fluticasone propionate (Nasal route)Pronunciation
Commonly used brand name(s)
In the U.S.
Available Dosage Forms:
Therapeutic Class: Corticosteroid, Intermediate
Pharmacologic Class: Fluticasone
Uses For fluticasone
Fluticasone belongs to the family of medicines known as corticosteroids (cortisone-like medicines). Corticosteroids belong to the family of medicines called steroids. Fluticasone is sprayed into the nose to help relieve the stuffy or runny nose, irritation, sneezing, and discomfort of hay fever, other nasal allergies, and these symptoms when not caused by allergies.
fluticasone is available only with your doctor's prescription.
Before Using fluticasone
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For fluticasone, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to fluticasone or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
There is no specific information comparing the use of nasal fluticasone in children up to 4 years of age with use in other age groups. Corticosteroids taken by mouth or injection have been shown to slow growth in children and cause reduced adrenal gland function. Before nasal fluticasone is given to a child, you and the child's doctor should talk about the good fluticasone will do as well as the risks of using it.
Although there is no specific information comparing use of nasal corticosteroids in the elderly with use in other age groups, these medicines are not expected to cause different side effects or problems in older people than they do in younger adults.
|All Trimesters||C||Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.|
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Interactions with Medicines
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking fluticasone, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using fluticasone with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Interactions with Food/Tobacco/Alcohol
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of fluticasone. Make sure you tell your doctor if you have any other medical problems, especially:
- Glaucoma—Rare cases of glaucoma have been reported following use of nasal corticosteroids, including nasal fluticasone
- Herpes simplex (virus) infection of the eye or
- Infections (viral, bacterial, parasitic, or fungal)—Nasal corticosteroids may cover up the signs of these infections
- Injury to the nose (recent) or
- Nose surgery (recent) or
- Sores in the nose—Nasal corticosteroids may prevent proper healing of these conditions
- Tuberculosis (active or history of)—Nasal corticosteroids may cover up the signs of this infection or cause it to start up again
Proper Use of fluticasone
fluticasone usually comes with patient directions. Read them carefully before using the medicine.
Before using fluticasone, prime the pump on the medicine bottle and clear the nasal passages by blowing your nose. Then, insert the nosepiece into the nostril, and with the head tilted slightly forward, spray while breathing in gently through the nostril.
Avoid spraying in the eyes.
In order for fluticasone to help you, it must be used regularly as ordered by your doctor. fluticasone usually begins to work in about 12 hours, but several days may pass before you feel its full effects.
Use fluticasone only as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of absorption through the lining of the nose and the chance of unwanted effects.
The dose of fluticasone will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of fluticasone. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For nasal spray dosage form:
- For allergies:
- Adults—2 sprays in each nostril once a day, or 1 spray in each nostril two times a day. Later, your doctor may decrease your dose to 1 spray in each nostril once a day.
- Children 4 years of age and older (including teenagers)—1 spray in each nostril once a day. Your doctor may need to increase the dose in some children, up to 2 sprays in each nostril once a day, or 1 spray in each nostril twice a day.
- Children younger than 4 years of age—Use and dose must be determined by your doctor.
- For allergies:
If you miss a dose of fluticasone, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Do not refrigerate. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Precautions While Using fluticasone
If you will be using fluticasone for more than a few weeks, your doctor should check your progress at regular visits.
Check with your doctor:
- if signs of a nose, sinus, or throat infection occur.
- if your symptoms do not improve within 3 weeks.
- if your condition gets worse.
fluticasone Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:More common
- Bloody mucus or unexplained nosebleeds
- shortness of breath
- excessive mucus
- general aches and pains
- loss of appetite
- stomach pain
- runny nose
- White patches inside nose or throat
- blurred vision
- bone fractures
- excess facial hair growth in females
- fullness of face, neck, and trunk
- high blood pressure
- impotence in males
- increased thirst or urination
- lack of menstrual periods
- muscle wasting
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More common
- Burning, dryness, or other irritation inside the nose
- sore throat
- Runny nose
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
See also: fluticasone Nasal side effects (in more detail)
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