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Fluticasone Nasal Spray

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Why is this medication prescribed?

Fluticasone nasal spray, available without a prescription (over the counter), is used to treat hay fever and other allergic rhinitis symptoms like sneezing, runny, stuffy, or itchy noses, as well as itchy, watery eyes (induced by an allergy to pollen, mold, dust, or animals). Fluticasone nasal spray on prescription is used to treat nonallergic rhinitis symptoms like runny or stuffy nose and sneezing that are not brought on by allergies. Nasal polyps, or swelling of the nasal lining, are treated with fluticasone nasal spray (Xhance), which requires a prescription. Fluticasone nasal spray shouldn’t be used to treat cold-related symptoms including runny, stuffy, or itchy nose. Fluticasone belongs to the corticosteroid drug class. It functions by preventing the release of specific organic compounds that produce allergic symptoms.

How should this medicine be used?

The nasal spray form of fluticasone is available on both a prescription and over-the-counter basis. To treat hay fever and other allergy symptoms, nonprescription fluticasone nasal spray is typically applied once daily, once in each nostril. Fluticasone nasal spray on prescription is typically applied in each nostril once or twice daily to treat nonallergic rhinitis. Fluticasone nasal spray on prescription is often applied twice daily in each nostril to treat nasal polyps. Ask your doctor or pharmacist to explain any instructions on your prescription or product label that you do not understand, and carefully follow them. Follow the fluticasone directions exactly. Use only as suggested on the package label or as your doctor has instructed. Do not use more, less, or more frequently than recommended.

Only the nose should be used to apply fluticasone nasal spray. Avoid spraying the nasal spray into your eyes or mouth, and avoid swallowing it.

Fluticasone nasal spray should only be used by one individual per bottle. Fluticasone nasal spray shouldn’t be shared because it could spread bacteria.

The nasal spray fluticasone does not treat hay fever, allergies, nonallergic rhinitis, or nasal polyps; it just manages their symptoms. Fluticasone may start to relieve your symptoms one to two days after you first use it, but it may take longer before you experience all of its therapeutic benefits. It is preferable to use fluticasone frequently. Unless your doctor has instructed you to only take fluticasone when necessary, use it often. If your symptoms worsen or do not go away after using fluticasone nasal spray over the course of a week without a prescription, consult your doctor.

A specific number of sprays are intended to be delivered by the fluticasone nasal spray. It’s possible that the remaining sprays in the bottle don’t contain the right amount of medication after the designated number of them have been used. Even if the container still has some liquid in it, you should keep note of how many sprays you have used and discard the bottle once you have used the designated amount of sprays.

Read the printed instructions that come with the fluticasone nasal spray before using it for the first time. If you have any queries regarding the administration of the nasal spray, see your physician or pharmacist.

The instructions below should be followed if you’re taking fluticasone nasal spray to treat nonallergic rhinitis, hay fever, or other allergy symptoms:

  1. Before each usage, give the bottle a light shake.
  2. Take off the dust cap.
  3. You must prime the nasal spray pump before using it for the first time or if you haven’t used your nasal spray in a while. Read the manual that came with your nasal spray pump carefully, and ask your doctor or pharmacist to demonstrate how and when to prime the device.
  4. Until your nostrils are clear, blow your nose.
  5. With your head slightly cocked forward and one nostril closed, push the nasal tip of the bottle into the other nostril while maintaining the bottle’s upright position. Start inhaling through your nose. In accordance with the directions that come with your nasal spray pump, pump the spray bottle to release a spray while you are inhaling. slowly inhale through your nose, then slowly exhale through your mouth.
  6. Repeat step 5 if your doctor instructed you to use two sprays, one in each nostril.
  7. Replace the plastic bottle cap after cleaning the applicator with a fresh tissue.

Other uses for this medicine

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before using fluticasone nasal spray,

  • If you have an allergy to fluticasone, any other drugs, or any of the ingredients in fluticasone nasal spray, let your doctor and pharmacist know right away. Request an ingredient list from your pharmacist or look it out on the package label.
  • Inform your physician and pharmacist of all prescription and non-prescription drugs, vitamins, dietary supplements, and herbal products that you are now taking, have recently taken, or intend to take. Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
  • If you have sores in your nose, cataracts (clouding of the lens of the eye), glaucoma (an eye disease), asthma (sudden episodes of wheezing, shortness of breath, and trouble breathing), any type of infection, or herpes infection of the eye (an infection that causes a sore on the eyelid or surface), let your doctor know right away. Also let your physician know if you have ever been exposed to chicken pox, measles, or tuberculosis (TB; a form of lung illness).
  • Inform your physician if you are nursing a baby, intend to get pregnant, or are already pregnant. Call your doctor if you become pregnant while using fluticasone nasal spray.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

The missed dose should be taken as soon as you remember. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Side effects from fluticasone nasal spray are possible. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Headache
  • Nasal dryness, stinging, burning, or irritation
  • Nausea
  • Vomiting
  • Diarrhea
  • Nasal bloody mucus
  • Dizziness

Some adverse effects can be very harmful. Stop taking Fluticasone Nasal Spray and call your doctor or seek emergency medical attention if you have any of these symptoms:

  • Extreme facial pain
  • Thick nasal secretion
  • Infection symptoms like a fever, sore throat, chills, cough, and others
  • Noise coming from the nose
  • Hives
  • Rash
  • Itching
  • Edema of the hands, feet, ankles, lower legs, cheeks, neck, tongue, lips, and eyes
  • Hoarseness
  • Breathing or swallowing challenges
  • Wheezing
  • Feeling dizzy
  • Persistent or severe nosebleeds

It’s important to be aware that this drug may cause youngsters to grow more slowly. If your kid is 2 to 11 years old and requires more than two months of non-prescription fluticasone nasal spray annually, or if your child is 12 years or older and requires more than six months of non-prescription fluticasone nasal spray annually, speak with your child’s doctor.

Fluticasone may make you more likely to develop cataracts or glaucoma. During your fluticasone medication, you’ll probably need to have regular eye exams. Inform your doctor if you experience any of the following vision changes: blurred vision, seeing haloes or bright colors around lights; or eye pain, redness, or discomfort. Discuss the dangers of using this drug with your doctor.

Other adverse effects of fluticasone nasal spray are possible. If you experience any strange issues while taking this drug, call your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online at or by phone at 1-800-332-1088 if you have a serious side event.

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

Keep this medication tightly closed in the original container and out of the reach of children. Keep it at room temperature and out of the bathroom and other places with excessive light, heat, and moisture.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilizing a medicine take-back program is the easiest approach to get rid of your medication. To find out about take-back programs in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back program, see the FDA’s Safe Disposal of Medicines website at for additional information.

In case of emergency/overdose

To report a fluticasone nasal spray ingestion, dial 1-800-222-1222 for your regional poison control center. Dial 911 to reach the nearest emergency services if the sufferer has collapsed or has stopped breathing.

What other information should I know?

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Flonase® Nasal Spray
  • Flonase® Allergy Relief Nasal Spray
  • Flonase® Sensimist Allergy Relief Nasal Spray
  • Xhance® Nasal Spray
  • Dymista® Nasal Spray (as a combination product containing Fluticasone, Azelastine)
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