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Topical / inhaled corticosteroid

Mometasone furoate

Brand names: Asmanex, Nasonex, Elocon

Adult dose

Dose: Asthma inhaled: 200–400 micrograms BD. Nasal spray: 2 sprays each nostril OD. Topical (Elocon): apply OD
Route: Inhaled/Nasal/Topical
Frequency: OD-BD

Clinical pearls

  • Asthma maintenance, allergic rhinitis, eczema/psoriasis
  • Rinse mouth after inhaled use

Contraindications

  • Untreated infection (topical)
  • Local sensitivity

Side effects

  • Oral candidiasis (inhaled)
  • Hoarseness
  • Epistaxis (nasal)
  • Skin atrophy (topical)
  • Adrenal suppression at high dose

Interactions

  • Strong CYP3A4 inhibitors (ritonavir/ketoconazole — Cushing's)

Monitoring

  • Symptom control
  • Growth (children)

Reference: BNF; BTS/SIGN; NICE NG80/NG222; https://bnf.nice.org.uk/drugs/mometasone-furoate/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.

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