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Mometasone Nasal Spray Side Effects in Pakistan

Mometasone Nasal Spray (Nasomet/Nasonex) side effects — a complete guide. From common effects to serious warnings — everything you need to know is on this page.

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated:

Side Effects

Quick Answer

The most common side effect of Mometasone Nasal Spray is nosebleed (epistaxis) — which can mostly be prevented with correct technique. Nasal irritation, throat irritation, and headache are also common. Nasal septal perforation (whistling sound from the nose) is rare but serious — see an ENT immediately. Systemic corticosteroid effects are practically absent at standard doses.

Side Effects at a Glance

Common

  • Epistaxis (nosebleed) — most common; can be prevented with correct technique
  • Nasal irritation / burning
  • Throat irritation
  • Headache

Serious — See a Doctor

  • Nasal septal perforation
  • HPA axis suppression (extremely rare at standard nasal doses)
  • Glaucoma / cataracts
  • Growth suppression in children

When to See a Doctor Immediately

  • Persistent / severe nosebleed that does not stop
  • Whistling sound from the nose
  • Vision changes or eye pain (very rare — excessive use)
  • No improvement after 4 weeks of regular use

Mometasone Nasal Spray Side Effects (Nuksanat)

Mometasone Nasal Spray (Nasomet / Nasonex) is generally safe when taken at the correct dose and with correct technique. Due to very low systemic absorption (<0.1%), systemic corticosteroid effects are practically absent.

Common Side Effects (Aam Nuksanat)

  • Epistaxis (nosebleed) — most common; mostly prevented with correct technique
  • Nasal irritation / burning
  • Throat irritation
  • Headache

These side effects are usually mild. If they continue, inform your doctor.

To prevent nosebleed: Do not direct the spray toward the nasal septum — aim toward the outer wall. Gently blow your nose before use.

Serious Side Effects (Sanjeedah Nuksanat)

  • Nasal septal perforation — see ENT specialist immediately (whistling sound, crusting)
  • HPA axis suppression — extremely rare at standard doses
  • Glaucoma / cataracts — very rare (excessive prolonged use)
  • Growth suppression in children — theoretical; use minimum effective dose

When to See a Doctor (Kab Doctor Se Milna Zaroori Hai)

  • Persistent / severe nosebleed that does not stop
  • Whistling sound from the nose
  • Vision changes or eye pain
  • No improvement after 4 weeks of regular use

Side Effects Summary Table

TypeSide EffectAction
CommonEpistaxis (nosebleed)Correct technique — see doctor if severe
CommonNasal irritationMonitor / inform doctor
CommonThroat irritationMonitor / inform doctor
CommonHeadacheMonitor / inform doctor
SeriousNasal septal perforationSee ENT immediately
RareHPA axis suppressionSee a doctor

Reporting Side Effects

If you notice any unexpected side effect, report it on the DRAP pharmacovigilance portal: https://www.dra.gov.pk/pharmacovigilance

The information in this guide is for educational purposes only. If you notice any side effect, contact your doctor or pharmacist.

Frequently Asked Questions

Mometasone nasal spray ke kya side effects hain?

The most common side effect is nosebleed (epistaxis) — which can mostly be prevented with correct technique. Nasal irritation, throat irritation, and headache are also common. Serious side effects such as nasal septal perforation are rare.

Mometasone se nosebleed kyu hota hai aur kya karein?

Nasal mucosa is sensitive — the spray can cause micro-trauma. Correct technique and blowing the nose before use helps. If a persistent severe nosebleed occurs, see a doctor.

Kya mometasone nasal spray systemic corticosteroid effects deta hai?

No — at standard nasal doses, systemic absorption is <0.1%. Therefore systemic corticosteroid side effects (adrenal suppression, etc.) are practically absent. Greater exposure may occur with CYP3A4 inhibitors.

Nasal septal perforation ke kya alamat hain?

A whistling sound from the nose, crusting in the nose, or unusual bleeding. If these symptoms appear, stop the spray and see an ENT specialist immediately.

Kya mometasone se bachon mein growth ruk sakti hai?

There is a theoretical risk — practically unlikely at standard prescribed doses. With long-term use, use the minimum effective dose and have the doctor monitor growth.

Brand alternatives, same-class options, and other medicines used for the same conditions as Mometasone Nasal Spray.

Sources

  1. DRAP Registered Products Database Drug Regulatory Authority of Pakistan
  2. WHO Model List of Essential Medicines, 23rd ed. (2023) World Health Organization
  3. British National Formulary (BNF) BMJ Group & Pharmaceutical Press

Medical disclaimer

This page is for educational use only and does not replace professional medical advice. Always confirm diagnosis, dose, and interactions with a qualified doctor or pharmacist before starting or changing any medicine.