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|BRAND NAME : Fluticasone Oral Inhalation
Fluticasone oral inhalation is used to control the symptoms of asthma (a disease in which the airways become blocked causing difficulty breathing, chest tightness, wheezing, and coughing). Fluticasone is in a class of medications called corticosteroids. It works by decreasing swelling and irritation in the airways to allow for easier breathing. Fluticasone helps to prevent asthma attacks (sudden episodes of shortness of breath, wheezing, and coughing), but it will not work to stop an asthma attack that has already started. Your doctor will probably prescribe a different medication to use whenever you have an asthma attack.
How should this medicine be used:
Fluticasone comes as an aerosol to inhale by mouth. Fluticasone is usually inhaled twice a day. To help you remember to use fluticasone, use it around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use fluticasone exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.
Your doctor will probably start you on a higher dose of fluticasone and may decrease your dose when your symptoms are controlled or increase it if your symptoms have not improved after at least 2 weeks.
Fluticasone controls asthma but does not cure it. Your symptoms may improve 24 hours after you begin taking fluticasone, but it may take 2 weeks or longer before you feel the full benefit of the medication. Continue to take fluticasone even if you feel well. Do not stop taking fluticasone without talking to your doctor. If you miss doses or stop using fluticasone, your symptoms may return. Your doctor will probably decrease your dose gradually.
The inhaler that comes with fluticasone aerosol is designed for use only with a canister of fluticasone. Never use it to inhale any other medication, and never use any other inhaler to inhale fluticasone.
If you are using any other inhaled medications, ask your doctor or pharmacist whether you should inhale these medications a certain amount of time before or after you you use fluticasone inhalation.
Each canister of fluticasone aerosol is designed to provide 60 or 120 inhalations, depending on its size. After the labeled number of inhalations has been used, later inhalations may not contain the correct amount of medication. You should keep track of the number of inhalations you have used and throw away the canister after you have used the labeled number of inhalations even if it still contains some liquid. You can divide 60 or 120 by the number of inhalations you use each day to find out how many days your inhaler will last.
Before you use your fluticasone aerosol inhaler the first time, read the written instructions that come with it. Look at the diagrams carefully and be sure that you recognize all the parts of the inhaler. Ask your doctor, pharmacist, or respiratory therapist to show you how to use it. Practice using the inhaler while he or she watches.
To use the aerosol inhaler, follow these steps:
Be sure that the inhaler is at room temperature. Shake the inhaler well for 15 seconds
Remove the cap form the mouthpiece. The strap on the side of the cap will stay attached to the actuator to keep the cap from getting lost. If the strap does come off and the cap gets lost, check the mouthpiece for dirt and other objects before each use.
Be sure the canister is correctly inserted in the actuator.
If you are using the inhaler for the first time, or you have not used the inhaler in at least 4 weeks, hold it pointing away from you and release four sprays into the air. If you have not used the inhaler in 1-3 weeks, release one spray into the air. Be careful not to spray the medication into your eyes.
Breathe out through your mouth.
Hold the inhaler facing you with the mouthpiece on the bottom. Place your thumb under the mouthpiece and your index finger on the top of the canister. Place the mouthpiece in your mouth and close your lips around it or hold the inhaler 1-2 inches away from your open mouth.
Breathe in deeply and slowly through your mouth. At the same time, press down firmly on the top of the canister with your index finger.
Continue to inhale and try to hold your breath for 10 seconds.
While you are holding your breath, remove the inhaler from your mouth and let go of the canister. Breathe out.
If your doctor told you to inhale more than one puff, wait 30 seconds, shake the canister again, and repeat steps 5-9 for each puff.
Put the cap back on the mouthpiece.
Rinse your mouth with water, but do not swallow the water.
Other uses for this medicine:
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Before using fluticasone oral inhalation,
tell your doctor and pharmacist if you are allergic to fluticasone, other corticosteroids that are inhaled by mouth such as beclomethasone (QVAR), budesonide (Pulmicort), flunisolide (Aerobid), fluticasone (Flovent), and triamcinolone (Azmacort), any other medications, peanuts, or soy.
tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or have recently taken. Be sure to mention any of the following: amiodarone (Cordarone); antifungals such as fluconazole (Diflucan), itraconazole (Sporanox), and ketoconazole (Nizoral); cimetidine (Tagamet); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Rescriptor); diltiazem (Cardizem, Dilacor, Tiazac); fluoxetine (Prozac, Sarafem); fluvoxamine (Luvox); HIV protease inhibitors such as indinavir (Crixivan) nelfinavir (Viracept), ritonavir (Norvir) and saquinavir (Invirase, Fortovase); isoniazid (INH, Nydrazid); metronidazole (Flagyl); nefazodone (Serzone); oral contraceptives (birth control pills); oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone); paroxetine (Paxil); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); and zafirlukast (Accolate). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
tell your doctor if you have or have ever had tuberculosis (a type of infection) in your lungs, cataracts (clouding of the lens of the eye), or glaucoma (an eye disease), and if you now have any type of untreated infection anywhere in your body or a herpes infection (a type of infection that causes a sore on the eyelid or eye surface) in your eye.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking fluticasone, call your doctor.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking fluticasone.
you should know that fluticasone may decrease your ability to fight infection. Stay away from people who are sick and wash your hands often. Be especially careful to stay away from people who have chicken pox or measles. Tell your doctor right away if you find out that you have been around someone who has one of these viruses.
if you have been taking oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), prednisolone (Pediapred, Prelone), or prednisone (Deltasone), your doctor may want to gradually decrease your steroid dose starting one week after you begin using fluticasone. Special caution is needed for several months as your body adjusts to the change in medication. If you have any other medical conditions, such as nasal allergies, conjunctivitis (eye infection), arthritis, or eczema (a skin disease), they may worsen when your oral steroid dose is decreased. Tell your doctor if this happens or if you experience any of the following symptoms during this time: extreme tiredness, muscle weakness or pain; sudden pain in stomach, lower body or legs; loss of appetite; weight loss; upset stomach; vomiting; diarrhea; dizziness; fainting; depression; irritability; and darkening of skin. Your body may be less able to cope with stress such as surgery, illness, severe asthma attack, or injury during this time. Call your doctor right away if you get sick and be sure that all health care providers who treat you know that you recently replaced your oral steroid with fluticasone inhalation. Carry a card or wear a medical identification bracelet to let emergency personnel know that you may need to be treated with steroids in an emergency.
you should know that fluticasone inhalation sometimes causes wheezing and difficulty breathing immediately after it is inhaled. If this happens, use your fast acting (rescue) asthma medication right away and call your doctor. Do not use fluticasone inhalation again unless your doctor tells you to do so.
you should tell your doctor if your asthma worsens during treatment. Call your doctor if you have an asthma attack that does not stop when you use your fast acting asthma medication, or if you need to use more of your fast acting medication than usual.
Special dietary instructions:
Talk to your doctor about drinking grapefruit juice while taking this medication.
If I forget a dose:
Skip the missed dose and continue your regular dosing schedule. Do not use a double dose to make up for a missed one.
What side effects:
Fluticasone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
stuffy or runny nose
back or joint pain
Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
sore throat, cough, fever, chills, or other signs of infection
painful white patches in mouth or throat
burning or tingling in hands, feet, arms, or legs
new or increased acne (pimples)
enlarged face and neck
irregular menstruation (periods)
swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
difficulty breathing or swallowing
chest pain or tightness
red or fluid filled bumps on skin
burning, tingling, or numbness in arms or legs
Fluticasone may cause children to grow more slowly. It is not known whether using fluticasone decreases the final adult height that children will reach. Talk to your child's doctor about the risks of giving this medication to your child.
Fluticasone may increase your risk of developing osteoporosis (a condition in which the bones become thin and weak and break easily). Talk to your doctor about the risks of using this medication.
Fluticasone may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
What storage conditions:
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Store the inhalation aerosol with the mouthpiece down and protect it from freezing and direct sunlight. Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication. Do not puncture the aerosol container and do not throw it away in an incinerator or fire.
In case of overdose:
In case of overdose, call your local poison control center. If the victim has collapsed or is not breathing, call local emergency services at 911.
Inhaling too much fluticasone on a regular basis over a long period of time may cause the following symptoms:
enlarged face and neck
new or worsening acne
irregular menstrual periods
loss of appetite
fainting or dizziness when standing up from a sitting or lying position
darkening of skin
If you are using the aerosol, you should clean your inhaler at least once a day. Remove the metal canister and rinse the case and cap in warm running water. Dry thoroughly and replace the canister and cap.
Keep all appointments with your doctor.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
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