Common Use

Flonase is primarily used to treat inflammation, allergies, and pruritus associated with conditions such as allergic rhinitis, asthma, eczema, Hyde prurigo nodularis, psoriasis, neurodermatitis, Vidal's disease (lichen simplex chronicus), lichen planus, contact hypersensitivity, discoid lupus erythematosus, generalized erythroderma, insect bites, miliaria rubra, and seborrheic dermatitis. Its active ingredient, Fluticasone propionate, works by inhibiting the proliferation of mast cells, eosinophils, lymphocytes, macrophages, and neutrophils. It also reduces the production and release of inflammatory mediators and other biologically active substances, including histamine, eicosanoids, leukotrienes, and cytokines.

Dosage and Direction

Flonase is available in various forms, including nasal spray, inhalation aerosol, and inhalation powder, all of which are administered orally. Always follow your doctor's instructions carefully. Never take a double dose to make up for a missed one.

Precautions

• Exercise caution if you have a history of systemic glucocorticoid use, especially if you have adrenal gland disorders.
• Flonase inhalations should not be used by individuals with pulmonary tuberculosis.
• Use the nasal spray at regular intervals as prescribed.
• Do not abruptly stop Flonase inhalations.
• Avoid getting the cream or ointment in your eyes.
• Steroid medications may increase the risk of infections like chickenpox and measles; avoid contact with infected individuals.
• Monitor the growth of children and adolescents regularly, as steroids can affect their height and weight.

Contraindications

• Do not use Flonase if you are hypersensitive to the medication.
• It is contraindicated in breastfeeding and pregnant women.
• Not recommended for children under 1 year old or those under 4 years old in spray form.
• Avoid use if you have acne (pink or common), perioral dermatitis, perianal or genital itching, or primary skin lesions caused by bacterial, viral, or fungal infections.

Possible Side Effects

• Common side effects include headache, nasal bleeding, sneezing, cough, nausea, upper respiratory tract infections, nasal irritation, and vomiting.
• Allergic reactions, such as skin rash, itching, facial swelling, and anaphylaxis, may occur.
• High doses may lead to Cushing's syndrome, characterized by rapid weight gain and facial changes.
• Rarely, Flonase may cause fungal infections in the nose and throat, such as Candidiasis.

Drug Interactions

• Using Flonase with other steroids like prednisone or dexamethasone increases the risk of Cushing's syndrome.
• Steroids are often found in asthma inhalers, skin creams, and eye or ear drops.
• Inform your doctor if you are taking ketoconazole or HIV medications such as amprenavir, indinavir, ritonavir, saquinavir, or nelfinavir.

Missed Dose

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed one. Do not double your dose. Aim to take your doses at the same time each day to maintain consistency.

Overdose

Excessive doses of Flonase may lead to Cushing's syndrome, which includes symptoms like rapid weight gain and facial changes. Contact your doctor immediately if you suspect an overdose.

Storage

Store Flonase at room temperature in a tightly sealed container, away from moisture, sunlight, children, and pets.

Disclaimer

This information provides a general overview of Flonase and does not cover all possible directions, drug interactions, or precautions. It should not be used for self-diagnosis or self-treatment. Always consult your healthcare provider for specific instructions tailored to your condition. We disclaim responsibility for any errors in the information provided and any consequences resulting from its use or from self-treatment.