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Flonase (Fluticasone)

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Flonase is a good first-choice for nasal allergies, but long-term use can increase the risk of nosebleeds. Flonase is a corticosteroid, a type of anti-inflammatory medication. Applying it directly into your nose helps lessen sneezing, runny nose, and other nasal symptoms caused by allergies.

Other names for this medication:
Advair, Alerflo, Cazon, Emderm, Fexin, Flocare, Floease, Flohale, Flomale, Flomist, Flovent, Fluderm, Fluster, Flutec, Fluticare, Fluticasone, Fluticone, Flutiflo, Flutilab, Flutiriv, Flutivate, Flutopic, Flutrol, Formosone, Ftica, Furamist, Furaspray, Geflute, Moliderm, Nazomac, Otrivin, Rhinofit, Sylone, Ultisone, Ventiflo, Zoflut

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Also known as: Fluticasone


Fluticasone nasal spray is used to treat sneezing, itchy or runny nose, or other symptoms caused by hay fever. It is also used to treat nasal polyps in adults. This is a steroid medicine.

This medicine is available both over-the-counter (OTC) and with your doctor's prescription.


This section provides information on the proper use of a number of products that contain fluticasone. It may not be specific to Flonase. Please read with care.

This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.

This medicine is for use only in the nose. Do not get any of it in your eyes or on your skin. If it does get on these areas, rinse it off right away.

To use the fluticasone propionate and Veramyst® nasal spray:

When you use the fluticasone nasal spray for the first time, you must prime the spray. Press down fully the top of the pump 6 times or until a fine spray comes out. Prime the spray if it has not been used for more than 7 days (fluticasone propionate) or 30 days (Veramyst®) or if the cap has been left off the bottle for 5 days or longer. Shake the medicine well before each use. Gently blow your nose before using the spray. Tilt your head back slightly and insert the tip of the nose piece into your nostril. Close the opposite nostril with a finger. Release 1 spray and at the same time, breathe in gently through the nostril. Hold your breath for a few seconds then breathe out slowly through your mouth. Spray the opposite nostril using the same steps. Do not blow your nose or tip your head back after using the spray. Wipe the tip of the outside of the nose piece with a clean, dry tissue or cloth and put the cap back on. Throw this medicine away after you use 120 sprays.

To use the Xhance™ nasal spray:

Prime the new spray before using it for the first time. To prime, gently shake the bottle then spray 7 times into the air away from the face, or until some medicine comes out. If you have not used this medicine for 7 days or longer, prime it again by shaking and spraying 2 times into the air, away from the face. Shake the medicine well before each use. Insert the tip of the cone-shaped nosepiece deep into the nose to create a seal between the nosepiece and the nostril. Place the mouthpiece inside your mouth and blow on it. While blowing, push the bottle up to actuate the spray pump. Continue to blow through your mouth until the medicine is released, but do not inhale or exhale through the nose. Repeat in the other nostril for a full dose.

You may need to use this medicine for a few days before you start to feel better.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For nasal polyps: For nasal dosage form (spray): Xhance™: Adults—At first, 1 spray (93 micrograms [mcg]) fluticasone in each nostril two times a day. Some patients may need 2 sprays in each nostril two times a day. Your doctor may adjust your dose as needed. Children—Use and dose must be determined by your doctor. For symptoms of hay fever: For nasal dosage form (spray): Fluticasone propionate: Adults—At first, 2 sprays in each nostril once a day. Some patients may need 1 spray in each nostril two times a day (morning and evening). Your doctor may adjust your dose as needed. Children 4 years of age and older—At first, 1 spray in each nostril once a day. Some patients may need 200 mcg or 2 sprays in each nostril once a day. Children younger than 4 years of age—Use is not recommended. Veramyst®: Adults and children 12 years of age and older—At first, 2 sprays in each nostril once a day. Your doctor may decrease your dose to 55 mcg or 1 spray in each nostril once a day. Children 2 to 11 years of age—At first, 1 spray in each nostril once a day. Your child's doctor may need to increase the dose up to 2 sprays in each nostril once a day depending on your child's condition. Children younger than 2 years of age—Use and dose must be determined by your doctor.


An overdose of Flonase is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.


Store at a room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and heat. Throw the medication away after you have used 120 sprays, even if there is still medicine left in the bottle. Keep out of the reach of children.

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The most common side effects associated with Flonase are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

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Cardiac abnormalities in adults with the attenuated form of mucopolysaccharidosis type I. The organization of open complexes between Escherichia coli RNA polymerase and DNA fragments carrying promoters either with or without consensus -35 region sequences. From May 2003 to January 2004, 70 consecutive patients with combined PH and PLH underwent VATS at the T2, T3, or T4 ganglion level (47 women and 23 men amaryl medication guide , with mean age of 23 years). Due to limited resources, injury prevention interventions need to demonstrate cost-effectiveness to justify their implementation. Patients were mailed a questionnaire, which included the PACIC and Short Form Health Survey. Improving performance and promoting health by sports participation.

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Pain intensity at rest and while walking was assessed using a visual analog scale. These data support a role for PNR in the regulation of signalling pathways intrinsic to the photoreceptor cell function. Gene transcription: basal and regulated transcription by RNA polymerase II. To investigate the mechanism of virus-induced cell death, we used a human central nervous system progenitor-derived astrocyte cell culture model developed in our laboratory. Functional spiral CT in after-care of irradiated laryngeal carcinomas. AM4113 suppressed food-reinforced operant responding with rats responding on fixed ratio (FR) 1 and 5 schedules of reinforcement in a dose-dependent manner, and also suppressed feeding on high-fat, high-carbohydrate, and lab chow diets. Two immature oocytes were retrieved following only 12 hours after hCG priming due to the patient misunderstanding. We found no tendency among clutches for hatchlings resulting from eggs incubated in laboratory or field environments to demonstrate greater variability.

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