e) Nasal spray

Fluticasone furoate spray is used for:

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Treatment of nasal allergy symptoms, including congestion, sneezing, itching, and runny nose.

Fluticasone furoate spray is a corticosteroid. It works by reducing inflammatory reactions in the nasal airway in response to allergens and irritants in the air.

Do NOT use fluticasone furoate spray if:

you are allergic to any ingredient in fluticasone furoate spray

you have recently had an open sore in your nose, nasal surgery, or a nasal injury and it has not healed yet

you are taking ritonavir

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: New Drug Approvals in 2013 - What Was Hot, What Was Not

New Drug Approvals in 2013 - What Was Hot, What Was Not

Before using fluticasone furoate spray:

Some medical conditions may interact with fluticasone furoate spray. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding

if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

if you have allergies to medicines, foods, or other substances

if you have active or inactive tuberculosis (TB) or you have had a positive skin test for TB

if you have any type of infection (eg, bacterial, fungal, viral, parasitic), including measles, chickenpox, or herpes simplex, in or around the eye

if you have diarrhea or a history of liver problems, asthma, glaucoma or increased pressure in the eye, or cataracts

if you have recently had an open sore in your nose, nasal surgery, or a nasal injury

if you have a medical condition requiring long-term use of corticosteroids (eg, prednisone)

if you have recently received a vaccination

Some MEDICINES MAY INTERACT with fluticasone furoate spray. Tell your health care provider if you are taking any other medicines, especially any of the following:

Azole antifungals (eg, ketoconazole), delavirdine, or protease inhibitors (eg, boceprevir, ritonavir) because they may increase the risk of fluticasone furoate spray's side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if fluticasone furoate spray may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use fluticasone furoate spray:

Use fluticasone furoate spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

An extra patient leaflet is available with fluticasone furoate spray. Talk to your pharmacist if you have questions about this information.

You will need to prime fluticasone furoate spray before you use it for the first time. To prime fluticasone furoate spray, shake it well then spray 6 test sprays in to the air away from your face. You will need to re-prime the medicine if it is not used for 30 days or longer or if the cap is left off the bottle for 5 days or longer

Shake fluticasone furoate spray well before each use.

To use fluticasone furoate spray, gently blow your nose. Remove the cap and hold the spray device upright. Tilt your head forward slightly and place the nozzle in one nostril. Point the end of the nozzle toward the side of your nose (away from the center of your nose). Firmly press the mist release button while breathing in gently through your nose, then remove the nozzle from your nose and breathe out through your mouth. Repeat these steps for the other nostril. After you finish your dose, wipe the nozzle with a clean, dry tissue and replace the cap.

If the patient is a young child, an adult should help the child use fluticasone furoate spray.

Clean the inside of the cap once a week with a clean, dry tissue. Never try to clean the nozzle with a pin or anything sharp; doing so may damage the nozzle.

This bottle contains 120 sprays (not counting the initial priming sprays). Do not use this bottle after 120 sprays have been used. It may not give the correct amount of medicine with each spray.

Use fluticasone furoate spray on a regular schedule to get the most benefit from it. Using fluticasone furoate spray at the same time each day will help you remember to use it.

Continue to use fluticasone furoate spray even if you feel well. Do not miss any doses.

If you miss a dose of fluticasone furoate spray, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use fluticasone furoate spray.

Important safety information:

Do not get fluticasone furoate spray in your eyes or mouth. If you get it in either of these areas, rinse right away with cool water.

Tell your doctor or dentist that you take fluticasone furoate spray before you receive any medical or dental care, emergency care, or surgery.

Symptoms may begin to improve within 24 hours after you start fluticasone furoate spray. However, it may take several days before you notice the full benefit of fluticasone furoate spray. If symptoms do not improve or if the condition worsens, contact your health care provider.

Do NOT use more than the recommended dose or use more often prescribed without checking with your doctor.

If you have NOT had chickenpox or measles, avoid contact with anyone who does. Contact your doctor right away if you are exposed to anyone with these conditions.

Serious side effects may occur if too much of fluticasone furoate spray is used. These effects may also occur in certain patients at the recommended dose. The risk is greater in children. Do not use more than the prescribed dose. Contact your doctor right away if you develop unusual weight gain (especially in the face), muscle weakness, increased thirst or urination, confusion, unusual drowsiness, severe or persistent headache, anxiety, depression, irritability, or vision changes. Discuss any questions or concerns with your doctor.

Fluticasone furoate spray should be used with extreme caution in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.

Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use fluticasone furoate spray.

PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using fluticasone furoate spray while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use fluticasone furoate spray, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of fluticasone furoate spray:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back pain; cough; headache; minor nosebleed; sore throat.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); crusting in the nose; dizziness; redness or white patches in the mouth or throat; severe or persistent nosebleed; severe or persistent pain in the nose or throat; shortness of breath; slow wound healing; symptoms of infection (eg, fever, chills, persistent cough or sore throat); unexplained runny nose; unusual nausea or vomiting; unusual tiredness or weakness; vision changes; whistling sound when you breathe.

This is not a complete list of all side effects that may occur. If you have questions abo