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Fluticasone Oral Inhalation

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Why is this medication prescribed?

Fluticasone oral inhalation is used to treat asthma in both adults and children by preventing symptoms like coughing, wheezing, chest tightness, and difficulty breathing. It belongs to a group of drugs called corticosteroids. Fluticasone facilitates breathing by reducing inflammation and edema in the airways.

How should this medicine be used?

Fluticasone is available as a powder to inhale by mouth with an inhaler as well as an aerosol to inhale by mouth with an inhaler. The recommended dosage of fluticasone aerosol oral inhalation (Flovent HFA) is twice daily. Typically, patients who use fluticasone powder for oral inhalation once daily (Armonair, Arnuity Ellipta) or twice daily (Armonair Respiclick, Flovent Diskus) do so. Try to administer fluticasone daily at roughly the same time. Ask your doctor or pharmacist to explain any instructions on your prescription label that you do not understand, and carefully follow their instructions. Fluticasone should only be used as prescribed. Use only as directed by your doctor, neither more nor less of it, nor more frequently.

As part of your fluticasone inhalation therapy, discuss with your doctor how you should use any other oral or inhaled asthma drugs. Ask your doctor if you should use any other inhaled medications for a specific period of time before and after taking fluticasone inhalation if you currently use any other inhaled medications. Your doctor might want to gradually reduce the dosage of any oral steroids you were taking, such as dexamethasone, methylprednisolone (Medrol), or prednisone (Rayos), starting at least a week after you start using fluticasone.

Fluticasone aids in preventing asthma attacks, which are abrupt episodes of wheezing, coughing, and shortness of breath, but it cannot halt an attack that has already begun. Fluticasone should not be taken when having an asthma episode. To use during asthma attacks, your doctor will prescribe a short-acting inhaler.

Fluticasone will likely be prescribed to you by your doctor at an average dose. If your symptoms are under control after at least two weeks, your doctor may reduce your dose; if not, they may raise it.

Asthma cannot be cured by fluticasone, although it can be managed. Fluticasone may help your symptoms within 24 hours of starting treatment, but it may take up to 2 weeks before you notice its full effects. Fluticasone should still be used even if you feel OK. Without consulting your doctor, do not stop taking fluticasone.

Make sure your youngster is familiar with using the inhaler if they will be. Every time your child uses the inhaler, keep an eye on them to make sure they are using it properly.

During your therapy, let your doctor know if your asthma gets worse. If you experience an asthma attack that does not end after using your fast-acting asthma medicine or if you require more fast-acting medication than normal, call your doctor.

Fluticasone aerosol canisters are the only thing that the inhaler that comes with them is meant to be used with. Never use it to provide any other medication, and never administer fluticasone with any other inhaler.

Depending on the type of inhaler, each product can be used for 30, 60, or 120 inhalations. Following the prescribed number of inhalations, further inhalations could not contain the right dosage of medication. You ought to record how many inhalations you’ve taken. How many days your inhaler will last can be calculated by dividing the number of inhalations it has by the number of inhalations you use daily. Even if the canister still has some liquid in it and still sprays when you press it, you should discard it once you’ve utilized the designated number of inhalations. To check if the canister still contains medication, do not float it in the water.

When using a fluticasone aerosol inhaler, keep your distance from heat sources and open flames. If the inhaler is subjected to extremely high temperatures, it may explode.

Read the enclosed written directions before using fluticasone for the first time. Check to see if you can identify every component of the inhaler by carefully studying the diagrams. To learn how to use it, ask your physician, pharmacist, or respiratory therapist. While they are looking at you, practice using the inhaler.

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 oral inhalation,

  • If you have any allergies, including to milk proteins, fluticasone, other drugs, or any of the substances in fluticasone inhalation, let your doctor and pharmacist know right once. Request a list of the components from your pharmacist.
  • Inform your physician and pharmacist of all prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products you are now using or have previously used. Any of the following should be mentioned: itraconazole (Onmel, Sporanox), ketoconazole, and voriconazole (Vfend); clarithromycin (Biaxin); conivaptan (Vaprisol); HIV protease inhibitors, including ritonavir (Norvir, in Kaletra, in Viekira Pak, and other brands), atazanavir (Reyataz, in Evotaz), indinavir (Crixivan), lopinavir (in Kaletra), nelfinavir (Viracept), and saquinavir (Invirase); nefazodone, an antiepileptic drug; dexamethasone, methylprednisolone (Medrol), prednisone (Rayos); and telithromycin (Ketek; no longer sold in the United States). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects. Fluticasone oral inhalation may also interact with many other drugs, so be sure to let your doctor know about all the drugs you’re taking, even if they don’t appear on this list.
  • Fluticasone inhalation should not be used when having an asthma episode. To use during asthma attacks, your doctor will prescribe a short-acting inhaler. If an asthma attack persists despite the use of a fast-acting asthma medicine or if you need to use more fast-acting medication than normal, contact your doctor right away.
  • If you use any other inhaled medications, see your doctor to determine if you should take those medications before or after fluticasone inhalation.
  • Inform your doctor if you or anyone in your family has ever experienced osteoporosis (a condition in which the bones become brittle and prone to breaking), as well as if you have cataracts (clouding of the lens of the eye), glaucoma (an eye disease), liver disease, or TB (a type of lung infection) in your lungs. Also let your doctor know if you smoke or use tobacco products, are bedridden or unable to move around, have a herpes eye infection (a type of infection that results in a sore on the eyelid or eye surface), or have any other untreated infections anywhere on your body.
  • 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 taking fluticasone.
  • Inform the surgeon or dentist that you are taking fluticasone if you are undergoing surgery, including dental surgery.
  • Your other health issues, such asthma, arthritis, or eczema (a skin problem), could get worse if your oral steroid dosage is cut back. If this occurs or if you encounter any of the following symptoms at this time, let your doctor know right away: Extreme fatigue, muscle weakness, or pain, sudden pain in the stomach, lower body, or legs, appetite loss, weight loss, upset stomach, vomiting, diarrhea, dizziness, fainting, depression, irritability, and skin darkening are all symptoms that might occur. During this time, your body may be less able to handle stressors like surgery, illness, severe asthma attacks, or damage. If you become ill, contact your physician very away, and make sure any medical professionals who care for you are aware that you recently switched from an oral steroid to fluticasone inhalation. Carry a card or wear a bracelet with your medical information on it to alert emergency responders that you might require steroid treatment in an urgent situation.
  • If you have never had chickenpox or measles and you have not received a vaccination against these diseases, let your doctor know. Avoid sick people, especially those who have the measles or chickenpox. Call your doctor right once if you are exposed to one of these infections or if you start to exhibit signs of one of these infections. To keep yourself safe from certain infections, you might need therapy.
  • You should be aware that fluticasone might occasionally induce wheezing and breathing problems right away after inhalation. If this occurs, immediately take your fast-acting (rescue) asthma medicine and contact your doctor. Unless your doctor advises you to, refrain from using fluticasone inhalation again.

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?

Ignore the missed dose and carry on with my normal dosing routine. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

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

  • Headache
  • Runny or congested nose
  • Hoarseness
  • Toothache
  • Throat pain or irritation
  • White patches that hurt in the mouth or throat
  • Fever
  • Hearing loss

Some adverse effects can be very harmful. Call your doctor right away if you suffer any of the following symptoms or those listed in the SPECIAL PRECAUTIONS section:

  • Hives
  • Rash
  • Itching
  • Edema of the hands, feet, ankles, lower legs, cheeks, neck, tongue, lips, and eyes
  • Breathing or swallowing challenges
  • Cough
  • Breathing difficulty

Fluticasone might slow down a child’s growth. There isn’t enough data to say whether fluticasone use affects how tall kids end up being when they stop growing. While using fluticasone, your child’s doctor will closely monitor your child’s growth. The hazards of giving your child this medication should be discussed with your child’s doctor.

You may be more likely to develop cataracts or glaucoma if you take fluticasone. Throughout your fluticasone medication, you should probably undergo regular eye exams. If you have any of the following symptoms, including eye pain, redness, or irritation, blurred vision, seeing haloes or vivid colors around lights, or if your vision otherwise changes, let your doctor know. The dangers of using this drug should be discussed with your doctor.

Your risk of osteoporosis may increase as a result of fluticasone use. Discuss the dangers of using this drug with your doctor.

Fluticasone could have other negative effects. 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 http://www.fda.gov/Safety/MedWatch 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 the mouthpiece of your fluticasone aerosol inhaler facing downward while storing it. Store it away from children’s reach, at room temperature, away from excessive heat, and dry (not in the bathroom) environments. You must discard the inhaler six weeks after opening the foil pouch if you’re using the fluticasone powder for inhalation (Flovent Diskus) 50 mcg or the Arnuity Ellipta 50 mcg, 100 mcg, or 200 mcg, or once all of the blisters have been consumed (when the dose counter displays 0), whichever comes first. You must discard the inhaler 2 months after opening the foil pouch if you’re using the fluticasone powder for inhalation (Flovent Diskus) 100 mcg or 250 mcg, or after each blister has been utilized (when the dose counter displays 0), whichever comes first. You must discard fluticasone powder for inhalation (Armonair Respiclick) 30 days after opening the foil pouch or as soon as the dose counter reaches zero, whichever occurs first. Keep the inhaler away from heat sources and open flames when storing it. Keep the inhaler out of the sun and the cold. Avoid puncturing the aerosol bottle and burning it when getting rid of it.

There may be a desiccant packet (a little package containing a chemical that absorbs moisture to keep the drug dry) included in the packaging of your medication. Avoid eating or inhaling it. Remove it from children’s and dogs’ access and dispose of it in the household trash.

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.http://www.upandaway.org

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 http://goo.gl/c4Rm4p for additional information.

What other information should I know?

Keep all of your doctor’s appointments.

Do not share your medication with anybody else. Any queries you may have regarding medication refills should be directed to your pharmacist.

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

  • Armonair® Respiclick
  • Arnuity® Ellipta
  • Flovent® Diskus®
  • Flovent® HFA
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