Delay initiation of treatment in patients with recent nasal surgery, nasal trauma, nasal septum ulcers (until healing has occurred) Prolonged use may increase incidence of secondary infection Monitor for vision change, or with history of increased IOP, glaucoma, or cataracts Potential worsening of existing tuberculosis, fungal, bacterial, viral, or parasitic infections, or ocular herpes simplex More serious or fatal course of chickenpox or measles in susceptible patients Risk for hypercorticism and adrenal suppression with higher than normal doses Potential reduction of growth velocity in children Lactation: Unknown whether distributed in breast milk; exercise caution