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Drugs reference index «fluticasone furoate Nasal»

fluticasone furoate (Nasal route)

floo-TIK-a-sone FURE-oh-ate

Commonly used brand name(s):

In the U.S.

  • Veramyst

Available Dosage Forms:

  • Spray

Therapeutic Class: Corticosteroid, Strong

Pharmacologic Class: Fluticasone

Uses For fluticasone furoate

Fluticasone furoate is used to treat sneezing, itchy or runny nose, or other symptoms caused by hay fever. fluticasone furoate is a corticosteroid.

fluticasone furoate is available only with your doctor's prescription.

Before Using fluticasone furoate

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For fluticasone furoate, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to fluticasone furoate or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of fluticasone furoate in children. Safety and efficacy have not been established in children younger than 2 years of age.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of fluticasone furoate in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving fluticasone furoate.

Pregnancy

Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Using fluticasone furoate with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Atazanavir
  • Bupropion
  • Clarithromycin
  • Darunavir
  • Indinavir
  • Itraconazole
  • Ketoconazole
  • Nefazodone
  • Nelfinavir
  • Ritonavir
  • Saquinavir
  • Telithromycin
  • Tipranavir

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of fluticasone furoate. Make sure you tell your doctor if you have any other medical problems, especially:

  • Cataracts or
  • Glaucoma—Use with caution. May make these conditions worse.
  • Chickenpox (including recent exposure) or
  • Measles or
  • Herpes simplex (virus) infection of the eye or
  • Infections (virus, bacteria, or fungus), any type of or
  • Tuberculosis, active or history of—fluticasone furoate can reduce the body's ability to fight off these infections.
  • Injury to the nose, recent or
  • Nose surgery, recent or
  • Sores in the nose, recent—fluticasone furoate may prevent proper healing of these conditions.
  • Liver disease, severe—Use with caution. Effects may be increased because of slower removal of the medicine from the body.

Proper Use of fluticasone furoate

fluticasone furoate comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.

fluticasone furoate is for use only in the nose. Do not get any of it in your eyes or on your skin. If it does get on these areas, rinse it off right away.

If you are using the nasal spray for the first time, you will need to prime the spray. To do this, you should release six test sprays into the air away from the face, or pump the bottle until some of the medicine sprays out. Now it is ready to use. Prime the spray if it has not been used for more than 30 days or if the cap has been left off the bottle for 5 days or longer. Shake the medicine well before each use.

Before using the medicine, gently blow your nose to clear the nostrils.

After using the nasal spray, wipe the tip of the bottle with a clean tissue and put the cap back on.

You may need to use fluticasone furoate for a few days before you start to feel better.

Dosing

The dose of fluticasone furoate will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of fluticasone furoate. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For nasal dosage form (spray):
    • For symptoms of hay fever:
      • Adults and children 12 years of age and older—110 micrograms (mcg) or 2 sprays in each nostril once a day. Your doctor may decrease your dose to 55 mcg or 1 spray in each nostril once a day.
      • Children 2 to 11 years of age—55 mcg or 1 spray in each nostril once a day. Your child's doctor may need to increase the dose up to 2 sprays in each nostril once a day depending on your child's condition.
      • Children younger than 2 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of fluticasone furoate, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using fluticasone furoate

It is very important that your doctor check you at regular visits for any problems or unwanted effects that may be caused by fluticasone furoate.

You may get infections more easily while using fluticasone furoate. Tell your doctor right away if you have been exposed to someone with chickenpox or measles. Also tell your doctor if you develop white patches or sores in your nose while you are using fluticasone furoate. This could be symptoms of a candida or yeast infection.

Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor).

fluticasone furoate may cause a serious type of allergic reaction called anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash; itching; hoarseness; trouble breathing; trouble swallowing; or any swelling of your hands, face, or mouth while you are using fluticasone furoate.

fluticasone furoate may slow down a child's growth. If you think your child is not growing properly while using fluticasone furoate, talk with your doctor.

If your symptoms do not improve within a few days or if they become worse, check with your doctor.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

fluticasone furoate Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common
  • Bloody nose
Less common
  • Cough
  • fever
  • headache
  • muscle aches
  • sore throat
  • sores inside nose
  • stuffy or runny nose
  • unusual tiredness or weakness
Incidence not known
  • Difficulty with swallowing
  • dizziness
  • fast heartbeat
  • hives or welts
  • itching
  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • redness of the skin
  • shortness of breath
  • skin rash
  • tightness in the chest
  • wheezing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common
  • Back pain

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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