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Mometasone

Published: July 26, 2026Updated: July 26, 2026

Mometasone is a topical corticosteroid used to treat inflammatory and itchy skin conditions such as eczema, psoriasis, and allergic reactions. It works by reducing inflammation, relieving itching, and constricting blood vessels in the affected skin areas.

Quick summary

A topical corticosteroid cream or ointment that reduces skin inflammation and itching.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
D07AC13
RxNorm
108118
Generic
Mometasone
Class
atc-d07
Brands
Propel, Dulera, Nasonex, Motazol, Mometamax, Sinuva, Posatex, Ryaltris, Simplera, Mometavet, Mometamax Single, Klentz, Asmanex
Availability
rx
Pregnancy
C
Lactation
caution
Routes
otic, topical, nasal
Forms
inhaler, suspension, solution, ointment, spray, cream
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity - significantly higher than typical therapeutic dosing
Chronic overdose: Prolonged use of excessive doses may lead to Cushing's syndrome and adrenal suppression
Immediate actions
Gastric decontamination if ingested orally, supportive care, monitor vital signs and electrolytes
Antidote
No specific antidote exists(Treatment is supportive and symptomatic)
Poison Control: 1-800-222-1222

Special Populations

10 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits significantly outweigh risks

Monitor

regular prenatal checkups

Use with caution and monitor for adverse effects.

⚠

pregnancy

second third trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

use only if clearly needed; avoid high doses or prolonged use

Monitor

fetal growth monitoring if used long-term

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
N
Dose Adjustment

use lowest effective dose

Key Recommendations

mometasone may pass into breast milk; use with caution in nursing mothers

Monitor

monitor infant for signs of corticosteroid exposure

Use with caution and monitor for adverse effects.

✗

pediatric_age

children under 2
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

nasal spray formulation not approved for children under 2 years

Monitor

none applicable

Use of this medication in this population requires careful consideration of risks and benefits.

✓

pediatric_age

children 2 to 11
safe
FDA Category
N
Dose Adjustment

age-appropriate dosing

Key Recommendations

nasal spray approved for ages 2+; inhaler approved for ages 4+; follow age-specific dosing guidelines

Monitor

monitor growth with long-term use

⚠

geriatric

elderly over 65
caution
FDA Category
N
Dose Adjustment

no specific dose adjustment typically required

Key Recommendations

use with caution due to increased risk of adverse effects; monitor for systemic corticosteroid effects

Monitor

periodic assessment of adrenal function and bone density with long-term use

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment typically needed

Key Recommendations

no specific dose adjustment required for topical or nasal formulations

Monitor

standard monitoring

✓

renal_impairment

severe
safe
FDA Category
N
Dose Adjustment

no adjustment typically needed

Key Recommendations

no specific dose adjustment required; monitor for systemic effects

Monitor

standard clinical monitoring

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use with caution; corticosteroids are metabolized in liver

Monitor

monitor for systemic effects

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

severe
caution
FDA Category
N
Dose Adjustment

use lowest effective dose

Key Recommendations

use with caution; increased risk of systemic corticosteroid effects

Monitor

close monitoring for adrenal suppression

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA Approval Year

Value:1994

First FDA approval for nasal spray formulation

drug_classWHO
2023

Drug class

Value:Corticosteroid

Topical glucocorticoid

mechanismFDA
2023

Mechanism of action

Value:Glucocorticoid receptor agonist

Anti-inflammatory and immunosuppressive mechanism

usageMedical guidelines
2023

Common uses

Value:Allergic rhinitis, asthma, eczema, psoriasis

Therapeutic applications

Treats inflammatory and pruritic skin conditions including atopic dermatitis (eczema), psoriasis, seborrheic dermatitis, and allergic skin reactions.

Exerts anti-inflammatory, antipruritic (anti-itch), and vasoconstrictive effects. The exact mechanism of anti-inflammatory action is not fully understood, but corticosteroids are believed to work by inhibiting inflammatory pathways and reducing immune responses in the skin.

For external use only on the skin. Avoid prolonged or excessive use, especially on large body areas, as systemic absorption may occur. Do not apply to infected, broken, or ulcerated skin unless directed by a physician. Use with caution on the face and in children. Should not be used for extended periods without medical supervision.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy