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Flomist Nasal Spray

Manufactured byCipla Ltd.
Description

Flomist Nasal Spray is a corticosteroid that is used to relieve symptoms associated with asthma and allergic rhinitis in adults and in children above 4 years of age. The topical form of this medicine is used to treat a variety of skin conditions such as eczema and dermatitis. This medicine is not recommended for use as the primary treatment for asthma.

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Side effects

Major & minor side effects for Flomist Nasal Spray

  • White patches in the mouth or on the tongue
  • Bone pain
  • Diarrhea
  • Fever
  • Stomach pain
  • Nausea and vomiting
  • Sore throat
  • Headache
  • Cough
  • Unusual tiredness and weakness
  • Blurred vision
  • Bloody nose
  • Burning, itching, and irritation of the skin
  • Skin rash

Uses of Flomist Nasal Spray

What is it prescribed for?

  • Asthma - Maintenance
  • Allergic rhinitis
  • Inflammatory skin conditions
Read More
Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The amount of time taken by this medicine to show its effect is subject to vary based on the dose strength, the form of administration, and individual constitution.
  • How long do the effects of this medicine last?
    The amount of time for which this medicine remains effective is subject to vary based on the dose strength, the form of administration, and individual constitution.
  • Is it safe to consume alcohol while taking this medicine?
    Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. If the medicine is used, the infant should be monitored closely for any undesired side effects.

Allergy

This medicine is not recommended for use in patients with a known allergy to fluticasone, any other corticosteroids, or any other inactive ingredients present along with it.

Status asthmaticus

This medicine is not recommended for the primary treatment of asthma or other acute episodes of asthma where intensive measures are needed.

Nasal injury or Surgery

The nasal spray form of this medicine is not recommended for use in patients who have undergone a nasal surgery or have a nasal injury that is not completely healed.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. If the medicine is used, the infant should be monitored closely for any undesired side effects.
General warnings

Growth retardation

This medicine may cause growth retardation in some children. Therefore, children receiving this medicine should be monitored closely with regard to growth parameters. The dose should be titrated to the minimum effective dose to reduce the chances of such side effects. Replacement with a suitable alternative may be necessary in some cases based on the clinical condition.

Visual disturbance

This medicine may cause blurred vision or other visual disturbances in some patients. Report any such symptoms to the doctor immediately. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Nosebleed and nasal ulceration

This medicine may cause nosebleeds and nasal ulcerations in some patients. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Candida infection

Patients using the systemic forms of this medicine for extended periods of time should be examined for candida infection or any other signs of adverse effects on the nasal and oral mucosa. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Impaired wound healing

The nasal spray form of this medicine is not recommended for use in patients who have experienced recent nasal trauma, nasal septal ulcers, nasal surgery, etc. until complete healing has occurred since this medicine may delay healing and worsen the patient's condition.

Missed Dose

Inhaler/Nasal spray/Topical forms: Use/apply the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Instructions

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine

Mifepristone

Clarithromycin

Ketoconazole

Omacetaxine

Disease interactions

Hyperadrenocorticism

This medicine should be used with caution in patients having a high level of adrenal hormones in the body due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Infections

This medicine should be used with extreme caution in patients with latent or active infections since this medicine can suppress the immune system and worsen the patient's condition. This risk is especially higher in patients on high doses of this medicine for a prolonged period of time. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Ocular herpes infection

This medicine should be used with caution in patients with an ocular herpes infection due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Ocular Toxicities

This medicine should be used with extreme caution in patients with a history of cataracts, glaucoma, or increased intraocular pressure due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Osteoporosis

This medicine should be used with caution in patients with osteoporosis since this medicine may cause loss of bone density and further worsen the existing condition. Close monitoring of bone density, appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Hepatic impairment

This medicine should be used with caution in patients with liver impairment due to the increased risk of severe adverse effects. Close monitoring of liver function may be required during treatment with this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

Diabetes

This medicine may alter the blood glucose levels in patients with diabetes. This interaction is based on the amount applied, the concentration of the medicine, and the size of the application area. Close monitoring of blood glucose levels is necessary for such patients during treatment with this medicine. Replacement with a suitable alternative may be required based on the clinical condition.

Diaper rash

This medicine should not be applied to diaper rashes since the risks of systemic absorption and associated complications are significantly high. Replacement with a suitable alternative should be considered under your doctor's supervision.
Food interactions
Information not available.
Lab interactions
Information not available.
Inhaler/Nasal spray: Use this medicine exactly as advised by your doctor. Do not use in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor. Topical forms: Apply a thin layer of the medicine to the affected area as instructed by the doctor. Follow all the usage instructions mentioned on the label or the package insert. Do not apply in larger or smaller quantities than recommended. Do not cover the application area with bandages or other coverings unless specifically instructed by the doctor. Contact your doctor if symptoms do not improve or resolve after 2 weeks of use.
Miscelleneous

Usage does not depend on food timings

To be taken as instructed by doctor

Does not cause sleepiness

How it works
This medicine works by inhibiting the release of certain substances in the body that cause inflammation (swelling, redness, pain, etc).
Legal Status

Approved

Approved

Approved

Approved

Classification

Category

Inhaled corticosteroids, Nasal steroids, Topical Corticosteroids

Schedule

Schedule H

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147057/

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https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=672ee961-c33f-45bd-bd85-e65d26986df2

DailyMed - fluticasone propionate cream [Internet]. Dailymed.nlm.nih.gov. 2018 [cited 20 March 2018]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=14c8d082-b301-8f09-a509-950459ae0a28

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https://medlineplus.gov/druginfo/meds/a601056.html

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https://www.medicines.org.uk/emc/product/936

Fluticasone propionate - DrugBank [Internet]. Drugbank.ca. 2018 [cited 20 March 2018]. Available from:

https://www.drugbank.ca/drugs/DB00588

[Internet]. Davisplus.fadavis.com. 2018 [cited 20 March 2018]. Available from:

https://davisplus.fadavis.com/3976/meddeck/pdf/fluticasone.pdf

[Internet]. Fda.gov. 2018 [cited 20 March 2018]. Available from:

https://www.fda.gov/ohrms/dockets/ac/04/briefing/2004-4067b1_08_flonase%20label%20kp.pdf

[Internet]. Accessdata.fda.gov. 2018 [cited 20 March 2018]. Available from:

https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/021152s002lbl.pdf
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Information on this page was last updated on 22 Mar 2018

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