A twist too many for Asmanex

Executive Summary

Dosage counter on Schering-Plough's Asmanex Twisthaler (mometasone furoate) may incorrectly display a number of doses remaining after the drug supply is exhausted, Institute for Safe Medication Practices' Medication Safety Alert reports Nov. 16. Although product labeling states that "the inhaler will not deliver subsequent doses once the counter reaches zero," Schering is aware that "if a patient 'forcefully' attempts to remove the cap once the dosage counter reaches '00,' the counter could reset" to display 199 doses, ISMP states...