Medically reviewed on November 2, 2017
What is Xhance?
Fluticasone is a steroid. It prevents the release of substances in the body that cause inflammation.
The Xhance brand of Xhance is for use only in adults. Veramyst may be used in children as young as 2 years old. Flonase is for use in adults and children who are at least 4 years old.
Xhance may also be used for purposes not listed in this medication guide.
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.
Before taking this medicine
You should not use Xhance 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 recently had. Tell your doctor about any illness or infection you have had within the past several weeks.
To make sure Xhance is safe for you, tell your doctor if you have ever had:
sores or ulcers inside your nose;
injury of or surgery on your nose;
tuberculosis or any other infection or illness;
glaucoma or cataracts;
herpes simplex virus of your eyes.
If you use Xhance without a prescription and you have any medical conditions, ask a doctor or pharmacist if Xhance is safe for you.
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.
It is not known whether Xhance will harm an unborn baby. Ask a doctor before using this medicine if you are pregnant.
It is not known whether fluticasone nasal passes into breast milk or if it could affect a nursing baby. Ask a doctor before using this medicine if you are breast-feeding.
How should I use Xhance?
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 or twice per day. Your dose will depend on the fluticasone brand or strength you use, and your dose may change once your symptoms improve. Follow all dosing instructions very carefully.
Xhance is not approved for use by anyone younger than 18 years old. 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 Xhance should be supervised by an adult while using the nasal spray.
This medicine comes with patient instructions for safe and effective use, and directions for priming the nasal spray device. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.
Shake the nasal spray just before each use.
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 Xhance 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 Xhance 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 Xhance 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 chickenpox or measles. These conditions can be serious or even fatal in people who are using Xhance.
Xhance side effects
Get emergency medical help if you have signs of an allergic reaction: hives, rash; feeling light-headed; 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;
blurred vision, eye pain, or seeing halos around lights;
any wound that will not heal; or
Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using Xhance.
Common side effects may include:
minor nosebleed, burning or itching in your nose;
sores or white patches inside or around your nose;
cough, trouble breathing;
headache, back pain;
sinus pain, sore throat, fever; or
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)
What other drugs will affect Xhance?
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.
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.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Copyright 1996-2018 Cerner Multum, Inc. Version: 9.01.
More about Xhance (fluticasone nasal)
- Xhance Side Effects
- During Pregnancy
- Dosage Information
- Drug Interactions
- Pricing & Coupons
- En Español
- 1 Review
- Drug class: nasal steroids