Indications 

Flonase Nasal Spray is a prescription medication indicated for the treatment of nasal symptoms associated with perennial nonallergic rhinitis in adult and pediatric patients aged four years and above. 

Flonase belongs to a class of drugs called corticosteroids and works directly in the nasal region. It functions by inhibiting multiple inflammatory allergic substances, thereby alleviating a range of severe allergy symptoms, including nasal congestion, sneezing, itchy and watery eyes, and a runny nose. 

Uses and Dosage 

Before using Flonase Nasal Spray and every time you get a refill, thoroughly peruse its patient information leaflet and medication guide. Do not hesitate to consult your healthcare provider or pharmacist for questions and clarifications. 

The dosage of Flonase Nasal Spray is individualized based on the patient’s age, medical condition, and response to the treatment. If given a prescription different from the standard dosing regimen provided here, adhere to the instructions of your physician. 

The usual suggested initial doses of Flonase Nasal Spray are: 

• For adults: 2 sprays per nostril once daily, equivalent to 200 mcg daily. 
• For adolescents and children aged four years and above: 1 spray per nostril once daily, equivalent to 100 mcg daily. 

Flonase Nasal Spray is intended for intranasal use only. Do not ingest the spray, and exercise caution to prevent accidental exposure to your mouth or eyes while spraying. 

If Flonase Nasal Spray is newly purchased, not used for one week or more, or when the nozzle has been recently cleaned, priming the nozzle is necessary.   

Here are the steps to follow for priming: 

1. Gently shake the bottle and remove the green cap. 
2. Direct the bottle away from your face and press the white lid to initiate the spray. 
3. Prime the lid by pumping it until a fine mist emerges. 
4. If no mist appears after six pumps, the nozzle may be obstructed, requiring cleaning before use. 

After the nozzle has been cleaned and primed, the nasal spray is ready for use. Here are the steps to follow for administration: 

1. Blow your nose gently to clear your nostrils. 
2. Insert the nozzle tip into one nostril and use your finger to close the other nostril. 
3. Aim the nozzle slightly away from the center of your nose, press the white nozzle, and inhale the mist gently.  
4. Exhale through your mouth. Repeat the process if your dosage requires two sprays. 
5. Repeat the entire process in the other nostril. 
6. Clean the nozzle using a tissue and then put back the green cap in its place. 

For optimal efficacy, use Flonase Nasal Spray regularly at the same time(s) of the day daily.  

Adhere to the precise guidelines for using Flonase Nasal Spray. Avoid spraying more or less of it or using it more frequently than instructed by your healthcare provider. 

Side Effects 

Potential adverse reactions associated with Flonase Nasal Spray are listed below. If any of them persist or worsen, inform your physician promptly. 

Common Side Effects 

• Minor nosebleed, burning or itching sensation in the nasal area 
• Presence of sores or white patches inside or around the nose 
• Difficulty breathing or persistent cough 
• Experiencing headache or back pain 
• Sinus pain, sore throat, and fever 
• Feeling nauseous and vomiting 

Serious Side Effects 

• Experiencing severe or ongoing nosebleeds 
• Having noisy breathing, runny nose, or crusting around nostrils 
• Presence of redness, sores, or white patches in the mouth or throat 
• Showing signs of fever, chills, and body aches 
• Experiencing blurred vision, eye pain, or seeing halos around lights 
• Presence of non-healing wounds 
• Signs of a hormonal disorder such as:
  • Worsening fatigue or muscle weakness
  • Feeling light-headed
  • Nausea/vomiting 

Call your doctor immediately if any of the severe symptoms listed above occur. 

Allergic Reactions 

Prompt medical attention should be sought if any signs of an allergic reaction to Flonase Nasal Spray are exhibited, such as: 

• Rash 
• Difficult breathing 
• Severe dizziness 
• Swelling or itching of the face, lips, tongue, throat, or neck 

The adverse effects of Flonase Nasal Spray listed here are not exhaustive. Notify your doctor promptly if any unmentioned side effects occur and cause discomfort. 

Cautions 

Inform your healthcare provider or pharmacist of any hypersensitivities you may have to Fluticasone, other medications, or any components in Flonase Nasal Spray before starting the treatment. Getting a list of ingredients from your pharmacist is recommended. 

To ensure Flonase Nasal Spray is safe for you, disclose your medical history to your doctor, particularly of:  

• Recent nose issues (such as injury, surgery, or ulcers) 
• Infections (including tuberculosis or herpes eye infection) 
• Certain eye problems (like cataracts or glaucoma) 
• Liver disease 

HIV protease inhibitors (such as lopinavir), ritonavir, among others, can affect the removal of Fluticasone from the body, which may affect how it works. 

To prevent such drug interactions, apprise your doctor and pharmacist about all the prescription and non-prescription medications, dietary supplements, vitamins, and herbal products you use or plan to use. 

Administration of steroid medication like Flonase may have an impact on the growth of children. Inform your physician if your child is not exhibiting a normal growth rate while in this medication. 

The use of Flonase Nasal Spray may reduce the blood cells that fight infections. Avoid close contact with individuals who are ill or have infections. If you come into contact with chickenpox or measles, which can be severe or fatal when using this medication, contact your physician for preventive treatment. 

Flonase Nasal Spray should be used only when deemed necessary during pregnancy. Discuss the advantages and potential risks of use with your physician. 

The presence of Fluticasone in breast milk is not fully understood. Consult your physician before nursing an infant.