Fluticasone (Nasal)

Overview

Fluticasone is a nasal spray given to patients suffering from the symptoms of hay fever, such as a runny or itchy nose, or sneezing. You can access Fluticasone nasal spray either through a doctor's prescription or over-the-counter. However, do be aware that it can cause potential side effects to arise, and it can interact with other medicines. Below you can find more guidance regarding this. Alternatively, you may still wish to talk to your doctor before using this form of medicine to see if it is the best option for you.

Condition(s) treated

Type of medicine

  • Nasal spray

Side Effects

As well as helping to alleviate hay fever symptoms, there is a chance that the Fluticasone will cause other side effects to arise. In some cases, these side effects will pass as your body adjusts to the medicine, but in other cases, they are more severe. If you experience any of the effects listed directly below, then you should contact your doctor immediately.

More common

  • A bloody nose

Less common

Incidence not known

  • Tightness in your chest

As mentioned, some side effects you experience are much less severe and will tend to pass over time. This often happens as your body becomes used to the medicine. However, if the side effects are lingering and worrying you, then you may still contact your doctor. They could advise certain ways to help alleviate the effects or reduce them in the future. Alternatively, they may be able to prescribe you an alternative form of medicine.

Less common

Beyond these lists, there is a chance you could experience other side effects. If this is the case, and you have any questions, then you should contact your doctor.

Dosage

Below you can find the typically recommended dosages for patients looking to alleviate their hay fever symptoms. However, if you received your prescription through from a doctor, you may find that you have been told to take less or more. If this is the case, then you should stick to this prescription. Your doctor will have based it on your exact medical circumstances. You should not alter that dosage unless first discussed with your doctor.

For Fluticasone propionate:

  • Adults. To start, apply 2 sprays in each nostril once a day. For some patients, taking 1 spray in each nostril 2 times per day may be more appropriate (once in the morning and once in the evening). As needed, your doctor may recommend altering the dosages.

For Veramyst®:

  • Adults and children aged 12 and above. To start, apply 2 sprays in each nostril once per day. As necessary, your doctor may decrease this dose to 1 spray or 55mcg in each nostril once per day.

In order to receive full benefit from this medicine, it is important that you do not miss a dose. If however, you do miss one, you should take it as soon as you remember. However, if it is almost time for you to take your next dose, you should skip the missed dose. Afterwards, simply return to your regular dosing schedule. It is important that you do not double dose.

When picking up this medicine you will find some patient instructions. You should read these carefully and then address any questions to your pharmacist or doctor.

It is important that you only use this medicine in your nose and nowhere else. If you get it in your eyes or on your skin, then you should rinse it off immediately.

Here is a guide to using the spray:

  • When using the spray for the first time, you will need to prime it. To do this, press down the pump around six times, or until you see a fine spray come out. If it has not been used the fluticasone propionate for 7 days, then you will need to prime it again. If you have not used Veramyst® for 30 days, then you will need to prime it again. You will also need to prime it again if you ever leave the cap off for more than 5 days. Before using each time, be sure to shake the bottle well.

You may find that it takes a few days for you to start feeling better using this medicine.

Interactions

Fluticasone does have the ability to interact with a range of different drugs you are currently taking. In some access, these interactions are quite severe and should be avoided where possible. Directly below is a list of drugs with which it is usually not recommended you take alongside Fluticasone. However, in some cases, it may still be necessary for you to do so. Your doctor may either be able to prescribe you an alternate form of medicine or adjust your doses of one or both in order to avoid any unnecessary interactions. If you are worried about any drugs you are taking and whether they may interact with Fluticasone, you should first discuss this with your doctor or pharmacist before proceeding.

  • Posaconazole

As well as to drugs, it is possible that Fluticasone will interact with other parts of your dietary intake. This includes what you eat, drink, and smoke. If you are prescribed this by your doctor then they may ask you to adjust certain parts of your diet so as to avoid unnecessary interactions. Be aware that it is recommended you do not consume grapefruit juice at the same time as using Fluticasone because of the interactions it can cause.

Finally, it may be the case that Fluticasone will interact with other medical problems you have suffered from, or are currently suffering from. If you have any of the following then you should first discuss them with your doctor before proceeding with Fluticasone.

Warnings

Before you are prescribed this by your doctor they will want to get a full understanding of your medical condition, in order to decide whether or not this is indeed a suitable drug to prescribe. As a part of this examination, they will need to know about any and all allergies you have. This includes allergies to any drugs, to foods, dyes, preservatives, and animals.

Any studies carried out on children have not yet indicated any signs that Fluticasone is any less useful on pediatric patients. However, this efficacy and safety of Veramyst® has not yet been established in children aged children who are aged younger than 2 years. Similarly, the safety and efficacy of Fluticasone Propionate has not yet been established in children aged younger than 4.

The studies carried out with older patients have not shown any signs that would make this medicine less effective for geriatric patients. However, be aware that older patients more likely to have heart, liver, or kidney problems. In turn, these would require adjustments to be made in the doses taken of the fluticasone nasal spray.

As of writing, it is not clear as to whether there is any increased risk associated with pregnant women using this medicine. It is unclear as to whether suitable tests have been carried out. Prior to using this medicine, it is recommended you speak to a doctor or pharmacist who can clarify any increased risks that may be present.

Similarly, there are currently no adequate studies that have been carried out on breastfeeding women using Fluticasone nasal spray. Your doctor is best placed to inform you of any increase risks and then weigh them against the benefits of using the medicine.

Your doctor may well schedule regular appointments to track your condition whilst using this nasal spray. It is important that you attend all such appointments as they allow your doctor to monitor any unwanted effects and make any necessary adjustments to your prescription.

If you see no improvement in your symptoms within a few days of using Fluticasone, or if you believe they are getting worse, you should contact your doctor.

Using fluticasone has the potential to cause delayed wound healing in the nose, as well as small ulcers or holes in the nose cartilage. If you have had a nose injury, sinus infection, or nose surgery within the last few months, you should inform your doctor. Before you start taking Fluticasone.

If you experience blurred vision, have difficulty reading, or experience any other vision changes, then you should contact your doctor. This includes changes both before and after treatment. If there is cause for concern then your doctor may refer you to an ophthalmologist (eyes doctor).

When using Fluticasone, there's the chance you could experience a reaction known as anaphylaxis. This condition requires immediate medical attention as it is life-threatening. If you experience any of the following symptoms, then seek immediate medical attention.

  • Itching

When using Fluticasone, it is possible that you will more easily contract infections. If you are at all exposed to somebody with measles or chickenpox, then you should inform your doctor. Similarly, if you experience sores of white patches on your nose whilst using this medicine, we should tell your doctor. These could be indications of a yeast or candida infection.

Taking Fluticasone for too long a period, or using too much of it can cause an increased risk of experiencing adrenal gland problems. If you experience more than one of the following symptoms then you need to tell your doctor.

  • Vomiting

It is possible that Fluticasone will slow the growth of your child. If, whilst using this medicine, you think the growth of your child has been affected then you should discuss this with your doctor.

Unless otherwise prescribed by your doctor, do not take any other medicines whilst using Fluticasone. This includes any prescription and nonprescription drugs, as well as any vitamin or herbal supplements.

Storage

You should store your medication in a sealed container and keep it at room temperature. You should not allow it to freeze, and should not expose it to moisture, heat, or direct light. Keep it safely away from children as it can be dangerous. Once finished with a course of treatment, you should dispose of any remaining medication. The same applies to any medicine that you find to be out of date. If you are unsure of how to properly and safely dispose of medication, you can discuss this with your doctor.

Summary

If you are suffering from persistent symptoms of hay fever, then the Fluticasone nasal spray could be a very helpful medicine in helping to alleviate your unwanted symptoms. It is available both via prescription and over the counter. However, do be aware that using it can cause a wide variety of side effects, and it can interact with other drugs you are taking. If you are unsure as to whether it is a suitable drug for you to use, then you should first consult with your doctor. They will be able to advise you on the best dosage to take or may advise an alternative form of treatment. Similarly, if you are suffering from any of the side effects above and would like helping clearing them up, you should discuss this with your doctor.