Cobyzal Nasal Spray (Momethasone Furoate)

Adult use

Allergic rhinitis: Generally, spray twice in each nostril once daily (total daily dose: 0.2 mg). If symptoms improve, the maintenance dose can be reduced to once in each nostril (total daily dose: 0.1 mg). If symptoms do not improve, the dose may be increased up to four times in each nostril once daily, and it is recommended to reduce the dose once symptoms alleviate. Nasal polyps: Generally, spray twice in each nostril once daily (total daily dose: 0.2 mg). If symptoms do not improve after 5 to 6 weeks, the dose may be increased to two sprays in each nostril twice daily (total daily dose: 0.4 mg), and it is recommended to reduce the dose once symptoms improve. If there is no symptom improvement with twice-daily dosing for 5 to 6 weeks, alternative treatment methods should be considered. There are no studies on the use of this medication for nasal polyps for more than 4 months. Acute sinusitis: Generally, spray twice in each nostril twice daily (total daily dose: 0.4 mg).

Child use

Children aged 2 to 11 years: Generally, spray once in each nostril once daily (total daily dose: 0.1 mg).

This medication should not be used by certain patients. For example, it should not be administered to individuals who are allergic to this medication or its components or who have previously exhibited hypersensitivity reactions. Additionally, it is not to be used in patients with untreated infections in the nasal cavity, those who have undergone recent nasal surgery, or those with nasal trauma, and it should not be used in infants under 2 years of age. There are patients who need to be cautious while using this medication. Those with active tuberculosis or untreated systemic infections, those who experience frequent nosebleeds, those at risk of varicella or measles infections, and pregnant or breastfeeding women should use this medication carefully. Long-term or high-dose use of this medication may lead to side effects, and rarely, bronchospasm or severe allergic reactions may occur; therefore, if unusual symptoms appear, use should be discontinued immediately and a doctor should be consulted. When used in children, there is a possibility of growth delay, so regular monitoring of growth status is necessary, and it is recommended not to use it in children under 2 years of age as safety has not been established. This medication is to be used intranasally only, and care should be taken not to spray it directly into the eyes or other areas. Before use, shake the bottle well, and if it has not been used for a certain period, a test spray should be performed to ensure uniform spraying. Moreover, preservatives included in this medication may irritate the nasal mucosa, so caution is needed for long-term use. During the use of this medication, there may be a risk of exposure to varicella or measles, so it is essential to check vaccination history and consult healthcare providers if there is a possibility of infection. Elderly individuals should be observed closely as they may have decreased physical function, and in the case of overdose, monitoring is required instead of specific treatment. Lastly, this medication should be kept out of reach of children, and it is not known to affect driving or operating machinery.

Serious side effects

Hives, severe swelling (angioedema), tightness in the chest, difficulty breathing, cold sweat, pallor, severe rash with fever, blisters, peeling skin, pain in the mucous membranes of the mouth/eyes, shortness of breath or difficulty breathing, asthma attacks, breathing abnormalities accompanied by cough and fever, yellowing of the skin or eyes (jaundice), extreme lethargy, sudden and severe headache, thunderclap headache, confusion, visual abnormalities, paralysis, decreased urine output

Mild side effects

Headache, viral infection, pharyngitis, nosebleed/bloody mucus, cough, upper respiratory tract infection, menstrual discomfort, musculoskeletal pain, sinusitis, vomiting, joint pain, asthma, bronchitis, chest pain, conjunctivitis, diarrhea, dyspepsia, ear pain, cold symptoms, muscle pain, nausea, rhinitis, trauma to the skin, nasal symptoms (irritation, itching, dryness, pain, redness, discomfort, etc.), positive fungal test in the nasal cavity, pharyngeal symptoms (irritation, pain, discomfort)

This medication is sensitive to air and moisture and must be stored in a tightly sealed container. It is recommended to maintain a storage temperature between 2 to 25 degrees Celsius. This helps to preserve the medication's effectiveness for a longer time.

Appearance

An opaque suspension that is white or nearly white, contained in a bottle that dispenses a fixed amount.

Package unit

18g (140 sprays) / bottle