Monasal Special Precautions

Take special care with MONASAL: If the patient has or ever had tuberculosis.
If the patient has herpes simplex (virus) infection of the eye.
If the patient has any other type of infection (fungal, bacterial or viral).
If the patient is taking other corticosteroid medicines, either by mouth or by injection.
If the patient has sores in the nose.
If the patient has cystic fibrosis.
While the patient is using MONASAL, talk to the doctor: If the immune system is not functioning well (if the patient has difficulty in fighting infection) and the patient comes into contact with anyone with measles or chickenpox. The patient should avoid coming into contact with anyone who has these infections.
If the patient has been prescribed MONASAL for mild to moderate uncomplicated acute rhinosinusitis, consult a doctor.
If the patient has an infection (such as fever, persistent severe facial/tooth pain especially on one side of the face), facial swelling, worsening of symptoms after an initial improvement or thick nasal discharge with a yellow or green colour.
If the patient is using the medicine for several months or longer.
If the patient has a persistent irritation to the nose or throat.
Contact a doctor immediately if the patient experiences blurred vision or other visual disturbances.
When corticosteroid nasal sprays are used at high doses for long periods of time, side effects may occur due to the drug being absorbed in the body. If the eyes are itching or irritated, the doctor may recommend that the patient should use other treatments.
MONASAL contain benzalkonium chloride: MONASAL contains benzalkonium chloride which may cause irritation or swelling inside the nose, especially if used for a long time.
Driving and using machines: There is no known information on the effect of MONASAL on the ability to drive or use machinery.