Fluticasone nasal

Use: Treatment of symptoms of seasonal and perennial allergic rhinitis

Fluticasone PROPIONATE Spray, Suspension – Uses, Side Effects, and More

Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing. It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling.

How to use fluticasone propionate nasal

If you are using the over-the-counter product to self-treat, read and follow all directions on the product package before using this medication. If your doctor has prescribed this medication, read the Patient Information Leaflet before you start using fluticasone and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Use this medication in the nose as directed by your doctor or the product package, usually once or twice a day. Do not spray in your eyes.

Gently blow your nose before using this drug. Shake the container gently before each use. Follow the instructions on how to properly prime the bottle if you are using it for the first time or if you have not used it for a week or longer.

The dosage is based on your age, medical condition, and response to treatment. Do not increase your dose or use this drug more often or for longer than directed. Your condition will not improve any faster, and your risk of side effects will increase. You may be directed to start with a higher dose of this drug for the first several days until you have begun to feel better, then decrease your dose. Children may need to use this drug for a shorter amount of time to lower the risk of side effects. If a child is using the over-the-counter product, read the package information to see how long he/she should use it and when you should check with the doctor.

The per capita price of healthcare per year is higher in the United States than in any other nation in the world, according to National Public Radio (NPR). America spends nearly 2.5 times as much per person as the United Kingdom does, despite having comparable wealth and a lower life expectancy.

Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time(s) each day.

Clean the applicator regularly. Keep track of the number of sprays used from the container. Discard the container after you have used the number of sprays on the package label.

This medication does not work right away. You may feel an effect as soon as 12 hours after starting treatment, but it may take several days before you get the full benefit. If your condition does not improve after 1 week, or if it worsens, stop using this medication and consult your doctor or pharmacist. If you think you may have a serious medical problem, get medical help right away.

Side Effects

Nasal dryness/irritation, nausea, or vomiting may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

If your doctor has directed you to use this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: sore throat that doesn’t go away, eye pain, facial pain, signs of nasal damage (such as pain, severe nosebleeds, a constant whistling sound from your nose), white patches in your nose/back of your throat, pain when swallowing.

Rarely, it is possible that corticosteroids given in the nose will be absorbed into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children and people who use this medication for a long time and in high doses. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before using fluticasone, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: recent nose problems (such as injury, ulcers, surgery), infections (including tuberculosis, herpes eye infection), certain eye problems (glaucoma, cataracts), liver disease.

Stay away from anyone who has an infection that may easily spread (such as chickenpox, COVID-19, measles, flu). Talk to your doctor if you have been exposed to an infection or for more details.

Rarely, using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stress. Before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past few months.

Though it is unlikely, this medication may temporarily slow down a child’s growth if used for a long time. See the doctor regularly so your child’s height can be checked.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this drug passes into breast milk. Consult your doctor before breast-feeding.

Fluticasone nasal

Generic name: fluticasone nasal [ floo-TIK-a-sone ]
Brand names: Flonase, Veramyst, Xhance, Childrens Flonase, Flonase Sensimist, . show all 9 brands Flonase Allergy Relief, Good Sense Nasoflow, Good Sense Children’s Allergy Relief, Good Sense Allergy Relief (Fluticasone)
Dosage form: nasal spray (27.5 mcg/inh; 50 mcg/inh; 93 mcg/inh)
Drug class: Nasal steroids

Medically reviewed by Drugs.com on Dec 20, 2022. Written by Cerner Multum.

What is fluticasone nasal?

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

The Xhance brand of fluticasone nasal 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.

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

Warnings

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 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 recently had. Tell your doctor about any illness or infection you have had within the past several weeks.

Tell your doctor if you have ever had:

• sores or ulcers inside your nose;
• injury of or surgery on your nose;
• glaucoma or cataracts;
• liver disease;
• diabetes;
• a weak immune system; or
• any type of infection (bacterial, fungal, viral, or parasitic).

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

Tell your doctor if you are pregnant or breast-feeding.

How should I use fluticasone nasal?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Do not share this medicine with another person, even if they have the same symptoms you have.

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.

A child using the nasal spray should be supervised by an adult.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Shake the nasal spray just before each use.

If you switched to fluticasone from another steroid medicine, you should not stop using it suddenly. Follow your doctor’s instructions about tapering your dose.

It may take 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 medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

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. Long term use of steroid medicine can lead to glaucoma, cataracts, thinning skin, easy bruising, changes in 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 fluticasone nasal.

Fluticasone nasal 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.

Fluticasone nasal may cause serious side effects. 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, body aches;
• blurred vision, eye pain, or seeing halos around lights;
• any wound that will not heal; or
• signs of a hormonal disorder–worsening tiredness or muscle weakness, feeling light-headed, nausea, vomiting.

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

Common side effects of fluticasone nasal 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
• nausea, vomiting.

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.

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

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

Use: Treatment of symptoms of seasonal and perennial allergic rhinitis

What other drugs will affect fluticasone nasal?

Tell your doctor about all your other medicines, especially:

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

This list is not complete. Other drugs may affect fluticasone nasal, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

More about fluticasone nasal

• Check interactions
• Compare alternatives
• Pricing & coupons
• Reviews (314)
• Latest FDA alerts (1)
• Side effects
• Dosage information
• Patient tips
• During pregnancy
• Drug class: nasal steroids
• En español

Patient resources

• Advanced Reading
• Fluticasone Nasal Spray
• Fluticasone Nasal Spray (Exhaler)