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Nasonex should be used exactly as prescribed by your doctor and is intended for use in the nose only.

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Before having surgerytell your doctor or dentist about all the products you useincluding prescription drugsnonprescription drugsand herbal products

Epistaxis was generally self-limiting and mild in severityand occurred at a higher incidence compared to placebo5but at a comparable or lower incidence when compared to the active control nasal corticosteroids studiedup to 15as reported in clinical studies for allergic rhinitisThe incidence of all other adverse events was comparable with that of placeboIn patients treated for nasal polyposisthe overall incidence of adverse events was similar to that observed for patients with allergic rhinitis.

Systemic effects of nasal corticosteroids may occurparticularly at high doses prescribed for prolonged periodsThese effects are much less likely to occur than with oral corticosteroids and may vary in individual patients and between different corticosteroid preparationsPotential systemic effects may include Cushing’s syndromeCushingoid featuresadrenal suppressiongrowth retardation in children and adolescentscataractglaucoma and more rarelya range of psychological or behavioural effects including psychomotor hyperactivitysleep disordersanxietydepression or aggressionparticularly in children

Dosage is based on your medical condition and response to treatmentYounger children may need a smaller dose and help from an adult to use this medication properlyUse this medication regularly in order to get the most benefit from itTo help you rememberuse it at the same time(seach dayDo not increase your dose or use it more frequently than directed.

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Ec-naprosyn is a slower-acting form of naproxen and this brand should be used only for treating arthritis or ankylosing spondylitis.

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Ask your doctor before taking any other medication for painarthritisfeveror swellingMany medicines available over the counter contain aspirinsalicylatesor other medicines similar to naproxensuch as ibuprofen or ketoprofenTaking certain products together can cause you to get too much of this type of medication.

WARNING/CAUTIONEven though it may be raresome people may have very bad and sometimes deadly side effects when taking a drugTell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

If a child is using this medicinetell your doctor if the child has any changes in weightNaproxen doses are based on weight in childrenand any changes may affect your child’s dose.

This medicine may raise your risk of having a heart attack or strokeThis is more likely in people who already have heart diseasePeople who use this medicine for a long time might also have a higher risk.

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicinesAlso tell your health care professional if you have any other types of allergiessuch as to foodsdyespreservativesor animalsFor non-prescription productsread the label or package ingredients carefully.

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Cases of hepatitis and clinically significant liver dysfunction were observed in association with REVIA exposure during the clinical development program and in the postmarketing periodTransientasymptomatic hepatic transaminase elevations were also observed in the clinical trials and postmarketing periodWhen patients presented with elevated transaminasesthere were often other potential causative or contributory etiologies identifiedincluding pre-existing alcoholic liver diseasehepatitis B and/or C infectionand concomitant usage of other potentially hepatotoxic drugsAlthough clinically significant liver dysfunction is not typically recognized as a manifestation of opioid withdrawalopioid withdrawal that is precipitated abruptly may lead to systemic sequelaeincluding acute liver injury.

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