Indications 

Fluticasone is prescribed to manage and prevent asthma symptoms, including wheezing and shortness of breath. Its mechanism of action involves reducing airway inflammation and swelling in the lungs, facilitating easier breathing. By effectively controlling asthma symptoms, this medication enables individuals to maintain their regular activities and minimize absenteeism from work or school.  

Fluticasone belongs to the class of corticosteroids, known for their therapeutic effects. Utilize this medication regularly for optimal results, as its efficacy is not immediate. However, fluticasone should not be used to alleviate sudden asthma attacks. In the event of an asthma attack, the prescribed quick-relief inhaler, such as albuterol (referred to as salbutamol in some countries), should be promptly employed. 

Uses and Dosage 

For adult and adolescent patients aged 12 years and older, the initial dosage is determined based on their previous asthma treatment and the severity of the condition. This includes an assessment of their current control over asthma symptoms and the likelihood of future exacerbations. In cases where patients are not receiving inhaled corticosteroids, the recommended starting dosage is 100 mcg administered twice daily, with an interval of approximately 12 hours.  

Higher dosages may be prescribed to enhance asthma control for patients already on other treatments or those who do not achieve satisfactory results with the initial dosage after two weeks of therapy. The maximum recommended dosage for patients 12 years and older is 1,000 mcg twice daily. 

Side Effects 

Common Side Effects

Potential side effects of this medication include: 

• Hoarseness  
• Throat irritation 
• Headache 

If these effects persist or worsen, inform your doctor or pharmacist. Remember that your doctor has prescribed this medication because they have determined that the benefits outweigh the risks of potential side effects. Many individuals who use this medication do not experience severe side effects. 

Severe Side Effects

However, notify your doctor immediately if you encounter any severe side effects. Examples of serious side effects may include:  

• Presence of white patches in your mouth or on your tongue 
• Indications of infection, such as:  
  • Persistent sore throat 
  • Fever 
  • Chills 
  • Cough 
• Vision problems 
• Increased thirst or urination 
• Easy bruising or bleeding 
• Alterations in mental or mood states, such as:  
  • Depression 
  • Mood swings 
  • Agitation 
• Bone pain 

Cautions 

Before initiating the use of fluticasone, inform your doctor or pharmacist about any known allergies, including allergies to fluticasone or other substances. This medication may contain inactive ingredients, such as lactose or milk proteins, which can elicit allergic reactions or other complications. For additional information regarding the inactive ingredients, consult with your pharmacist. 

Furthermore, before commencing treatment with this medication, disclose your medical history to your doctor or pharmacist. This includes any current or prior infections, such as tuberculosis or herpes, as well as specific eye conditions like cataracts, glaucoma, or herpes infection of the eyes; if you have a history of bone loss (osteoporosis) or liver disease, make your healthcare provider aware of these conditions.