Ciclesonide (for the nose) is a steroid medicine used for the treatment of allergies.

Zetonna is used to treat nasal symptoms (congestion, sneezing, runny nose) caused by seasonal allergies and nasal symptoms caused by year-round allergies in adults and children who are at least 12 years old.

Omnaris is used to treat seasonal allergies in adults and children at least 6 years old and nasal symptoms caused by year-round allergies in adults and children who are at least 12 years old.

Ciclesonide may also be used for purposes not listed in this medication guide.

You should not use ciclesonide if you are allergic to it.

Tell your doctor if you have:

• asthma, tuberculosis, or other lung problems;
• any type of infection caused by bacteria, virus, fungus, or parasites;
• glaucoma, cataracts, or herpes infection of the eyes;
• a sore inside your nose that has not yet healed;
• a recent nose injury or surgery; or
• not been vaccinated for or not had chickenpox or measles.

Steroids can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have. Tell your doctor about any illness or infection you had within the past several weeks.

It is not known if ciclesonide nasal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Ask a doctor if it is safe to breastfeed while using this medicine.

Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Use Zetonna (Nasal) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

You may get infections more easily, even serious or fatal infections. Call your doctor right away if you have signs of infection such as:

• fever, chills, sore throat;
• mouth sores, red or swollen gums;
• pale skin, easy bruising, unusual bleeding; or
• chest discomfort, wheezing, dry cough or hack, rapid weight loss.

Side effects may occur if nasal steroid medicine is absorbed into your bloodstream. Tell your doctor if you have:

• swelling, weight gain (especially in your face or your upper back and torso);
• thinning skin, stretch marks, acne, increased facial hair;
• irregular menstrual periods, changes in sexual function; or
• memory problems, feeling irritable.

Call your doctor at once if you have:

• runny or bloody nose, crusting inside the nose, whistling sound when you breathe, nasal ulcers;
• blurred vision, eye pain or redness, seeing halos around lights;
• signs of thrush (a fungal infection)--sores or white patches in your mouth or throat, trouble swallowing; or
• decreased adrenal gland hormones--nausea, vomiting, stomach pain, loss of appetite, feeling tired or light-headed, muscle or joint pain, skin discoloration, craving salty foods.

Common side effects may include:

• headache, dizziness;
• nosebleed, nasal irritation;
• stuffy nose, sore throat; or
• ear pain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Avoid getting this medicine in your eyes. If this does happen, rinse with water. Also, do not spray this medicine directly on the tissue that separates your nostrils (nasal septum).

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using ciclesonide nasal.