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Why is this medication prescribed?
Fluticasone nasal spray is used to treat the symptoms of seasonal (occurs only at certain times of year), and perennial (occurs all year round) allergic rhinitis and perennial nonallergic rhinitis. These symptoms include sneezing and stuffy, runny, or itchy nose. Fluticasone is in a class of medications called corticosteroids. It works by preventing and decreasing inflammation (swelling that can cause other symptoms) in the nose.
How should this medicine be used?
Fluticasone comes as a liquid to spray in the nose. It is usually sprayed in each nostril once daily or twice daily in the morning and evening. It is sometimes used only as needed to treat symptoms. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use fluticasone exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.
Fluticasone nasal spray is only for use in the nose. Do not swallow the nasal spray and be careful not to spray it in your eyes.
Your doctor will probably start you on a high dose of fluticasone nasal spray and may decrease your dose after your symptoms are controlled.
Fluticasone nasal spray controls the symptoms of rhinitis but does not cure the condition. Your symptoms will probably not begin to improve for at least 12 hours after you first use fluticasone, and it may take several days or longer before you feel the full benefit of fluticasone. Fluticasone works best when used regularly. Use fluticasone on a regular schedule unless your doctor has told you to use it as needed. Continue to use fluticasone even if you feel well. Do not stop using fluticasone without talking to your doctor.
Each bottle of fluticasone nasal spray is designed to provide 120 sprays. The bottle might not be empty after 120 sprays have been used, but each spray might not contain the correct amount of medication. You should keep track of the number of sprays you have used and throw away the bottle after you have used 120 sprays even if it still contains some liquid.
To use the nasal spray, follow these steps:
- Shake the bottle gently.
- Remove the dust cover.
- If you are using the pump for the first time or have not used it for a week or more, you must prime it by following steps 4 to 5 below. If you have used the pump in the past week, skip to step 6.
- Hold the pump with the applicator between your forefinger and middle finger and the bottom of the bottle resting on your thumb. Point the applicator away from your body.
- If you are using the pump for the first time, press down and release the pump six times. If you have used the pump before, but not within the past week, press down and release the pump until you see a fine spray.
- Blow your nose until your nostrils are clear.
- Hold one nostril closed with your finger.
- Tilt your head slightly forward and carefully put the nasal applicator into your other nostril. Be sure to keep the bottle upright.
- Hold the pump with the applicator between your forefinger and middle finger and the bottom resting on your thumb.
- Begin to breathe in through your nose.
- While you are breathing in, use your forefinger and middle finger to press firmly down on the applicator and release a spray.
- Breathe gently in through the nostril and breathe out through your mouth.
- If your doctor told you to use two sprays in that nostril, repeat steps 6 to 12.
- Repeat steps 6 to 13 in the other nostril.
- Wipe the applicator with a clean tissue and cover it with the dust cover.
Other uses for this medicine
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before using fluticasone nasal spray,
- tell your doctor and pharmacist if you are allergic to fluticasone, or any other medications.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or have recently taken. Be sure to mention any of the following: amiodarone (Cordarone); antifungals such as fluconazole (Diflucan), itraconazole (Sporanox), and ketoconazole (Nizoral); cimetidine (Tagamet); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Rescriptor); diltiazem (Cardizem, Dilacor, Tiazac); fluoxetine (Prozac, Sarafem); fluvoxamine (Luvox); HIV protease inhibitors such as indinavir (Crixivan) nelfinavir (Viracept), ritonavir (Norvir) and saquinavir (Fortovase, Invirase); isoniazid (INH, Nydrazid); metronidazole (Flagyl); nefazodone (Serzone); oral contraceptives (birth control pills); oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone); paroxetine (Paxil); steroids that are inhaled by mouth such as beclomethasone (QVAR), budesonide (Pulmicort), flunisolide (Aerobid), fluticasone (Flovent), and triamcinolone (Azmacort); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); and zafirlukast (Accolate). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you have or have ever had tuberculosis (a type of infection) in your lungs, cataracts (clouding of the lens of the eye), or glaucoma (an eye disease), and if you now have sores in your nose, any type of untreated infection, or a herpes infection (a type of infection that causes a sore on the eyelid or eye surface) in your eye. Also tell your doctor if you have recently had surgery on your nose or injured your nose in any way.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using fluticasone, call your doctor.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are using fluticasone.
- if you have been taking oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), prednisolone (Pediapred, Prelone) or prednisone (Deltasone), your doctor may want to gradually decrease your steroid dose after you begin using fluticasone. Special caution is needed for several months as your body adjusts to the change in medication. If you have any other medical conditions, such as arthritis, or eczema (a skin disease), they may worsen when your oral steroid dose is decreased. Tell your doctor if this happens or if you experience any of the following symptoms during this time: extreme tiredness, muscle weakness or pain; sudden pain in stomach, lower body or legs; loss of appetite; weight loss; upset stomach; vomiting; diarrhea; dizziness; fainting; depression; irritability; and darkening of skin. Your body may be less able to cope with stress such as surgery, illness, severe asthma attack, or injury during this time. Call your doctor right away if you get sick and be sure that all healthcare providers who treat you know that you recently replaced your oral steroid with fluticasone inhalation. Carry a card or wear a medical identification bracelet to let emergency personnel know that you may need to be treated with steroids in an emergency.
- you should know that fluticasone may decrease your ability to fight infection. Stay away from people who are sick and wash your hands often. Be especially careful to stay away from people who have chicken pox or measles. Tell your doctor right away if you find out that you have been around someone who has one of these viruses.
What special dietary instructions should I follow?
Talk to your doctor about drinking grapefruit juice while taking this medication.
What should I do if I forget a dose?
Use the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not use a double dose to make up for a missed one.
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