曲安奈德 · Good Sense Nasal Allergy

Good Sense Nasal Allergy Triamcinolone acetonide TRIAMCINOLONE ACETONIDE TRIAMCINOLONE ACETONIDE BENZALKONIUM CHLORIDE CARBOXYMETHYLCELLULOSE SODIUM, UNSPECIFIED ANHYDROUS DEXTROSE EDETATE DISODIUM HYDROCHLORIC ACID SODIUM HYDROXIDE MICROCRYSTALLINE CELLULOSE POLYSORBATE 80 WATER off white

Active ingredient (in each spray) Triamcinolone acetonide 55 mcg (glucocorticoid)

Purpose Allergy symptom reliever

Uses temporarily relieves these symptoms of hay fever or other upper respiratory allergies: • nasal congestion • runny nose • sneezing • itchy nose

Warnings Do not use • in children under 2 years of age • if you have ever had an allergic reaction to any of the ingredients Ask a doctor before use if you • have had recent nose ulcers or nose surgery • have had a nose injury that has not healed • are using a steroid medicine for asthma, allergies or skin rash • have an eye infection • have or had glaucoma or cataracts When using this product • the growth rate of some children may be slower • some symptoms may get better on the first day of treatment. It may take up to one week of daily use to feel the most symptom relief. • do not share this bottle with anyone else as this may spread germs • remember to tell your doctor about all the medicines you take, including this one Stop use and ask a doctor if • you have, or come into contact with someone who has, chickenpox, measles or tuberculosis • you have or develop symptoms of an infection such as a persistent fever • you have any change in vision • you have severe or frequent nosebleeds If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222).

Do not use • in children under 2 years of age • if you have ever had an allergic reaction to any of the ingredients

Ask a doctor before use if you • have had recent nose ulcers or nose surgery • have had a nose injury that has not healed • are using a steroid medicine for asthma, allergies or skin rash • have an eye infection • have or had glaucoma or cataracts

When using this product • the growth rate of some children may be slower • some symptoms may get better on the first day of treatment. It may take up to one week of daily use to feel the most symptom relief. • do not share this bottle with anyone else as this may spread germs • remember to tell your doctor about all the medicines you take, including this one

Stop use and ask a doctor if • you have, or come into contact with someone who has, chickenpox, measles or tuberculosis • you have or develop symptoms of an infection such as a persistent fever • you have any change in vision • you have severe or frequent nosebleeds

If pregnant or breast-feeding, ask a health professional before use.

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222).

Directions Read insert (inside package) on how to: • get a new bottle ready (primed) before first use • prime bottle again if not used for more than 2 weeks • use the spray • clean the spray nozzle ADULTS AND CHILDREN 12 YEARS OF AGE AND OLDER adults and children 12 years of age and older • once daily, spray 2 times into each nostril while sniffing gently • once your allergy symptoms improve, reduce to 1 spray in each nostril per day CHILDREN 2 TO UNDER 12 YEARS OF AGE • the growth rate of some children may be slower while using this product. Talk to your child’s doctor if your child needs to use the spray for longer than two months a year. children 6 to under 12 years of age • an adult should supervise use • once daily, spray 1 time into each nostril while sniffing gently • if allergy symptoms do not improve, increase to 2 sprays in each nostril per day. Once allergy symptoms improve, reduce to 1 spray in each nostril per day. children 2 to under 6 years of age • an adult should supervise use • once daily, spray 1 time into each nostril while sniffing gently children under 2 years of age • do not use • do not use more than directed • if you forget a dose, do not double the next dose • do not spray into eyes or mouth • if allergy symptoms do not improve after one week, stop using and talk to a doctor • do not use for the common cold • shake well before each use

<table width="100%"><col width="26%"/><col width="74%"/><tbody><tr><td align="center" colspan="2" styleCode="Rrule Botrule Lrule Toprule " valign="top"><paragraph><content styleCode="bold">ADULTS AND CHILDREN 12 YEARS OF AGE AND OLDER</content></paragraph></td></tr><tr><td styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">adults and children</content></paragraph><paragraph><content styleCode="bold">12 years of age</content></paragraph><paragraph><content styleCode="bold">and older</content></paragraph></td><td styleCode="Rrule Lrule Toprule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption>once daily, spray 2 times into each nostril while sniffing gently</item><item><caption>&#x2022;</caption>once your allergy symptoms improve, reduce to 1 spray in each nostril per day</item></list></td></tr><tr><td align="center" colspan="2" styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">CHILDREN 2 TO UNDER 12 YEARS OF AGE</content></paragraph></td></tr><tr><td colspan="2" styleCode="Rrule Lrule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption>the growth rate of some children may be slower while using this product. Talk to your child&#x2019;s doctor if your child needs to use the spray for longer than two months a year.</item></list></td></tr><tr><td styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">children 6 to under</content></paragraph><paragraph><content styleCode="bold">12 years of age</content></paragraph></td><td styleCode="Rrule Lrule Toprule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption>an adult should supervise use</item><item><caption>&#x2022;</caption>once daily, spray 1 time into each nostril while sniffing gently</item><item><caption>&#x2022;</caption>if allergy symptoms do not improve, increase to 2 sprays in each nostril per day. Once allergy symptoms improve, reduce to 1 spray in each nostril per day.</item></list></td></tr><tr><td styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">children 2 to under 6 years of age</content></paragraph></td><td styleCode="Rrule Lrule Toprule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption>an adult should supervise use</item><item><caption>&#x2022;</caption>once daily, spray 1 time into each nostril while sniffing gently</item></list></td></tr><tr><td styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">children under 2 years of age</content></paragraph></td><td styleCode="Rrule Lrule Toprule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption><content styleCode="bold">do not use</content></item></list></td></tr><tr><td colspan="2" styleCode="Rrule Botrule Lrule Toprule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption><content styleCode="bold">do not use more than directed</content></item><item><caption>&#x2022;</caption>if you forget a dose, do<content styleCode="bold"> not</content> double the next dose</item><item><caption>&#x2022;</caption>do not spray into eyes or mouth</item><item><caption>&#x2022;</caption>if allergy symptoms do not improve after one week, stop using and talk to a doctor</item><item><caption>&#x2022;</caption>do not use for the common cold</item><item><caption>&#x2022;</caption>shake well before each use</item></list></td></tr></tbody></table>

Other information • do not use if printed bottle wrap is torn or opened • keep package and insert. They contain important information. • store between 20°-25°C (68°-77°F)

Inactive ingredients benzalkonium chloride, carboxymethylcellulose sodium, dextrose anhydrous, edetate disodium dihydrate, hydrochloric acid or sodium hydroxide (for pH adjustment), microcrystalline cellulose, polysorbate 80, purified water

Questions or comments? 1-800-719-9260

Consumer Information Triamcinolone Acetonide Nasal Spray 55 mcg per spray IMPORTANT INFORMATION • Read both sides of this insert for complete instructions on how to get a bottle ready (primed), how to use the spray bottle and how to clean the spray nozzle. • Keep this insert as it contains important information. STEPS TO GET A NEW BOTTLE READY FOR USE (PRIMED) 1. Before first use, a new bottle must be primed. a. Remove cap and safety clip (Figure A) . b. Shake bottle. c. Press and release spray nozzle until a fine mist is produced (as shown in Figure B) . This may take several times. Take care not to spray in face. PRIME BOTTLE AGAIN IF NOT USED FOR MORE THAN 2 WEEKS • Repeat steps for priming a bottle (see above). USE INSTRUCTIONS 1. Blow nose gently to clear nostrils. 2. Remove cap and safety clip, then shake bottle. 3. Hold bottle with thumb under bottle and spray nozzle between fingers (as shown in Figure B) . 4. Press against the outside of your nose with your finger to close off one nostril (as shown in Figure C) . 5. Place the tip of the spray nozzle into the other nostril. The spray nozzle should not reach far into the nose. Aim nozzle toward back of nose (as shown in Figure C) . DO NOT spray toward nasal septum (the wall between the 2 nostrils) (as shown in Figure D) . 6. While sniffing gently, spray into nostril. IMPORTANT: For complete dosing instructions, See “Directions for use” on next side. 7. Repeat steps “4” through “6” for the other nostril. 8. After using the nasal spray, wipe nozzle with a tissue, replace safety clip, and replace cap by pressing it down over the spray nozzle. NOTE: Avoid blowing nose for 15 minutes after use. If nozzle does not spray properly, see cleaning instructions on next side. (continued on side 2) SIDE 1 DIRECTIONS FOR USE • BEFORE first use, you must get a new bottle ready (primed). • If bottle is not used for more than 2 weeks, prime bottle again. Dosing ADULTS AND CHILDREN 12 YEARS OF AGE AND OLDER adults and children 12 years of age and older • once daily, spray 2 times into each nostril while sniffing gently • once your allergy symptoms improve, reduce to 1 spray in each nostril per day CHILDREN 2 TO UNDER 12 YEARS OF AGE • the growth rate of some children may be slower while using this product. Talk to your child’s doctor if your child needs to use the spray for longer than two months a year. children 6 to under 12 years of age • an adult should supervise use • once daily, spray 1 time into each nostril while sniffing gently • if allergy symptoms do not improve, increase to 2 sprays in each nostril per day. Once allergy symptoms improve, reduce to 1 spray in each nostril per day. children 2 to under 6 years of age • an adult should supervise use • once daily, spray 1 time into each nostril while sniffing gently children under 2 years of age • do not use Other important information for use • Do not use more than directed. • If you forget a dose, do not double the next dose. • Do not spray into eyes or mouth. • If you get the spray in your eyes, rinse well with water. • If allergy symptoms do not improve after one week, stop using and talk to a doctor. • Do not share this bottle with anyone else as this may spread germs. IF PUMP DOES NOT SPRAY PROPERLY, THE NOZZLE MAY BE BLOCKED 1. Never try to unblock nozzle with a pin or any other object (as shown in Figure E). 2. Clean the nozzle as shown below. CLEANING INSTRUCTIONS 1. Gently pull spray nozzle away from bottle (as shown in Figure F). 2. Rinse SPRAY NOZZLE ONLY under warm water (as shown in Figure G) . 3. Shake or tap to remove excess water. 4. Re-attach spray nozzle to bottle. 5. Press and release spray nozzle until a fine spray is produced, taking care not to spray in face. Triamcinolone Acetonide Nasal Spray pump is now ready to use. Where can I get more information? 1-800-719-9260 Store between 20°-25°C (68°-77°F) Made in Israel Distributed By Perrigo® Allegan, MI 49010 SIDE 2 : 44300 00 J5 Figure A Figure B Figures C & D Figure E Figure F Figure G

<table width="513.9pt"><col width="26%"/><col width="74%"/><tbody><tr><td colspan="2" styleCode="Rrule Botrule Lrule Toprule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption><content styleCode="bold"><content styleCode="italics">BEFORE first use, you must get a new bottle ready (primed).</content></content></item><item><caption>&#x2022;</caption><content styleCode="bold"><content styleCode="italics">If bottle is not used for more than 2 weeks, prime bottle again.</content></content></item></list></td></tr><tr><td colspan="2" styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">Dosing</content></paragraph></td></tr><tr><td align="center" colspan="2" styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">ADULTS AND CHILDREN 12 YEARS OF AGE AND OLDER</content></paragraph></td></tr><tr><td styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">adults and children 12 years of age and older</content></paragraph></td><td styleCode="Rrule Lrule Toprule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption>once daily, spray 2 times into each nostril while sniffing gently</item><item><caption>&#x2022;</caption>once your allergy symptoms improve, reduce to 1 spray in each nostril per day</item></list></td></tr><tr><td align="center" colspan="2" styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">CHILDREN 2 TO UNDER 12 YEARS OF AGE</content></paragraph></td></tr><tr><td colspan="2" styleCode="Rrule Lrule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption>the growth rate of some children may be slower while using this product. Talk to your child&#x2019;s doctor if your child needs to use the spray for longer than two months a year.</item></list></td></tr><tr><td styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">children 6 to under 12 years of age</content></paragraph></td><td styleCode="Rrule Lrule Toprule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption>an adult should supervise use</item><item><caption>&#x2022;</caption>once daily, spray 1 time into each nostril while sniffing gently</item><item><caption>&#x2022;</caption>if allergy symptoms do not improve, increase to 2 sprays in each nostril per day. Once allergy symptoms improve, reduce to 1 spray in each nostril per day.</item></list></td></tr><tr><td styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">children 2 to under 6 years of age</content></paragraph></td><td styleCode="Rrule Lrule Toprule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption>an adult should supervise use</item><item><caption>&#x2022;</caption>once daily, spray 1 time into each nostril while sniffing gently</item></list></td></tr><tr><td styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">children under 2 years of age</content></paragraph></td><td styleCode="Rrule Lrule Toprule Botrule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption><content styleCode="bold">do not use</content></item></list></td></tr><tr><td colspan="2" styleCode="Rrule Lrule Botrule " valign="top"><paragraph><content styleCode="bold">Other important information for use</content></paragraph></td></tr><tr><td colspan="2" styleCode="Rrule Botrule Lrule Toprule " valign="top"><list listType="unordered"><item><caption>&#x2022;</caption><content styleCode="italics">Do not use more than directed.</content></item><item><caption>&#x2022;</caption><content styleCode="italics">If you forget a dose, do <content styleCode="bold">not</content> double the next dose.</content></item><item><caption>&#x2022;</caption><content styleCode="italics">Do not spray into eyes or mouth.</content></item><item><caption>&#x2022;</caption><content styleCode="italics">If you get the spray in your eyes, rinse well with water.</content></item><item><caption>&#x2022;</caption><content styleCode="italics">If allergy symptoms do not improve after one week, stop using and talk to a doctor.</content></item><item><caption>&#x2022;</caption><content styleCode="italics">Do not share this bottle with anyone else as this may spread germs.</content></item></list></td></tr></tbody></table>

Package/Label Principal Display Panel GOODSENSE ® Multi-Symptom Nasal Allergy Spray Triamcinolone Acetonide Nasal Spray 55 mcg per spray Allergy Symptom Reliever (Glucocorticoid)* Original Prescription Strength 24 HR Relief of: • Nasal Congestion • Runny Nose • Sneezing • Itchy Nose 24 HOUR Non-Drowsy/Scent-Free/Alcohol-Free 120 Sprays Compare to active ingredient of Nasacort ® Allergy 24HR 0.57 FL OZ (16.9 mL) *Triamcinolone acetonide is a steroid medicine known as a glucocorticoid. goodsense-nasal-allergy-spray-carton-image.jpg