What is fluticasone nasal?

Fluticasone nasal (for the nose) is a steroid medicine that is used to treat nasal congestion, sneezing, runny nose, and itchy or watery eyes caused by seasonal or year-round allergies.

The Xhance brand of fluticasone nasal is for use only in adults. Veramyst may be used in children as young as 2 years old. Flonase is for use in adults and children who are at least 4 years old.

Fluticasone nasal may also be used for purposes not listed in this medication guide.

Fluticasone nasal side effects

Get emergency medical help if you have signs of an allergic reaction: hives, rash; feeling light-headed; difficult breathing; swelling of your face, lips, tongue, or throat.

Fluticasone nasal may cause serious side effects. Call your doctor at once if you have:

• severe or ongoing nosebleeds;
• noisy breathing, runny nose, or crusting around your nostrils;
• redness, sores, or white patches in your mouth or throat;
• fever, chills, body aches;
• blurred vision, eye pain, or seeing halos around lights;
• any wound that will not heal; or
• signs of a hormonal disorder–worsening tiredness or muscle weakness, feeling light-headed, nausea, vomiting.

Steroid medicine can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Common side effects of fluticasone nasal may include:

• minor nosebleed, burning or itching in your nose;
• sores or white patches inside or around your nose;
• cough, trouble breathing;
• headache, back pain;
• sinus pain, sore throat, fever; or
• nausea, vomiting.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA .

Warnings

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Before taking this medicine

You should not use fluticasone nasal if you are allergic to it.

Fluticasone can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or recently had. Tell your doctor about any illness or infection you have had within the past several weeks.

Tell your doctor if you have ever had:

• sores or ulcers inside your nose;
• injury of or surgery on your nose;
• glaucoma or cataracts;
• liver disease;
• diabetes;
• a weak immune system; or
• any type of infection (bacterial, fungal, viral, or parasitic).

If you use fluticasone nasal without a prescription and you have any medical conditions, ask a doctor or pharmacist if fluticasone nasal is safe for you.

Tell your doctor if you are pregnant or breast-feeding.

How should I use fluticasone nasal?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Do not share this medicine with another person, even if they have the same symptoms you have.

Your dose will depend on the fluticasone brand or strength you use, and your dose may change once your symptoms improve. Follow all dosing instructions very carefully.

A child using the nasal spray should be supervised by an adult.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Shake the nasal spray just before each use.

If you switched to fluticasone from another steroid medicine, you should not stop using it suddenly. Follow your doctor’s instructions about tapering your dose.

It may take several days before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after a week of treatment.

Store fluticasone nasal in an upright position at room temperature, away from moisture and heat. Throw the spray bottle away after you have used 120 sprays, even if there is still medicine left in the bottle.

Fluticasone nasal dosing information

Usual Adult Dose for Rhinitis:

Fluticasone furoate: 2 sprays (27.5 mcg/spray) in each nostril once a day
Fluticasone propionate: 1 or 2 sprays (50 mcg/spray) in each nostril once a day as needed

Comments:
Fluticasone furoate:
-When maximum benefit has been achieved and symptoms have been controlled, reducing the dosage to 55 mcg (1 spray in each nostril) once a day may be effective.

Use: Treatment of symptoms of seasonal and perennial allergic rhinitis

Usual Pediatric Dose for Rhinitis:

2 to 11 years:
Fluticasone furoate: 1 spray (27.5 mcg/spray) in each nostril once a day

4 to 11 years:
Fluticasone propionate: 1 spray (50 mcg/spray) in each nostril once a day

12 years or older:
Fluticasone furoate: 2 sprays (27.5 mcg/spray) in each nostril once a day
Fluticasone propionate: 1 or 2 sprays (50 mcg/spray) in each nostril once a day as needed

Comments:
Fluticasone furoate:
-Children between 2 to 11 years not adequately responding to 55 mcg may use 110 mcg (2 sprays in each nostril) once a day.
-When maximum benefit has been achieved and symptoms have been controlled, reducing the dosage to 55 mcg (1 spray in each nostril) once a day may be effective.

Use: Treatment of symptoms of seasonal and perennial allergic rhinitis

What happens if I miss a dose?

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line .

An overdose of fluticasone nasal is not expected to produce life threatening symptoms. Long term use of steroid medicine can lead to glaucoma, cataracts, thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while using fluticasone nasal?

Avoid getting the spray in your eyes or mouth. If this does happen, rinse with water.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using fluticasone nasal.

What other drugs will affect fluticasone nasal?

Tell your doctor about all your other medicines, especially:

• antifungal medicine; or
• antiviral medicine to treat hepatis C or HIV/AIDS

What is QNASL?

QNASL contains beclomethasone, a corticosteroid. It prevents the release of substances in the body that cause inflammation.

QNASL Nasal Aerosol (80 mcg) is a prescription medicine that treats seasonal nasal and year-round nasal allergy symptoms, such as congestion, sneezing, and runny nose in adults and children 12 years of age and older.

QNASL Nasal Aerosol (40 mcg) is used for the treatment of nasal allergy symptoms in children 4-11 years of age.

Warnings

Before using QNASL nasal spray, tell your doctor if you have been sick or have had an infection of any kind. Also tell your doctor if you have glaucoma or cataracts, herpes simplex infection of your eyes, tuberculosis, sores or ulcers in your nose, or if you have recently had injury of or surgery on your nose.

It may take up to 2 weeks before your symptoms improve. Keep using QNASL nasal spray as directed and tell your doctor if your symptoms do not improve after 1 week of treatment.

To be sure this medication is not causing harmful effects on your nose or sinuses, your doctor may want to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.

Beclomethasone can lower the blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using QNASL. Avoid getting this medication in your eyes. If this does happen, rinse with water and call your doctor.

Steroid medicines such as beclomethasone can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using QNASL.

Before taking this medicine

You should not use QNASL if you are allergic to beclomethasone.

Before using QNASL, tell your doctor if you have been sick or have had any infections. You may not be able to use the nasal spray until you are well.

QNASL should not be given to a child younger than 4 years old.

To make sure QNASL nasal spray is safe for you, tell your doctor if you have ever had:

• asthma;
• glaucoma or cataracts;
• herpes simplex virus of your eyes;
• tuberculosis or any other infection or illness;
• sores or ulcers your nose; or
• an injury or surgery affecting your nose.

It is not known whether beclomethasone nasal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.

It is not known whether beclomethasone nasal passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How should I use QNASL?

Use QNASL nasal spray exactly as prescribed by your doctor. The usual dose is 1 to 2 sprays into each nostril once per day. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

This medicine comes with patient instructions for safe use, and directions for priming and disposal of the nasal spray. Ask your doctor or pharmacist if you have any questions.

Steroid medicine can weaken (suppress) your immune system, and you may get an infection more easily. If you use this medicine long-term, you may need frequent medical tests.

It may take several days before your symptoms improve. Call your doctor if your symptoms do not improve, or if they get worse while using QNASL nasal spray.

Your doctor will need to check your progress while you are using QNASL nasal spray, to make sure this medicine is not causing harm to your nose or sinuses.

Store in an upright position at room temperature, away from moisture and heat.

Throw away the QNASL nasal spray after you have used 120 sprays, or if the dose indicator shows a zero.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line .

An overdose of beclomethasone is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while using QNASL?

Avoid getting this medication in your eyes. If this does happen, rinse with water and call your doctor.

Using steroid medicine can lower blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using QNASL nasal spray.

QNASL side effects

Get emergency medical help if you have signs of an allergic reaction to QNASL: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

• severe or ongoing nosebleed;
• sores in the nose that won’t heal;
• blurred vision, eye pain, or seeing halos around lights;
• signs of a hormonal disorder – worsening tiredness or muscle weakness, anxiety, feeling irritable, feeling light-headed, nausea, vomiting, loss of appetite, diarrhea, weight loss, or weight gain (especially in your face or your upper back and torso); or
• signs of infection – fever, chills, sores or white patches in or around your nose, flu symptoms, redness or swelling.

Beclomethasone can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medicine.

Common QNASL side effects may include:

• discomfort or irritation inside your nose;
• sneezing, runny or stuffy nose;
• nosebleed;
• fever, sore throat;
• headache, nausea; or
• unpleasant taste or smell.