Drug NameFlonase (Fluticasone) Drug UsesFlonase is used for treatment of allergic and non-allergic nasal symptoms including congestion, sneezing, itching, and runny nose. How to useUse Flonase as directed by your doctor.
- You must prime the inhaler before you use it for the first time. To prime the inhaler, shake it well for 5 seconds, then pump 1 test spray into the air away from your face. Repeat this 3 more times to be sure the inhaler is fully primed.
- You will need to reprime the inhaler if you drop it or if you have not used it in more than 4 weeks. To reprime the inhaler, shake it well for 5 seconds, then pump 1 test spray into the air away from your face. Repeat this step 1 more time to be sure the inhaler is fully primed.
- Place the mouthpiece between your lips and try to rest your tongue flat, unless your doctor has told you otherwise. Your doctor may have told you to hold the inhaler 1 or 2 inches (2 or 3 centimeters) away from your open mouth or to use a special spacing device. As you start to take a slow deep breath, press the canister and mouthpiece together at exactly the same time. This will release a dose of Flonase Inhaler. Continue breathing in slowly and deeply and hold for as long as comfortable, then breathe out slowly through pursed lips or your nose. If you are using more than 1 inhalation, wait about 30 seconds. Shake the inhaler again and repeat the above steps. Keep the spray away from your eyes.
- Using Flonase at the same time each day will help you remember to use it.
Drug Class and MechanismFlonase is a corticosteroid. It works by reducing inflammatory reactions in the nasal airway in response to allergens and irritants in the air. Missed DoseIf you miss a dose of Flonase, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once. Storage Store Flonase between 39 and 86 degrees F (4 and 30 degrees C). Keep Flonase out of the reach of children and away from pets. Possible Side EffectsCheck with your doctor if any of these most common side effects persist or become bothersome:
- aches and pains; asthma symptoms; bronchitis; changes in or loss of senses of smell and taste; cough; diarrhea; dizziness; fever; flu-like symptoms (headache, tiredness, muscle aches, fever); infection of the nose and throat; nasal irritation or burning; nausea; nosebleed; runny nose; sore throat; stomach pain; vomiting.
Seek medical attention right away if any of these severe side effects occur:
- severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); cataracts; growth suppression in children; hoarseness; increased pressure in the eye; infection or pain in the nose or throat; nasal septum perforation; repeated nosebleeds; voice changes.
More InformationFlonase is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor. Warnings/PrecautionsDo not use Flonase if:
- you are allergic to any ingredient in Flonase .
Contact your doctor or health care provider right away if any of these apply to you.
Important :
- Use caution if you switch from an oral steroid (eg, prednisone) to Flonase. It may take several months for your body to make enough natural steroids to handle events that cause physical stress. Such events may include injury, surgery, infection, loss of blood electrolytes, or a sudden asthma attack. These may be severe and sometimes fatal. Contact your doctor right away if any of these events occur. You may need to take an oral steroid (eg, prednisone) again. Carry a card at all times that says you may need an oral steroid (eg, prednisone) if any of these events occur.
- Tell your doctor or dentist that you take Flonase before you receive any medical or dental care, emergency care, or surgery.
- If you have not had chickenpox or measles, avoid contact with anyone who does.
- Avoid spraying in the eyes.
- Flonase should not be used in children younger than 4 years old; safety and effectiveness in these children have not been confirmed.
- Corticosteroids may affect growth rate in children and teenagers in some cases. They may need regular growth checks while they use Flonase.
- Proscar is not recommended for use in children; safety and effectiveness have not been confirmed.
- Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Flonase while you are pregnant. It is not known if Flonase is found in breast milk. If you are or will be breast-feeding while you use Flonase , check with your doctor. Discuss any possible risks to your baby.
What is fluticasone nasal?
Fluticasone is a steroid. It prevents the release of substances in the body that cause inflammation.
Fluticasone nasal is used to treat nasal symptoms such as congestion, sneezing, and runny nose caused by seasonal or year-round allergies.
Fluticasone may also be used for purposes other than those listed in this medication guide.
What is the most important information I should know about fluticasone nasal?
Before using fluticasone nasal, tell your doctor if you are using antibiotics such as ketoconazole (Nizoral), or HIV medicines such as ritonavir (Norvir, Kaletra).
While using fluticasone nasal, tell your doctor if you have severe or ongoing nose bleed, vision problems, sores in the nose that won't heal, or if you have fever, chills, body aches, or flu symptoms.
Shake the medicine bottle well just before each use. It may take up to several days of using this medicine before your symptoms improve. Tell your doctor if your symptoms do not improve after a week of treatment. Store this medication in an upright position at room temperature, away from moisture and heat. Throw the medication away after you have used 120 sprays, even if there is still medicine left in the bottle.
Fluticasone nasal can lower the blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using fluticasone nasal.
Steroid medicines can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using fluticasone nasal.
What should I discuss with my healthcare provider before using fluticasone nasal?
Before using this medication, tell your doctor if you have been sick or had an infection of any kind. You may not be able to use fluticasone nasal until you are well.
Also tell your doctor if you are allergic to any drugs, or if you have:
-
glaucoma or cataracts;
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liver disease;
-
herpes simplex virus of your eyes;
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tuberculosis or any other infection or illness;
-
sores or ulcers inside your nose; or
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if you have recently had injury of or surgery on your nose.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether fluticasone passes into breast milk or if it could harm a nursing baby. Do not use fluticasone nasal without telling your doctor if you are breast-feeding a baby.
Steroid medicines can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using fluticasone nasal.
How should I use fluticasone nasal?
Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label.
The usual dose of fluticasone nasal is 1 to 2 sprays into each nostril once per day.
Before using the spray for the first time, you must prime the spray pump. Shake the medicine well and spray 6 test sprays into the air and away from your face. Prime the spray pump any time you have not used your nasal spray for longer than 30 days, or if you have left the cap off for 5 days or longer. Spray until a fine mist appears.
Shake the medicine bottle well just before each use. It may take up to several days of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after a week of treatment.
To be sure this medication is not causing harmful effects on your nose or sinuses, your doctor will need to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.
Store this medication in an upright position at room temperature, away from moisture and heat.
Throw the medication away after you have used 120 sprays, even if there is still medicine left in the bottle.
What happens if I miss a dose?
Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.
An overdose of fluticasone nasal is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.
What should I avoid while using fluticasone nasal?
Avoid getting this medication in your eyes. If this does happen, rinse with water and call your doctor.
Fluticasone nasal can lower the blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using fluticasone nasal.
Fluticasone nasal side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
-
severe or ongoing nose bleed;
-
sores in the nose that won't heal;
-
vision problems; or
-
fever, chills, body aches, flu symptoms.
Less serious side effects may include:
-
headache, back pain;
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minor nose bleed;
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menstrual problems, loss of interest in sex;
-
sinus pain, cough, sore throat; or
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sores or white patches inside or around your nose.
This list is not complete and other side effects may occur. Tell your doctor about any unusual or bothersome side effect.
What other drugs will affect fluticasone nasal?
Before using fluticasone nasal, tell your doctor if you are using any of the following drugs:
-
certain antibiotics such as ketoconazole (Nizoral); or
-
HIV medicines such as ritonavir (Norvir, Kaletra).
This list is not complete and there may be other drugs that can interact with fluticasone nasal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information?
- Your pharmacist can provide more information about fluticasone nasal.
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