Why is this medication prescribed?

Flovent HFA (fluticasone propionate inhalation aerosol) is a prescription medication primarily used to prevent asthma attacks and to treat symptoms of asthma such as wheezing, shortness of breath, and coughing. It belongs to a class of drugs called corticosteroids, which work by reducing inflammation in the airways, making breathing easier.

Flovent HFA is usually prescribed for long-term control of asthma, rather than for immediate relief of symptoms during an asthma attack. It is often prescribed alongside other asthma medications, such as bronchodilators, to provide comprehensive asthma management.

How should this medicine be used?

Flovent HFA (fluticasone propionate inhalation aerosol) is prescribed for the treatment of asthma, particularly for the long-term management of asthma symptoms and prevention of asthma attacks. Here are the general instructions for using Flovent HFA:

• Prepare the Inhaler: Remove the inhaler from its packaging and shake it well for about 5 seconds to ensure that the medication is properly mixed.
• Prime the Inhaler: If you are using the inhaler for the first time or if you haven’t used it for a while, you may need to prime it to ensure that you get the right dose of medication. Priming involves releasing a test spray into the air. To prime the inhaler, point it away from your face and press down on the canister to release the spray. Repeat this process until a fine mist appears.
• Breathe Out: Before using the inhaler, breathe out fully to empty your lungs as much as possible.
• Hold the Inhaler Correctly: Hold the inhaler in an upright position with the mouthpiece facing you, and make sure the canister is firmly in place.
• Seal Your Lips Around the Mouthpiece: Place the mouthpiece of the inhaler in your mouth, sealing your lips around it to create a tight seal.
• Inhale the Medication: While holding the inhaler upright, start to inhale slowly and deeply through your mouth. As you start to breathe in, simultaneously press down firmly on the canister to release one puff of medication into your airways.
• Hold Your Breath: After you have inhaled the medication, remove the inhaler from your mouth and hold your breath for about 10 seconds, or as long as is comfortable for you. This allows the medication to reach deep into your lungs.
• Breathe Out Slowly: Exhale slowly and gently through your mouth.
• Repeat if Necessary: If your healthcare provider has prescribed more than one puff per dose, wait about 30 seconds to 1 minute before taking the next puff. Shake the inhaler again and repeat the steps for each additional puff as prescribed.
• Rinse Your Mouth: After using the inhaler, rinse your mouth with water to help prevent any potential side effects such as throat irritation or oral fungal infections.
• Close the Inhaler: After using the inhaler, replace the cap securely to protect it from dust and debris.
• Clean the Inhaler: Wipe the mouthpiece with a clean, dry tissue or cloth regularly to keep it clean and prevent blockages.

It’s important to follow the specific instructions provided by your healthcare provider for the correct dosage and frequency of use of Flovent HFA. If you have any questions or concerns about how to use the inhaler properly, consult your healthcare provider or pharmacist for guidance.

Other uses for this medicine

Some off-label uses of Flovent HFA may include:

• Chronic Obstructive Pulmonary Disease (COPD): Some healthcare providers may prescribe Flovent HFA off-label for the management of COPD (chronic obstructive pulmonary disease), particularly in cases where there is significant inflammation in the airways.
• Allergic Rhinitis: Flovent HFA may be used off-label to help manage symptoms of allergic rhinitis (hay fever), particularly when nasal symptoms are not adequately controlled with other medications.
• Eosinophilic Esophagitis: In some cases, healthcare providers may prescribe Flovent HFA off-label to help reduce inflammation and symptoms associated with eosinophilic esophagitis, a chronic allergic inflammatory condition of the esophagus.

What special precautions should I follow?

As for special precautions when using Flovent HFA, here are some important considerations:

• Follow Prescribed Dosage: Use Flovent HFA exactly as prescribed by your healthcare provider. Do not exceed the recommended dosage or frequency of use unless instructed to do so by your doctor.
• Regular Monitoring: Your healthcare provider may periodically monitor your asthma symptoms and lung function to assess the effectiveness of Flovent HFA and to make any necessary adjustments to your treatment plan.
• Use with Caution in Certain Populations: Special caution may be needed when using Flovent HFA in certain populations, such as children, older adults, and individuals with certain medical conditions (e.g., diabetes, osteoporosis). Your healthcare provider will consider these factors when prescribing Flovent HFA and may adjust the dosage accordingly.
• Rinse Mouth After Use: To minimize the risk of oral thrush (a fungal infection in the mouth), rinse your mouth with water after each use of Flovent HFA. Spit out the water without swallowing it.
• Inform Healthcare Providers: Make sure to inform all healthcare providers involved in your care (e.g., doctors, dentists, pharmacists) that you are using Flovent HFA, especially if you are scheduled for any surgical procedures or dental work.
• Storage: Store Flovent HFA at room temperature, away from moisture, heat, and direct sunlight. Do not puncture or incinerate the canister, even if it is empty.
• Emergency Situations: Flovent HFA is not intended for the relief of acute bronchospasm or asthma attacks. Make sure you have a rescue inhaler (e.g., albuterol) on hand for use during sudden asthma attacks or worsening symptoms.

Always consult your healthcare provider or pharmacist if you have any questions or concerns about the use of Flovent HFA and any special precautions that may apply to your situation.

What special dietary instructions should I follow?

As for special dietary instructions, there are no specific dietary restrictions associated with the use of Flovent HFA. However, it’s essential to maintain a balanced diet and follow any dietary recommendations provided by your healthcare provider, especially if you have other medical conditions that require dietary modifications.

What should I do if I forget a dose?

If you forget to take a dose of Flovent HFA, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up. If you have any concerns or questions about missed doses, consult your healthcare provider or pharmacist for guidance.

What side effects can this medication cause?

Flovent HFA (fluticasone propionate inhalation aerosol) is generally well-tolerated when used as prescribed. However, like any medication, it may cause side effects in some individuals. Common side effects associated with the use of Flovent HFA may include:

• Throat Irritation: This may manifest as a sore throat, hoarseness, or coughing. Rinsing your mouth with water after each use can help minimize this side effect.
• Oral Thrush: Flovent HFA may increase the risk of developing oral thrush, which is a fungal infection in the mouth. Rinsing the mouth after each use and practicing good oral hygiene can reduce this risk.
• Headache: Some individuals may experience headaches while using Flovent HFA.
• Nausea: Nausea or vomiting may occur in some cases, although this is less common.
• Nasal Congestion: Flovent HFA may cause nasal congestion or a runny nose in some individuals.
• Voice Changes: Some people may notice changes in their voice quality, such as hoarseness or a deepening of the voice.
• Coughing: Although Flovent HFA is primarily used to treat asthma-related coughing, it may paradoxically cause coughing as a side effect in some individuals.
• Increased Risk of Infections: Long-term use of inhaled corticosteroids like Flovent HFA may slightly increase the risk of respiratory infections, including pneumonia and bronchitis.
• Oropharyngeal Candidiasis: This is a fungal infection in the throat caused by Candida species. Symptoms include white patches in the mouth or throat, sore throat, and difficulty swallowing.
• Adrenal Suppression: Prolonged use of high doses of Flovent HFA may potentially suppress the adrenal glands’ function, leading to adrenal insufficiency. This is more common with systemic corticosteroid use but may still occur with inhaled corticosteroids, particularly at high doses.

It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects not listed here. If you experience any persistent or bothersome side effects while using Flovent HFA, or if you have concerns about potential side effects, it’s crucial to contact your healthcare provider for further evaluation and guidance. Additionally, if you experience any severe or life-threatening symptoms, such as difficulty breathing or swelling of the face or throat, seek immediate medical attention.

What should I know about storage and disposal of this medication?

Storage and disposal of Flovent HFA:

• Storage: Store Flovent HFA at room temperature, away from moisture, heat, and direct sunlight. The ideal temperature range for storage is usually between 68°F to 77°F (20°C to 25°C). Do not store Flovent HFA in the bathroom. Keep the inhaler canister away from open flame or high heat, such as in a car on a hot day, as it may burst. Keep the canister tightly closed when not in use.
• Disposal: Dispose of expired or unused Flovent HFA inhalers properly according to local regulations or guidelines. Do not puncture, break, or incinerate the inhaler canister, even if it is empty. Check with your pharmacist or local waste disposal facility for instructions on how to safely dispose of unused medications.

In case of emergency/overdose

• In case of an overdose or emergency situation such as severe asthma symptoms not relieved by the prescribed dose, seek immediate medical attention.
• Symptoms of overdose may include increased heart rate, chest pain, tremors, nervousness, or seizures.

What other information should I know?

• Follow your healthcare provider’s instructions carefully regarding the use of Flovent HFA.
• Inform your healthcare provider about any other medications you are taking, including prescription, over-the-counter, or herbal supplements.
• Keep track of your asthma symptoms and report any changes to your healthcare provider.
• It may take several days to weeks of regular use before you notice the full benefit of Flovent HFA. Do not stop using it suddenly without consulting your healthcare provider, even if you feel better.
• Rinse your mouth with water and spit after each use of Flovent HFA to reduce the risk of developing thrush (yeast infection in the mouth).
• Contact your healthcare provider if you experience any side effects or concerns while using Flovent HFA.

Always follow the advice of your healthcare provider regarding the use, storage, and disposal of Flovent HFA. If you have any questions or concerns, don’t hesitate to ask your pharmacist or healthcare provider for clarification.