Murozo Uses

How do you administer this medicine?
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What is Murozo?

Murozo is used to help prevent the symptoms of asthma and improve breathing in patients 4 years of age and older. When used regularly every day, inhaled Murozo decreases the number and severity of asthma attacks. However, it will not relieve an asthma attack that has already started.

Murozo HFA is used as a maintenance treatment for the prevention and control of asthma symptoms in patients 12 years of age and older.

Inhaled Murozo belongs to the family of medicines known as corticosteroids (cortisone-like medicines). It works by preventing certain cells in the lungs and breathing passages from releasing substances that cause asthma symptoms.

Murozo is available only with your doctor's prescription.

Murozo indications

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Murozo is a cortisone-like steroid available in cream, ointment, and lotion form. It is used to treat certain itchy rashes and other inflammatory skin conditions.

How should I use Murozo?

Use Murozo spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Murozo spray.

Uses of Murozo in details

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Murozo is used to treat used to treat the inflammation and itching caused by a number of skin conditions such as allergic reactions, eczema, and psoriasis. It is also used to relieve symptoms of hay fever, allergies of nose and nasal polyps (fleshy swelling inside the nose).

Murozo description

Murozo is a medium-potency synthetic corticosteroid with anti-inflammatory, antipruritic, and vasoconstrictive properties. Studies in asthmatic patients have demonstrated that Murozo provides a favorable ratio of topical to systemic activity due to its primary local effect along with the extensive hepatic metabolism and the lack of active metabolites. Though effective for the treatment of asthma, glucocorticoids do not affect asthma symptoms immediately. Maximum improvement in symptoms following inhaled administration of Murozo furoate may not be achieved for 1 to 2 weeks or longer after starting treatment. The anti-inflammatory actions of corticosteroids are thought to involve phospholipase A2 inhibitory proteins, lipocortins, which control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes.

Murozo dosage

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Murozo Dosage

Applies to the following strength(s): 220 mcg/inh; 110 mcg/inh; 100 mcg/inh; 200 mcg/inh

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

Usual Adult Dose for:

Usual Pediatric Dose for:

Additional dosage information:

Usual Adult Dose for Asthma - Maintenance

Inhalation Aerosol Powder:

Previous therapy with bronchodilators alone, or inhaled corticosteroids:

-Initial dose: 220 mcg inhaled orally in the evening

-Maximum dose: 440 mcg in divided doses of 220 mcg twice a day, or as 440 mcg once daily.

Previous therapy with oral corticosteroids:

-Initial dose: 440 mcg inhaled orally twice a day

-Maximum dose: 880 mcg

Inhalation Aerosol:

Previous therapy with inhaled medium-dose corticosteroids:

-2 inhalations of 100 mcg orally twice a day

Previous therapy with inhaled high-dose or oral corticosteroids:

-2 inhalations of 200 mcg orally twice a day

-Maximum dose: 800 mcg per day

For Patients Currently Receiving Chronic

Oral Corticosteroid Therapy

:

-Prednisone should be weaned slowly, beginning after at least 1 week of therapy with this drug.

-Monitor for signs of asthma instability, including serial objective measures of airflow, and for signs of adrenal insufficiency during steroid taper and following discontinuation of oral corticosteroid therapy.

Comments:

-The time to onset and degree of symptom relief varies based on individual patient.

-Maximum benefit may not be achieved for 1 week or longer.

-After asthma stability has been achieved, titrate to the lowest effective dosage to reduce side effects.

-If there is no response to the starting dose after 2 weeks of therapy, higher doses may provide additional asthma control.

-Re-evaluate therapy and consider additional therapeutic options (e.g., initiating an inhaled corticosteroid and long-acting beta2-agonist combination product, or initiating oral corticosteroids) if asthma control is not achieved.

-Doses above the recommended should not be used.

Use: Maintenance treatment of asthma as prophylactic therapy

Usual Pediatric Dose for Asthma - Maintenance

Inhalation Aerosol Powder:

Less than 4 years: Not approved for this age.

4 to 11 years:

-110 mcg orally once a day, in the evening

12 years and older:

Previous therapy with bronchodilators alone or inhaled corticosteroids:

-Initial dose: 220 mcg inhaled orally in the evening

-Maximum dose: 440 mcg in divided doses of 220 mcg twice a day, or as 440 mcg once daily.

Previous therapy with oral corticosteroids:

-Initial dose: 440 mcg inhaled orally twice a day

-Maximum dose: 880 mcg

Inhalation Aerosol:

Less than 12 years: Not approved for this age.

12 years or older:

Previous therapy with inhaled medium-dose corticosteroids:

-2 inhalations of 100 mcg orally twice a day

Previous therapy with inhaled high-dose or oral corticosteroids:

-2 inhalations of 200 mcg orally twice a day

-Maximum dose: 800 mcg per day

For Patients Currently Receiving Chronic

Oral Corticosteroid Therapy

:

-Prednisone should be weaned slowly, beginning after at least 1 week of therapy with this drug.

-Monitor for signs of asthma instability, including serial objective measures of airflow, and for signs of adrenal insufficiency during steroid taper and following discontinuation of oral corticosteroid therapy

Comments:

-The time to onset and degree of symptom relief varies based on individual patient.

-Maximum benefit may not be achieved for 1 week or longer.

-After asthma stability has been achieved, titrate to the lowest effective dosage to reduce side effects.

-For patients older than 12 years, if there is no response to the starting dose after 2 weeks of therapy, higher doses may provide additional asthma control.

-Re-evaluate therapy and consider additional therapeutic options (e.g., initiating an inhaled corticosteroid and long-acting beta2-agonist combination product, or initiating oral corticosteroids) if asthma control is not achieved.

-Doses above the recommended should not be used.

Use: Maintenance treatment of asthma as prophylactic therapy

Renal Dose Adjustments

No adjustment recommended.

Liver Dose Adjustments

No adjustment recommended.

Dose Adjustments

The dose of Murozo should be individualized and titrated to the lowest effective dose for the control of asthma.

Precautions

Inhalation aerosol powder: Safety and efficacy have not been established in patients younger than 4 years.

Inhalation aerosol: Safety and efficacy have not been established in patients younger than 12 years.

Consult WARNINGS section for additional precautions.

Dialysis

Data not available

Other Comments

Administration advice:

-For oral inhalation only.

-Inhale rapidly and deeply.

-After each inhalation, rinse mouth with water without swallowing.

-Once a day dose should be taken only in the evening.

-If a dose is missed, take the next dose at the regular time.

Reconstitution/preparation techniques:

-The pressurized metered dose aerosol inhaler should be primed before using for the first time and if not used for more than 5 days.

-To prime the pressurized aerosol, release 4 test sprays into the air, away from the face, shaking well before each spray.

-The manufacturer product information should be consulted.

General:

-Limitations of Use: This drug is not indicated for the relief of acute bronchospasm.

-This drug is not a bronchodilator and should not be used to treat status asthmaticus or to relieve acute asthma symptoms.

-Acute asthma symptoms should be treated with an inhaled, short-acting beta2-agonist.

Monitoring:

-Respiratory: Asthma signs, symptoms, instability

-Gastrointestinal: Signs of adverse effect on the oral cavity

-Musculoskeletal: Decrease in bone mineral density (BMD), growth in pediatric patients

-Ocular: Changes in vision, increase of intraocular pressure, glaucoma, cataracts

Patient advice:

-Use this drug at regular intervals, since its effectiveness depends on regular use.

-Contact physician if symptoms get worse, more inhalation of the rescue inhaler than usual is needed, significant decrease in lung function as outlined by the physician.

-Therapy with this drug should not be stopped without physician advice since symptoms may recur after discontinuation.

More about Murozo

Consumer resources

Professional resources

Related treatment guides

Murozo interactions

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Possible food and drug interactions when taking Murozo furoate:

No interactions have been noted.

Murozo side effects

See also:
What are the possible side effects of Murozo?

Applies to Murozo nasal: nasal spray

In addition to its needed effects, some unwanted effects may be caused by Murozo nasal. In the event that any of these side effects do occur, they may require medical attention.

Major Side Effects

You should check with your doctor immediately if any of these side effects occur when taking Murozo nasal:

More common:

Less common: Rare Incidence not known:

Minor Side Effects

Some of the side effects that can occur with Murozo nasal may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

More common:

Less common: Incidence not known:

Murozo contraindications

See also:
What is the most important information I should know about Murozo?

Hypersensitivity to Murozo furoate or to other corticosteroids. Rosacea, acne vulgaris, skin atrophy, inflammation around the mouth, TB, ulcerated skin or wounds, genital itching, diaper rash, viral infection (cold sores, chickenpox, shingles), fungal skin infection (thrush, tinea/ringworm), other skin infections. Childn <2 yr.

Active ingredient matches for Murozo:

Mometasone in Taiwan.


Unit description / dosage (Manufacturer)Price, USD
Murozo 0.1 % x 10 mL
Murozo 0.1 % x 30 mL

List of Murozo substitutes (brand and generic names):

Nazomac-M 50mcg N-SPY / 120md (Macleods (Oxalis))$ 1.93
NAZOMAC-M NASAL SPRAY 1 packet / 12 ML nasal spray each (Macleods (Oxalis))$ 2.98
NAZOMAC-M nasal spray 50 mcg x 120md (Macleods (Oxalis))$ 2.71
0.1 % w/w x 10g (Nidus Pharma Pvt Ltd)$ 0.96
Nidsone Skin 10 gm Cream (Nidus Pharma Pvt Ltd)$ 0.96
Nidsone 0.1% w/w CRM / 10g (Nidus Pharma Pvt Ltd)$ 0.96
NIDSONE cream 0.1 % w/w x 10g (Nidus Pharma Pvt Ltd)$ 0.96
NIDSONE cream 0.1 % w/w x 15g (Nidus Pharma Pvt Ltd)$ 1.08
NIDSONE lotion 0.1 % w/w x 25ml (Nidus Pharma Pvt Ltd)$ 1.52
Nidsone 0.1% w/w CRM / 10g (Nidus Pharma Pvt Ltd)$ 0.96

References

  1. PubChem. "Mometasone". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  2. DrugBank. "Mometasone". http://www.drugbank.ca/drugs/DB00764 (accessed September 17, 2018).
  3. MeSH. "Anti-Allergic Agents". https://www.ncbi.nlm.nih.gov/mesh/68... (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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