Fluticasone propionate

By Medically reviewed by hellodoktor

Generic Name: Fluticasone propionate Brand Name(s): Generics only. No brands available.

Uses

What is fluticasone propionate nasal spray used for?

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

Fluticasone propionate nasal spray is commonly used for the treatment of nasal congestion, sneezing, runny nose, and itchy or watery eyes caused by seasonal or year-round allergies.

How should I take fluticasone propionate nasal spray?

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. Ask your doctor or pharmacist if you have any questions.

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

This medication comes with patient instructions for safe and effective use, and directions for priming the inhaler device.

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.

If you switched to fluticasone propionate nasal spray 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.

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.

How do I store fluticasone propionate nasal spray?

Fluticasone propionate nasal spray is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store fluticasone propionate nasal spray in the bathroom or the freezer. There may be different brands of fluticasone propionate nasal spray that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush fluticasone propionate nasal spray down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using fluticasone propionate nasal spray?

Before using this drug, there is some important information that you may notice:

  • You should not use fluticasone propionate nasal spray if you are allergic to it.
  • Tell your doctor if you have recently had injury of or surgery on your nose.
  • Sure that fluticasone propionate nasal spray does not cause harmful effects on your nose or sinuses, your doctor may need to check your progress on a regular basis.
  • Fluticasone propionate nasal spray 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.
  • 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 fluticasone propionate nasal spray 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 propionate nasal spray 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 breastfeeding 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.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using fluticasone propionate nasal spray during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking fluticasone propionate nasal spray. Fluticasone propionate nasal spray is pregnancy risk category C, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from fluticasone propionate nasal spray?

Common side effects when using this drug 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
  • Nausea
  • Vomiting

Call your doctor at once if you have:

  • Severe or ongoing nosebleeds
  • Noisy breathing
  • Runny nose
  • 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
  • Blurred vision
  • Eye pain
  • Seeing halos around lights

Get emergency medical help if you have signs of an allergic reaction including hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with fluticasone propionate nasal spray?

Fluticasone propionate nasal spray may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Tell your doctor if you are taking:

  • Antifungal medicines
  • Antiviral medicines to treat hepatitis C or HIV/AIDS

Does food or alcohol interact with fluticasone propionate nasal spray?

Fluticasone propionate nasal spray may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with fluticasone propionate nasal spray?

Fluticasone propionate nasal spray may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Especially if you have:

  • Tuberculosis or any other infection or illness
  • Glaucoma or cataracts
  • Liver disease
  • Herpes simplex virus of your eyes
  • Sores or ulcers inside your nose

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using fluticasone propionate nasal spray.

What is the dose of fluticasone propionate nasal spray for an adult?

Rhinitis:

Fluticasone propionate nasal spray furoate: 2 sprays (27.5 mcg/spray) 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.

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

Use: treatment of symptoms of seasonal and perennial allergic rhinitis.

The usual dose of fluticasone propionate nasal spray is 1 to 2 sprays into each nostril once per day.

What is the dose of fluticasone propionate nasal spray for a child?

Rhinitis:

2 to 11 years:

Fluticasone propionate nasal spray furoate: 1 spray (27.5 mcg/spray) in each nostril once a day.

4 to 11 years:

Fluticasone propionate nasal spray propionate: 1 spray (50 mcg/spray) in each nostril once a day.

12 years or older:

Fluticasone propionate nasal spray furoate: 2 sprays (27.5 mcg/spray) in each nostril once a day.

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

Fluticasone propionate nasal spray 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.

How is fluticasone propionate nasal spray available?

Fluticasone propionate nasal spray  is available in the following dosage forms and strengths:

  • 27.5mcg/actuation (Veramyst [Rx discontinued], Flonase Sensimist Allergy Relief [OTC])
  • 50mcg/actuation (Flonase Allergy Relief [OTC], ClariSpray [OTC])

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of fluticasone propionate nasal spray, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

Review Date: April 5, 2017 | Last Modified: September 12, 2019

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