Kobinex Nasal Spray (Mometasone Furoate)

Adult use

Allergic Rhinitis: Spray twice in each nostril once daily (total daily dose 0.2 mg). If symptoms improve, the frequency can be reduced to once in each nostril once daily (total daily dose 0.1 mg). If necessary, it can be increased up to 4 times in each nostril once daily (total daily dose 0.4 mg). Nasal Polyps: Spray twice in each nostril once daily (total daily dose 0.2 mg).

Child use

Allergic Rhinitis: Spray once in each nostril once daily (total daily dose 0.1 mg).

This medication is a corticosteroid in a spray form for nasal administration and is mainly used to treat allergic rhinitis or nasal inflammation. First, this medication should not be used in patients who are allergic to this medication or its components or have untreated infections of the nasal mucosa. If a patient has undergone recent nasal surgery or has wounds in the nose, using this medication may interfere with wound healing, so it should not be administered until healing is complete. Also, it should not be used in children under 2 years of age as safety has not been established. Patients with respiratory infections, tuberculosis, fungal infections, or herpes simplex in the eye should use this medication with caution, and those who frequently experience nosebleeds or are at risk of being exposed to chickenpox or measles should also be cautious. Women with nasal polyps or who are pregnant or breastfeeding should consult a doctor before using this medication. When using this medication, side effects such as headache, nosebleeds, pharyngitis, cough, and upper respiratory tract infections may occur, and in rare cases, severe symptoms such as allergic reactions or anaphylaxis may appear, so one should immediately inform healthcare providers of any unusual symptoms. Long-term high-dose use may cause side effects such as adrenal function suppression due to systemic corticosteroid effects, so caution is necessary. If a fungal infection occurs in the nasal passage or pharynx while using this medication, it should be discontinued or appropriate treatment should be sought, and regular check-ups to monitor changes in the nasal mucosa are recommended. This medication may increase the risk of infection from chickenpox or measles, so it is essential to confirm vaccination status and seek medical care immediately if infection is suspected. In pediatric patients, there is a risk of slowed growth rate, so it is advisable to regularly monitor growth status during use and administer the minimal effective dose possible. In elderly patients, it should be administered carefully considering bodily function decline. In case of overdose, special treatment is generally not required, but caution should be exercised as systemic effects of corticosteroids could suppress adrenal function. Before use, ensure to shake the container well and perform a spray test to confirm that the spray distribution is uniform; avoid spraying directly into the eyes or on the nasal septum. Keep out of reach of children, and it has no special effects on driving or operating machinery.

Serious side effects

Urticaria, angioedema, difficulty breathing, generalized flushing, anaphylaxis, severe bacterial infections (fever, severe persistent unilateral facial pain and dental pain, swelling of the eyes or surrounding facial areas), nosebleeds, severe swelling, hypertension, jaundice symptoms (liver dysfunction, ALT elevation, AST elevation, increased blood bilirubin, elevation of serum alkaline phosphatase), severe allergic reactions, severe dermatological adverse reactions, serious neurological symptoms.

Mild side effects

Headache, viral infections, pharyngitis, nosebleeds/blood-tinged mucus, cough, upper respiratory infections, menstrual disorders, musculoskeletal pain, sinusitis, vomiting, joint pain, asthma, bronchitis, chest pain, conjunctivitis, diarrhea, indigestion, ear pain, cold symptoms, muscle pain, nausea, rhinitis, diarrhea, nasal inflammation, otitis media, wheezing, skin trauma, fatigue, nasal symptoms (irritation, itching, dryness, pain, redness, discomfort, etc.), nasal symptoms.

This medication may be sensitive to air or moisture, so it must be stored in a tightly sealed container. Additionally, avoid storing the medication in extremely hot or cold places, and it is advisable to keep it at room temperature between 2 and 25 degrees Celsius.

Appearance

An opaque suspension that is white or nearly white, contained in a spray bottle that delivers a consistent amount.

Package unit

18 grams per bottle