In deciding to use a medicine, the risks of using the medicine
must be weighed against the good it will do. This is a decision
you and your doctor will make. For nasal fluticasone, the
following should be considered:
Allergies—Tell your doctor if you have ever
had any unusual or allergic reaction to fluticasone or other
corticosteroids. Also tell your health care professional if you
are allergic to any other substances, such as foods,
preservatives, or dyes.
Pregnancy—Nasal fluticasone has not been
studied in pregnant women. However, in animal studies, fluticasone
given by injection was shown to cause birth defects, although oral
doses did not.
Breast-feeding—It is not known whether nasal
fluticasone passes into breast milk. However, in animals given
fluticasone by injection, the medicine did pass into the milk.
Mothers who are using this medicine and wish to breast-feed should
discuss this with their doctor.
Children—There is no specific information
comparing the use of nasal fluticasone in children up to 4 years
of age with use in other age groups. Corticosteroids taken by
mouth or injection have been shown to slow growth in children and
cause reduced adrenal gland function. Before nasal fluticasone is
given to a child, you and the child's doctor should talk about the
good this medicine will do as well as the risks of using it.
Older adults—Although there is no specific
information comparing use of nasal corticosteroids in the elderly
with use in other age groups, these medicines are not expected to
cause different side effects or problems in older people than they
do in younger adults.
Other medicines—Although certain medicines
should not be used together at all, in other cases two different
medicines may be used together even if an interaction might occur.
In these cases, your doctor may want to change the dose, or other
precautions may be necessary. Tell your health care professional
if you are taking any prescription or nonprescription
(over-the-counter [OTC]) medicines.
This medicine usually comes with patient directions. Read
them carefully before using the medicine.
Before using this medicine, prime the pump on the medicine
bottle and clear the nasal passages by blowing your nose. Then,
insert the nosepiece into the nostril, and with the head tilted
slightly forward, spray while breathing in gently through the
nostril.
Avoid spraying in the eyes.
In order for this medicine to help you, it must be used
regularly as ordered by your doctor. This medicine usually
begins to work in about 12 hours, but several days may pass before
you feel its full effects.
Use this medicine only as directed by your doctor. Do
not use more of it and do not use it more often than your doctor
ordered. To do so may increase the chance of absorption through
the lining of the nose and the chance of unwanted effects.
Dosing—
The dose of nasal fluticasone 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 nasal fluticasone. If your dose is different, do not
change it unless your doctor tells you to do so.
 | For nasal spray dosage form:
 | For allergies:
 | Adults—2 sprays in each nostril once a day, or 1
spray in each nostril two times a day. Later, your
doctor may decrease your dose to 1 spray in each
nostril once a day.
 | Children 4 years of age and older (including
teenagers)—1 spray in each nostril once a day. Your
doctor may need to increase the dose in some children,
up to 2 sprays in each nostril once a day, or 1 spray
in each nostril twice a day.
 | Children younger than 4 years of age—Use and dose
must be determined by your doctor. |
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Missed dose—
If you miss a dose of this medicine, use it as soon as you
remember. However, if it is almost time for your next dose, skip
the missed dose and go back to your regular dosing schedule. Do
not double doses.
Storage—
To store this medicine:
 | Keep out of the reach of children.
 | Store away from heat and direct light.
 | Keep the medicine from freezing. Do not refrigerate.
 | Do not keep outdated medicine or medicine no longer needed.
Be sure that any discarded medicine is out of the reach of
children. |
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