ASMANEX TWISTHALER

Learn About the Approved Use for ASMANEX® TWISTHALER® (mometasone furoate inhalation powder)ASMANEX TWISTHALER is approved for the maintenance treatment of asthma in patients 4 years and older.
Talk to Your Doctor About ASMANEX® TWISTHALER® (mometasone furoate inhalation powder)ASMANEX TWISTHALER will not relieve sudden asthma symptoms and is not for patients under the age of 4 years.
Learn About the Available Dosages for ASMANEX® TWISTHALER® (mometasone furoate inhalation powder)ASMANEX TWISTHALER is available in 2 dose strengths, 110 mcg for patients 4 to 11 years old, and 220 mcg for patients 12 years and older.

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How to Use
Frequently Asked Questions
Serious Side Effects may include:
  • Fungal infections in the mouth and throat. Patients who use inhaled steroid medicines for asthma may develop a fungal infection of the mouth. Rinse your mouth after using ASMANEX TWISTHALER.
  • Worsening asthma or sudden asthma attacks
  • Serious allergic reactions. Call your health care provider or get emergency medical care if you get any symptoms of a serious allergic reaction, including:
    • Rash
    • Swelling of the face, mouth and tongue
    • Breathing problems
  • Possible increased risk of infection due to a weakened immune system with using steroid medicines. Tell your health care provider if you or your child have or had TB, are exposed to anyone with chickenpox or measles, or about any other infections you or your child had before or while using ASMANEX TWISTHALER.
  • Adrenal insufficiency (your adrenal gland cannot produce enough steroids since you were on oral steroid medicine). If you or your child took steroids by mouth and are having them decreased (tapered) or you are being switched to ASMANEX TWISTHALER, you should be followed closely by your health care professional. Death can occur. Tell your health care professional right away about any symptoms such as feeling tired or exhausted, weakness, nausea, vomiting, or symptoms of low blood pressure (such as dizziness or faintness). If you or your child is under stress, such as with surgery, after surgery or trauma, you may need steroids by mouth again.
  • Decreased bone mass (bone mineral density). Patients who use inhaled steroid medicines for a long time may have an increased risk of decreased bone mass, which can affect bone strength. Talk with your health care provider about any questions about bone health.
  • Glaucoma, cataract, and visual disturbance. Contact your doctor if you experience blurred vision or other changes in your vision.

The most common side effects with ASMANEX TWISTHALER include: headache, nasal allergy symptoms, sore throat, upper respiratory tract infection, sinus infection, fungal infections in the mouth, painful menstrual periods, muscle and bone pain, back pain, and upset stomach.

Tell your health care provider about any side effects that bother you or do not go away. These are not all of the possible side effects with ASMANEX TWISTHALER. For more information, ask your health care professional.

ASMANEX TWISTHALER contains a prescription medicine called mometasone furoate, which is a man-made corticosteroid. This medicine is used as maintenance treatment that helps prevent and control asthma symptoms.
Yes, ASMANEX TWISTHALER contains mometasone furoate, which is a man-made corticosteroid.
No, ASMANEX TWISTHALER is not a bronchodilator and should not be used for sudden symptoms of shortness of breath. Use an inhaled short-acting bronchodilator such as albuterol to relieve sudden symptoms of shortness of breath.
ASMANEX TWISTHALER is a dry powder for inhalation available in 2 strengths.
Patients who use inhaled steroid medicines for asthma may develop a fungal infection of the mouth. Rinse your mouth after using ASMANEX TWISTHALER.
ASMANEX TWISTHALER is available in 2 dose strengths, 110 mcg and 220 mcg.
Use your ASMANEX TWISTHALER regularly and at the same time each day, as prescribed by your health care provider. Read the step-by-step instructions on How to Use ASMANEX TWISTHALER or Give to Your Child in the ASMANEX TWISTHALER Patient Information or watch the video on Using Your ASMANEX TWISTHALER.
  • Keep your inhaler clean and dry at all times. If the mouthpiece needs cleaning, gently wipe the mouthpiece with a dry cloth or tissue as needed. Do not wash the inhaler. Avoid contact with any liquids.
  • Store in a dry place at 25°C (77°F) [may range between 15-30°C (59°F and 86°F)].
  • Keep your inhaler out of the reach of children.
Merck may be able to help. For more information, please visit merckhelps.com.