|Flovent Diskus Inhalation-Local
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Some commonly used brand names are:
In the U.S.—
Fluticasone (floo-TIK-a-sone) belongs to the family of medicines known as corticosteroids (cortisone-like medicines). It is used to help prevent the symptoms of asthma. When used regularly every day, inhaled fluticasone decreases the number and severity of asthma attacks. However, it will not relieve an asthma attack that has already started.
Inhaled fluticasone works by preventing certain cells in the lungs and breathing passages from releasing substances that cause asthma symptoms.
This medicine may be used with other asthma medicines, such as bronchodilators (medicines that open up narrowed breathing passages) or other corticosteroids taken by mouth.
This medicine is available only with your doctor"s prescription, in the following dosage form(s):
Before Using This Medicine
In deciding to use a medicine, the risks of using the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For inhaled fluticasone, the following should be considered:
Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to fluticasone. Also tell your health care professional if you are allergic to any other substances, such as foods, especially milk, preservatives, or dyes.
Pregnancy—Inhaled fluticasone has not been studied in pregnant women. However, in animal studies, fluticasone given by injection was shown to cause birth defects. Also, too much use of corticosteroids during pregnancy may cause other unwanted effects in the infant, such as slower growth and reduced adrenal gland function. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.
Breast-feeding—It is not known whether inhaled fluticasone passes into breast milk. However, in animals given fluticasone by injection, the medicine did pass into breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Mothers who are taking this medicine and who wish to breast-feed should discuss this with their doctor.
Children—Corticosteroids taken by mouth or injection have been shown to slow or stop growth in children and cause reduced adrenal gland function. If enough fluticasone is absorbed following inhalation, it is possible it also could cause these effects. Your doctor will want you to use the lowest possible dose of fluticasone that controls asthma. This will lessen the chance of an effect on growth or adrenal gland function. It is also important that children taking fluticasone visit their doctors regularly so that their growth rates may be monitored. Children who are taking this medicine may be more susceptible to infections, such as chickenpox or measles. Care should be taken to avoid exposure to chickenpox or measles. If the child is exposed or the disease develops, the doctor should be contacted and his or her directions should be followed carefully. Before this medicine is given to a child, you and your child"s doctor should talk about the good this medicine will do as well as the risks of using it.
Older adults—Inhaled fluticasone has been studied in elderly patients and has not been found to cause different side effects or other problems than it does in younger adults.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking fluticasone, it is especially important that your health care professional knows if you are taking any of the following:
Other medical problems—The presence of other medical problems may affect the use of inhaled fluticasone. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
Inhaled fluticasone is used to prevent asthma attacks. It is not used to relieve an attack that has already started. For relief of an asthma attack that has already started, you should use another medicine. If you do not have another medicine to use for an attack or if you have any questions about this, check with your health care professional.
Use this medicine only as directed. Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of side effects. The full benefit of this medicine may take 1 to 2 weeks or longer to achieve.
In order for this medicine to help prevent asthma attacks, it must be used every day in regularly spaced doses, as ordered by your doctor.
Gargling and rinsing your mouth with water after each dose may help prevent hoarseness, throat irritation, and infection in the mouth. However, do not swallow the water after rinsing.
Inhaled fluticasone is used with a special inhaler and usually comes with patient directions. Read the directions carefully before using this medicine. If you do not understand the directions or you are not sure how to use the inhaler, ask your health care professional to show you what to do. Also, ask your health care professional to check regularly how you use the inhaler to make sure you are using it properly.
For patients using the inhalation aerosol :
For patients using the powder for inhalation :
Dosing—The dose of inhaled fluticasone 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 inhaled fluticasone. If your dose is different, do not change it unless your doctor tells you to do so.
The number of puffs that you take or disks that you use depends on the strength of the medicine.
Missed dose—If you miss a dose of this medicine, use it as soon as you remember. Then use any remaining doses for that day at regularly spaced times. Do not double doses.
Storage—To store this medicine:
Precautions While Using This Medicine
Check with your doctor if:
Your doctor may want you to carry a medical identification card stating that you are using this medicine and that you may need additional medicine during times of emergency, a severe asthma attack or other illness, or unusual stress.
Before you have any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are using this medicine.
Side Effects of This Medicine
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:
White patches in mouth and throat
Diarrhea; ear ache; fever; lower abdominal pain; nausea; pain on passing urine; redness or discharge of the eye, eyelid, or lining of the eye; shortness of breath; sore throat; trouble in swallowing; vaginal discharge (creamy white) and itching; vomiting
Blindness, blurred vision, eye pain; large hives; bone fractures; diabetes mellitus [increased hunger, thirst, or urination]; excess facial hair in women; fullness or roundness of face, neck, and trunk; growth reduction in children or adolescents; heart problems; high blood pressure; hives and skin rash; impotence in males; lack of menstrual periods; muscle wasting; numbness and weakness of hands and feet; weakness; swelling of face, lips, or eyelids; tightness in chest, troubled breathing, or wheezing
Incidence not known
Difficulty breathing; difficulty swallowing; dizziness; fast heartbeat; growth rate decreased in children and teenagers; itching, puffiness, or swelling of the eyelids or around the eyes, face, lips, or tongue; noisy breathing; swelling of the mouth or throat; tightness in throat
Other 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. However, check with your doctor if any of the following side effects continue or are bothersome:
Cough; general aches and pains or general feeling of illness; greenish-yellow mucus in nose; headache; hoarseness or other voice changes; loss of appetite; runny, sore, or stuffy nose; unusual tiredness; weakness
Bloody mucus or unexplained nosebleeds; dizziness; eye irritation; feeling "faint"; giddiness; irregular or painful menstrual periods; irritation due to inhalant; joint pain; migraines; mouth irritation; muscle soreness, sprain, or strain; sneezing; stomach pain or burning
Aggression; agitation; bruising; depression; itching; restlessness; weight gain
Incidence not known
Abdominal pain; blurred vision; decrease in height; dry mouth; fatigue; flushed, dry skin; fruit-like breath odor; increased hunger; increased thirst; increased urination; loss of voice; pain in back, ribs, arms or legs; sweating; trouble sitting still; unexplained weight loss
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in the product labeling, fluticasone propionate is used in certain patients with the following medical conditions:
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