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fluticasone nasal

Pronunciation

Generic Name: fluticasone nasal (floo TIK a sone)
Brand Name: Flonase, Veramyst

What is fluticasone nasal?

Fluticasone is a steroid. It prevents the release of substances in the body that cause inflammation.

Fluticasone nasal (for the nose) is used to treat nasal congestion, sneezing, runny nose, and itchy or watery eyes caused by seasonal or year-round allergies.

The Flonase brand of this medicine for use in adults and children who are at least 4 years old. Veramyst may be used in children as young as 2 years old. Flonase is available without a prescription.

Fluticasone nasal may also be used for purposes not listed in this medication guide.

What is the most important information I should know about fluticasone nasal?

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

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What should I discuss with my healthcare provider before using fluticasone nasal?

You should not use fluticasone nasal if you are allergic to it.

Fluticasone can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or have recently had. Tell your doctor about any illness or infection you have had within the past several weeks.

To make sure you can safely use fluticasone nasal, tell your doctor if you have any of these other conditions:

  • tuberculosis or any other infection or illness;

  • glaucoma or cataracts;

  • liver disease;

  • herpes simplex virus of your eyes;

  • sores or ulcers inside your nose; or

  • if you have recently had injury of or surgery on your nose.

Also tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.

If you use Flonase without a prescription and you have any medical conditions, ask a doctor or pharmacist if this medicine is safe for you.

It is not known whether fluticasone nasal will harm an unborn baby. Do not use this medicine without a doctor's advice if you are pregnant or plan to become pregnant.

It is not known whether fluticasone nasal passes into breast milk or if it could harm a nursing baby. Do not use this medicine without a doctor's advice if you are breast-feeding a baby.

Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

How should I use fluticasone nasal?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Do not share this medicine with another person, even if they have the same symptoms you have.

The usual dose of fluticasone nasal is 1 to 2 sprays into each nostril once per day. Your dose may change after your symptoms improve. Follow all dosing instructions very carefully.

Do not use Flonase in a child younger than 4 years old. Do not use Veramyst in a child younger than 2 years old.

Any child using fluticasone nasal should be supervised by an adult while using the nasal spray.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Shake the medicine bottle well just before each use.

Before your first use, prime the nasal spray pump by shaking the medicine well and spraying 6 test sprays into the air (away from your face), until a fine mist appears. Prime the Flonase spray pump any time you have not used it for 7 days or longer. Prime the Veramyst spray pump any time you have not used it for longer than 30 days, or if you have left the cap off for 5 days or longer.

If you switched to fluticasone from another steroid medicine, do not stop using the other steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about tapering your steroid dose before stopping completely.

To be sure fluticasone nasal is not causing harmful effects on your nose or sinuses, your doctor may need to check your progress on a regular basis.

It may take up to several days before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after a week of treatment.

Store fluticasone nasal in an upright position at room temperature, away from moisture and heat. Throw the spray bottle 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 missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

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 the spray in your eyes or mouth. If this does happen, rinse with water.

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 signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • severe or ongoing nosebleeds;

  • noisy breathing, runny nose, or crusting around your nostrils;

  • redness, sores, or white patches in your mouth or throat;

  • fever, chills, weakness, nausea, vomiting, flu symptoms;

  • any wound that will not heal; or

  • blurred vision, eye pain, or seeing halos around lights.

Common side effects may include:

  • headache, back pain;

  • minor nosebleed;

  • sinus pain, cough, sore throat; or

  • sores or white patches inside or around your nose.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Fluticasone nasal dosing information

Usual Adult Dose for Rhinitis:

Fluticasone furoate: 2 sprays (27.5 mcg/spray) in each nostril once a day
Fluticasone propionate: 1 or 2 sprays (50 mcg/spray) in each nostril once a day as needed

Comments:
Fluticasone furoate:
-When maximum benefit has been achieved and symptoms have been controlled, reducing the dosage to 55 mcg (1 spray in each nostril) once a day may be effective.

Use: Treatment of symptoms of seasonal and perennial allergic rhinitis

Usual Pediatric Dose for Rhinitis:

2 to 11 years:
Fluticasone furoate: 1 spray (27.5 mcg/spray) in each nostril once a day

4 to 11 years:
Fluticasone propionate: 1 spray (50 mcg/spray) in each nostril once a day

12 years or older:
Fluticasone furoate: 2 sprays (27.5 mcg/spray) in each nostril once a day
Fluticasone propionate: 1 or 2 sprays (50 mcg/spray) in each nostril once a day as needed

Comments:
Fluticasone furoate:
-Children between 2 to 11 years not adequately responding to 55 mcg may use 110 mcg (2 sprays in each nostril) once a day.
-When maximum benefit has been achieved and symptoms have been controlled, reducing the dosage to 55 mcg (1 spray in each nostril) once a day may be effective.

Use: Treatment of symptoms of seasonal and perennial allergic rhinitis

What other drugs will affect fluticasone nasal?

Tell your doctor about all your current medicines and any you start or stop using, especially:

  • antifungal medicine; or

  • antiviral medicine to treat hepatis C or HIV/AIDS.

This list is not complete. Other drugs may interact with fluticasone nasal, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

  • Your pharmacist can provide more information about fluticasone nasal.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 8.01. Revision Date: 2015-05-15, 11:41:57 AM.

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