Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Omnaris (Ciclesonide-nasal). If you are concerned about side effects, discuss the risks and benefits of Omnaris (Ciclesonide-nasal) with your doctor.

The following side effects have been reported by at least 1% of people taking Omnaris (Ciclesonide-nasal). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

• changed sense of taste
• Dry Mouth
• headache
• nausea
• nosebleeds
• nose burning, irritation, or discomfort
• sores or ulcers on the inside of the nose
• sore throat

Stop taking the medication and seek immediate medical attention if any of the following occur:

• symptoms of an allergic reaction (e.g., difficulty breathing, Hives, itchy skin rash, or swelling of the mouth and throat)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Omnaris (Ciclesonide-nasal).

Each spray of unscented aqueous suspension delivers 50 µg of ciclesonide. Nonmedicinal ingredients: disodium edetate, hydroxypropyl methylcellulose, microcrystalline cellulose, carboxymethylcellulose sodium, potassium sorbate, and purified water. Hydrochloric acid may be added to adjust the pH to a target 4.5.

Ciclesonide nasal spray should not be used by anyone who:

• is allergic to ciclesonide or to any of the ingredients of the medication
• has an active (or history of) Tuberculosis lung infection

There may be an interaction between ciclesonide nasal spray and any of the following:

• Ceritinib
• Desmopressin
• itraconazole
• ketoconazole
• nelfinavir
• ritonavir

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Omnaris (Ciclesonide-nasal). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Omnaris (Ciclesonide-nasal).

Growth in adolescents: Corticosteroids such as ciclesonide nasal spray may impair the growth of adolescents. Your doctor will monitor for this. Talk to your doctor if you have any concerns.

Infections: Corticosteroids such as ciclesonide nasal spray may worsen existing infections, mask the signs of infection, and cause new infections. If you use Omnaris (Ciclesonide-nasal) for several months or longer, your doctor will monitor you periodically for signs of infection. People using Omnaris (Ciclesonide-nasal) who have not had Chickenpox or Measles or have not been vaccinated against these infections should take special care to avoid exposure to them. People with herpes simplex infection of the eye should talk to their doctor before using Omnaris (Ciclesonide-nasal).

Other steroid medications: People who have been taking steroid medications by mouth or by inhalation should discuss with their doctor how Omnaris (Ciclesonide-nasal) may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Omnaris (Ciclesonide-nasal), and whether any special monitoring is needed.

Vision problems: Rarely, corticosteroids such as ciclesonide nasal spray causes Glaucoma or Cataracts. Report any vision changes to your doctor immediately.

Wound healing: Corticosteroids such as ciclesonide nasal spray can impair the ability of wounds to heal. Omnaris (Ciclesonide-nasal) should not be used if you have ulcers in your nose, have had nasal surgery, or have had nasal trauma, until wounds have completely healed.

Pregnancy: Omnaris (Ciclesonide-nasal) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using Omnaris (Ciclesonide-nasal), contact your doctor immediately.

Breast-feeding: It is not known if ciclesonide nasal spray passes into breast milk. If you are a breast-feeding mother and are using Omnaris (Ciclesonide-nasal), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Omnaris (Ciclesonide-nasal) have not been established for children under 12 years of age.