Fluticasone Propionate

💊 What is Fluticasone Propionate used for?

• •The label says it is used to manage the nasal symptoms of perennial nonallergic rhinitis, such as runny nose, stuffy nose, sneezing, and nasal itching, in adults and in children aged 4 years and older. The label says it is not known whether it is safe and effective in children younger than 4.

How it works

How it is usually taken

• •The label says this spray is for use in the nose only, and not in the eyes or mouth. Shake the bottle gently before each use. Before the first use, or after a period of not using it, the label says to prime the pump by shaking well and releasing a set number of sprays into the air, away from your face. The label says to use it at regular intervals each day, because it works best with regular use. Children should use it with an adult's help. The label says it may take several days of regular use to notice full benefit, and that it does not work right away. The amount and schedule are set by your prescriber, so follow their instructions and the step-by-step directions in the patient information.

Comes as

• •Nasal spray: 50 mcg of fluticasone propionate per spray. Each bottle has 120 sprays.

⚠️ Fluticasone Propionate side effects

🛑 Who should not take Fluticasone Propionate, and who should be careful

The label says not to take it if

• 🚨You are allergic to fluticasone propionate or any of the ingredients in this spray. The label says this is a contraindication.
• 🚨You have had recent nasal ulcers, nasal surgery, or nasal trauma. The label says to avoid use until healing has occurred.

Tell your doctor before taking it if

• •Tell your provider if you have or have had nasal sores, nasal surgery, or nasal injury.
• •Tell your provider if you have or have had eye problems, such as glaucoma or cataracts.
• •Tell your provider if you have an immune system problem or any viral, bacterial, or fungal infection.
• •Tell your provider if you have been exposed to chickenpox or measles.
• •Tell your provider if you are pregnant, planning to become pregnant, or breastfeeding.
• •Tell your provider about all medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
• •Tell your provider if you take antifungal or anti-HIV medicines.
• •The label says not to spray this medicine in your eyes or mouth.

🔀 Fluticasone Propionate with other medicines, food and alcohol

The label says to discuss these with your doctor or pharmacist

• •Strong CYP3A4 inhibitors, such as ritonavir and ketoconazole, may increase the effects of corticosteroids in the body. The label says use with these is not recommended.
• •The label lists other strong CYP3A4 inhibitors to ask about, including atazanavir, clarithromycin, indinavir, itraconazole, nefazodone, nelfinavir, saquinavir, telithromycin, conivaptan, lopinavir, and voriconazole.
• •The label says to especially mention antifungal or anti-HIV medicines to your provider.
• •Keep a list of your medicines and show it to your provider and pharmacist when you get a new medicine.

Alcohol and food

The label does not say.

🤰 Fluticasone Propionate in pregnancy and breastfeeding

Pregnancy

The label says there is not enough data on use in pregnant women to show a drug-related risk. It says it is not known if this spray may harm an unborn baby. Animal studies showed effects at certain doses. The label says the risk of birth defects and miscarriage for this use is unknown. Tell your provider if you are pregnant or planning to become pregnant.

Breastfeeding

The label says it is not known whether this spray passes into breast milk or if it can harm a baby. Tell your provider if you are breastfeeding or plan to breastfeed.

🗓️ Storage, missed doses and taking too much

Storage

The label does not say.

If a dose is missed

The label does not say.

If too much is taken

The label says that taking too much over a long time may cause signs of too much corticosteroid in the body. The label describes studies with higher amounts given to volunteers, which did not show serious problems in the nasal use studied. If you think you have used too much, contact your provider or get medical help.

🗒️ Questions to ask about Fluticasone Propionate

• How many sprays should I use each day, and how often?
• How long will it take before I notice my symptoms getting better?
• What should I do if my symptoms do not improve or get worse?
• Should I be checked for nasal problems or signs of infection while I use this?
• Could this spray affect my vision, and how often should I have eye checks?
• Are any of my other medicines, especially antifungal or anti-HIV medicines, a concern with this spray?
• How should I prime the pump and care for the bottle?

❓ Fluticasone Propionate: frequently asked questions