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Package Leaflet: Information For The User

United Kingdom-GBR

Aqueous Nasal Spray


fluticasone propionate
50 micrograms





Read all of this leaflet carefully before you start using this
medicine because it contains important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or
• This medicine has been prescribed for you only. Do not
pass it on to others. It may harm them, even if their signs
of illness are the same as yours.
• If you get any side effects, talk to your doctor or
pharmacist. This includes any possible side effects not
listed in this leaflet. See section 4.
What is in this leaflet:
1 What Flixonase is and what it is used for
2 What you need to know before you use Flixonase
3 How to use Flixonase
4 Possible side effects
5 How to store Flixonase
6 Contents of the pack and other information

Flixonase Aqueous Nasal Spray (called ‘Flixonase’ in this
leaflet) contains a medicine called fluticasone propionate.
This belongs to a group of medicines called steroids (also
called ‘cortico-steroids’).
• Steroids work by reducing inflammation.
• They reduce swelling and irritation in your nose.
• This helps to relieve itching, sneezing and your blocked or
runny nose.
Flixonase is used to prevent and treat:
• Inflammation in the lining of your nose (rhinitis) due to
seasonal allergies, such as Hayfever.
• Inflammation in the lining of your nose (rhinitis) due to
year round (perennial) allergies, such as animal allergies.

2 What you need to know before you use Flixonase
Do not use Flixonase if:
• You are allergic to fluticasone propionate or any of the
other ingredients of this medicine (listed in section 6).
Warnings and precautions
Talk to your doctor or pharmacist before using Flixonase:
• If you have ever had an operation on your nose.
• If you have an infection in your nose
Other medicines and Flixonase
Tell your doctor if you are taking, have recently taken
or might take any other medicines, including medicines
obtained without a prescription. This includes herbal
Check with your doctor or pharmacist before using your
medicine if:
• you have had steroids for a long time, either as an
injection or by your mouth
• you are taking a type of antiviral medicine known as a
protease inhibitor (e.g. ritonavir) or cobicistat containing
products which may increase the effects of fluticasone
propionate. Your doctor may wish to monitor you carefully
if you are taking these medicines
• you are taking certain medicines used to treat fungal
infections (e.g. ketoconazole)
Taking Flixonase with food and drink
You can use Flixonase at any time of day, with or without

Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be
pregnant or are planning to have a baby, ask your doctor for
advice before taking this medicine.
Driving and using machines
Flixonase is not likely to affect you being able to drive or use
any tools or machines.
Flixonase contains benzalkonium chloride
Benzalkonium chloride may cause problems with your
breathing (bronchospasm).

3 How to use Flixonase
Always use this medicine exactly as your doctor has told
you. Check with your doctor or pharmacist if you are not
• D
 o not use in children under 4 years old.
• O
 nly use in your nose, contact with eyes should be
• It takes a few days for this medicine to work. So keep
using it, even though you may not feel better straight
• Use the spray every day.
How much to use - adults and children (aged 12 and over)
• The usual starting dose is 2 sprays into each nostril once
a day, preferably in the morning.
• The most you would use over 24 hours is normally
8 sprays (4 sprays per nostril).
• As you become better, your doctor may ask you to use a
lower dose - one spray into each nostril once a day.
• If your symptoms then get worse, your dose may be
increased back to the starting dose.
How much to use – children aged 4 to 11 years
• The usual starting dose is one spray into each nostril once
a day, preferably in the morning.
• The most you would use over 24 hours is normally
4 sprays (2 sprays per nostril).
If you use high doses of Flixonase
You may need extra steroids:
• in times of extreme stress
• during admission to hospital after a serious accident or
• before a surgical operation.
Your doctor may give you extra steroid medication such as
tablets or an injection.

Preparing your spray
Each spray has a dust cap which protects the nozzle
and keeps it clean. Remember to take this off before
using the spray.
A new spray (or one that has not been used for a few
days), may not work first time. You need to ‘prime’ the
spray by pumping the spray a few times until a fine
mist is produced.
1. Hold the bottle as
shown and make
sure it is pointed
away from you.
2. Put your forefinger
and middle finger
on the collar either
side of the nozzle
and put your thumb
underneath the
3. Keep your thumb
still, and press down
with your fingers to
pump the spray.
• If the spray does not work and you think it may be
blocked, you will need to clean it. Please see the
section below, Cleaning your spray.
• Never try to unblock or enlarge the tiny spray hole
with a pin or other sharp object. This will damage
the way the spray works.


1 What Flixonase is and what it is used for

Please turn
over the page




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United Kingdom-GBR




Using your spray

Cleaning your spray

1 S hake the bottle and take off the dust cap.
2 Blow your nose gently.
3 Close one nostril
with your finger as
shown, and put the
nozzle in the other
nostril. Tilt your head
forward slightly
and keep the bottle
upright. Hold the
bottle as shown.
4 Start to breathe in
slowly through your
nose. While you are
breathing in press
down firmly on the
collar with your fingers. A spray of fine mist will go
into your nostril
5 Breathe out through your mouth.
6 Repeat step 4 to use a second spray in the same
7 Remove the nozzle from this nostril and breathe out
through your mouth.
8 Repeat steps 3 to 6 for your other nostril.
9 After using your spray, wipe the nozzle carefully
with a clean tissue or handkerchief, and replace the
dust cap.

Clean your spray at least once a week, or more often if
it gets blocked.
1 Take the dust cap off
by gently squeezing the
ribbed sides between
your finger and thumb
and lifting it off. Do not
twist it off.
2 Pull upwards on the
white collar to remove
the nozzle.
3 Soak the nozzle and
dust cap in warm water
for a few minutes.
4 Then rinse under a
running tap.
5 Shake off the excess
water and let them dry
in a warm place.
6 Put the nozzle back on the spray.
7 ‘Prime’ the bottle as described in the section above,
Preparing your spray
If you use more Flixonase than you should
Tell your doctor if you use more than you were told to.
It is important that you take your dose as stated on the
pharmacist’s label or as advised by your doctor. You should
use only as much as your doctor recommends; using more or
less may make your symptoms worse.
If you forget to use Flixonase
If you miss a dose, just use the next dose when it is due. Do
not take a double dose to make up for the forgotten dose.
If you stop taking Flixonase
Do not stop treatment even if you feel better, unless your
doctor tells you to stop. If you do stop, the symptoms may
come back.
If you have any further questions on the use of this
medicine, ask your doctor or pharmacist.

4 Possible side effects
Like all medicines, this medicine can cause side effects,
although not everybody gets them. The following side effects
may happen with this medicine:

Allergic reactions: get a doctor’s help straight away
A small number of people get allergic reactions to Flixonase,
which can develop into a more serious, even life-threatening
problem if not treated. Symptoms include;
• becoming very wheezy, coughing or having difficulty with
• suddenly feeling weak or light-headed (which may lead
to collapse or loss of consciousness)
• swelling around the face, mouth or tongue
• skin rashes or redness.
If this happens, tell your doctor straight away – you may
need urgent medical treatment.
Allergic reactions to Flixonase are very rare (These affect less
than 1 in 10,000 people).
Immediately after you use your spray
• You may sneeze a little, but this soon stops.
• Very occasionally you may find you get an unpleasant
taste or smell.
Tell your doctor as soon as possible if you notice any of the
following side effects:
Other side effects include:
Very common (may affect more than 1 in 10 people)
• Nose bleeds.
Common (may affect up to 1 in 10 people)
• Headache.
• Unpleasant taste.
• Unpleasant smell.
• A dry or painful nose or throat.
Very rare (may affect up to 1 in 10,000 people)
• Skin reaction – which can range from red, itchy rash
and blotches to a more severe skin reaction such as dry,
cracked and peeling skin.
• Problems with your eyes such as pain or blurred vision.
• Damage to your nose
Very rarely, the normal production of steroids in your body
may be affected. This is more likely to happen if you use
high doses for a long time. Your doctor will help stop this
happening by making sure you use the lowest dose of steroid
which controls your symptoms. In children this side effect can
rarely cause them to grow more slowly than others. Children
who receive this treatment for a long period of time will have
their height checked regularly by their doctor.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or
nurse. This includes any possible side effects not listed in this
leaflet. You can also report side effects directly via the Yellow
Card Scheme at:
By reporting side effects you can help provide more
information on the safety of this medicine.

5 How to store Flixonase
Keep out of the sight and reach of children.
• Protect from frost and light.
• Do not store above 30°C.
• Do not put in a refrigerator.
• Do not use this medicine after the expiry date which is
stated on the label and carton after ‘EXP’. The expiry date
refers to the last day of that month.
• If you are told to stop taking this medicine return any
unused spray to your pharmacist to be destroyed.
Do not throw away any medicines via wastewater or
household waste. Ask your pharmacist how to throw away
medicines you no longer use. These measures will help
protect the environment.

6 Contents of the pack and other Information
What Flixonase Aqueous Nasal Spray contains
• The active substance is fluticasone propionate
• The other ingredients are cellulose microcrystalline,
carmellose sodium, glucose, polysorbate 80, water
purified and the preservatives benzalkonium chloride and
phenylethyl alcohol. These other ingredients are needed to
make a stable suspension which will not go off.
What Flixonase Aqueous Nasal Spray looks like and contents
of the pack
Each amber coloured glass bottle delivers 150 sprays. Each
spray contains 50 micrograms of fluticasone propionate.
Marketing Authorisation Holder
Glaxo Wellcome UK Ltd
Stockley Park West, Uxbridge, Middlesex, UB11 1BT
Glaxo Wellcome SA, Aranda de Duero, Burgos, Spain
Other formats:
To listen to or request a copy of this leaflet in Braille, large
print or audio please call, free of charge:

0800 198 5000 (UK Only)

Please be ready to give the following information:
Product name
Flixonase Aqueous Nasal Spray
Reference number 10949/0036
This is a service provided by the Royal National Institute of
Blind People.
This leaflet was last revised in February 2017
Flixonase is a registered trademark of the GlaxoSmithKline
group of companies.
© 2017 GlaxoSmithKline group of companies. All rights



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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.