Do not use Asmanex Twisthaler 400 mcg for sudden asthma attacks; keep a rescue inhaler available if prescribed.
• This is a higher-strength mometasone dose, so use only under medical supervision.
• Tell your doctor if you have tuberculosis, untreated infections, or a history of frequent infections.
• Use caution if you have glaucoma, cataracts, or other eye problems.
• Tell your doctor about liver disease, osteoporosis, or a history of low bone density.
• If you are switching from an oral steroid, your doctor may need to taper carefully.
• Avoid overuse of other steroid-containing medicines unless your clinician approves.

• Other corticosteroids, including oral, inhaled, nasal, or topical steroids
• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, or ritonavir
• Immune-suppressing medicines that can raise infection risk
• Live vaccines in people receiving significant steroid therapy

Store Asmanex Twisthaler 400 mcg at room temperature in a dry place, and keep it tightly closed away from moisture.