Asmanex Twisthaler is a preventative asthma medicine containing the active ingredient mometasone furoate. This type of inhaler is also called a controller inhaler. The Asmanex Twisthaler isn’t an emergency or quick-relief inhaler. It won’t help an asthma attack that’s already in progress. Asmanex Twisthaler patients should still use an albuterol inhaler during asthma attacks. However, the Asmanex Twisthaler helps prevent asthma attacks from happening as frequently. Regular use can reduce the frequency and severity of asthma attacks.

The Asmanex Twisthaler is also prescribed for chronic obstructive pulmonary disease (COPD), nasal polyps, allergic rhinitis, and other conditions.

Asmanex Twisthaler contains a corticosteroid that decreases lung irritation, swelling, and inflammation. This medicine is meant to be inhaled through the mouth once or twice a day. Your doctor may prescribe other asthma medications alongside the Asmanex Inhaler. These can include oral medicines or other inhaled treatments.

How Does Asmanex Twisthaler Work?

Asmanex Twisthaler contains the corticosteroid mometasone furoate. Corticosteroids are drugs that mimic cortisol, a natural hormone made by the body. Cortisol is released during fight-or-flight reactions to help your body stay alert. It increases inflammation and prompts your body to release stored energy to help react to a threat. For these reasons, cortisol is often associated with stress and inflammation. However, cortisol also plays a significant role in the immune and metabolic systems.

Corticosteroids like mometasone furoate are a standard asthma treatment. This medicine acts as a preventative and reduces asthma symptoms. Doctors and researchers don’t fully understand corticosteroids’ precise mechanism of action in treating asthma. When mometasone furoate enters a lung cell, it bonds with receptors where cortisol attaches typically. This bond blocks cortisol from communicating with the receptors, which prevents an inflammatory response from taking place. Mometasone furoate may also trigger anti-inflammatory responses. Together, these responses seem to reduce asthma symptoms.

Mometasone furoate bonds more effectively to cortisol receptors than other controlled asthma medications. This may lead to increased symptom relief.

Asmanex Twisthaler Precautions and Warnings

Control inhalers like the Asmanex Twisthaler are the foundation of asthma treatment. These medications reduce symptoms and improve a patient’s quality of life. However, the Asmanex Twisthaler must be used regularly to see these results.

Patients should use their inhalers precisely as directed. Most doctors prescribe the Asmanex Inhaler to be used once or twice daily. If you take multiple puffs at each dose, wait a minute between puffs. Use the inhaler at the same time each day. If you use various inhalers, use Asmanex inhalers last. Rinse your mouth and spit out the water after using the Asmanex Inhaler. Do not swallow the water you used to rinse.

Do not use Asmanex Inhaler if you are allergic to mometasone furoate, dairy proteins, or other ingredients. Before you use this medicine, please tell your doctor about all your allergies, including food and medication.

Corticosteroids reduce your immune response, so you may struggle to heal from illnesses, injuries, and diseases. Avoid people with active flu, COVID-19, chickenpox, and other types of infection. Contact your doctor if you feel ill or have been exposed to an infection.

Asmanex Inhaler is approved for pediatric use in children four years and older, but it’s also associated with reduced growth rates. Children who use Asmanex Inhaler and similar asthma treatments may grow one centimeter a year less than expected. However, children with untreated asthma also experience reduced growth. Talk to your child’s doctor about the risks and benefits of long-term corticosteroid use.

Side Effects of Asmanex Twisthaler

Common side effects from Asmanex Twisthaler are irritation caused by using the inhaler. These include coughing, dry throat, hoarseness, and deepened voice.

It’s also possible to experience an allergic reaction to Asmanex Twisthaler. Get medical attention if you experience a rash, itching or swelling of the face, tongue, or throat, dizziness, or trouble breathing. Asmanex Twisthaler can also cause unexplained breathing symptoms that can seem similar to an asthma attack. Contact your doctor if you experience wheezing that your rescue inhaler doesn’t relieve.

Serious side effects are rare but include:

  • White spots on the tongue or in the mouth
  • Sore throat that doesn’t go away
  • Fever
  • Mood or mental changes like depression
  • Trouble sleeping
  • Vision changes
  • Increased thirst or urination
  • Fungal infections
  • Increased sinus irritation and allergies (pain, headache, sore throat, nosebleed, stuffed up or runny nose)
  • Muscle, bone, or back pain
  • Indigestion
  • Menstrual pain

Drug Interactions With Asmanex Twisthaler

Asmanex Twisthaler can interfere with other drugs, including over-the-counter medicines, vitamins, herbs, supplements, alcohol, illicit substances, and more. Tell your doctor about all the medications you take, especially:

  • Other corticosteroids
  • Other asthma treatments
  • Antibiotics
  • Antifungals
  • Antivirals for HIV/AIDS
  • Antidepressants
  • Nefazodone
  • Desmopressin

Strengths and Dosages of Asmanex Twisthaler

The Asmanex Twisthaler is available in 110mcg and 220mcg strengths. The 110mcg Twisthaler contains measured inhalations. The 220mcg strength is available in 30, 60, and 120 inhalation Twisthalers.

Dosing is based on the patient’s age and previous treatment.

Patient AgePrevious TreatmentAsmanex Twisthaler Dosage
Adult (ages 12+)Bronchodilaters or inhaled corticosteroidsInitial dose of 220mcg inhaled in PM, then 440mcg inhaled in single PM dose or divided 220mcg doses in AM/PM
Adult (ages 12+)Oral corticosteroids440mcg doses inhaled twice daily
Children (ages 4-11)Any110mcg dose inhaled once daily

Alternatives to Asmanex Twisthaler

There is not a generic alternative to the Asmanex Twisthaler. However, there are other preventative corticosteroid asthma inhalers on the market, including:

Asmanex Twisthaler FAQs

Why did my doctor prescribe Asmanex Twisthaler for me?

Asmanex Twisthaler is a corticosteroid asthma medication that reduces symptoms over time. Corticosteroids seem to reduce lung inflammation and may generate anti-inflammatory responses. Asmanex Twisthaler is prescribed as a daily preventative for asthma patients. Your doctor may also have prescribed it for other conditions such as COPD, allergic rhinitis, nasal congestion, nasal polyps, pruritus, or dermatitis.

Do I use Asmanex Twisthaler during an asthma attack?

No, do not use Asmanex Twisthaler during an asthma attack. This medicine is a preventative medicine that helps symptoms over time. It doesn’t contain any ingredients that will help during an active asthma attack. Continue to carry and use a rescue inhaler containing albuterol while you take Asmanex Twisthaler.

Is an Asmanex Inhaler the only asthma medicine I need?

No, most asthma patients will take other medicines besides the Asmanex Inhaler. It’s important to keep using your rescue inhaler as prescribed. Your doctor may also prescribe other oral or inhaled medicines depending on your symptoms.

How long does the Asmanex Twisthaler take to work?

It can take up to two weeks to see results from the Asmanex Twisthaler.

Is there an Asmanex Twisthaler generic?

No, currently there is not a generic for the Asmanex Twisthaler. This medicine is only available as a name-brand medication. It’s made by Organon & Co.

Why do I need to rinse my mouth after using the Asmanex Twisthaler?

The Asmanex Twisthaler is a corticosteroid that reduces immune responses in cells it contacts. When you breathe in the medicine, it goes to work on your lung cells. Reducing the immune response in your lungs can prevent asthma symptoms. However, reducing the immune response in your mouth can lead to infections. Always rinse your mouth after using the Asmanex Inhaler to reduce this risk. You should also spit out the rinse water to avoid infections in the rest of your digestive tract.

What is the cost of Asmanex Twisthaler in America?

The Asmanex Twisthaler is a name-brand medication without a generic version. A 60-dose inhaler at 220mcg strength costs around $250 without discounts. Insurance coverage, coupons, and other discounts can reduce the price to around $120 or lower.

IMPORTANT NOTE: The information provided here is for educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment recommendations. It should not be taken as an endorsement of any specific medication or treatment. Individual health conditions and responses to treatment can vary greatly; therefore, this information should not be seen as a guarantee of safety, suitability, or effectiveness for any particular individual. Always consult with a healthcare professional for personalized medical advice and before making any decisions regarding your health or treatment plans.

Product was successfully added to your cart!