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Precautions and Warnings With Fluticasone Propionate Nasal Spray

There are many precautions and warnings with fluticasone propionate nasal spray to be aware of, including information on who should not take the medicine. You should avoid using the nasal spray if you are allergic to any components of the medicine. It is also important to know that fluticasone propionate nasal spray may suppress the immune system, slow the growth of children, and slow healing.

Fluticasone Propionate Nasal Spray: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to using the fluticasone propionate nasal spray (Flonase®) if you have:
 
  • Recently had nasal surgery
  • Sores or injury to the inside of your nose
  • Not had chickenpox or the measles (or have not been vaccinated against them)
  • Tuberculosis, herpes, or any other infections
  • Any allergies, including allergies to food, dyes, or preservatives.
     
Also, let your healthcare provider know if you are:
 
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
     
Make sure to tell your healthcare provider about all other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 

Specific Warnings and Precautions for Fluticasone Propionate Nasal Spray

Some warnings and precautions to be aware of prior to using the fluticasone propionate nasal spray include the following:
 
  • Fluticasone propionate nasal spray is a steroid and may suppress the immune system. Although this is more likely to occur with oral steroids, it is still possible with nasal steroids (such as fluticasone propionate nasal spray). Taking steroids may put you at a higher risk for infections. Certain infections (such as chickenpox or the measles) may be more dangerous if you are using fluticasone propionate nasal spray. Let your healthcare provider know right away if you are exposed to chickenpox or the measles (if you have not had these infections and have not been vaccinated against them). Rarely, fluticasone propionate nasal spray can lead to yeast infections in the nose and throat (as a result of a suppressed immune system).
     
  • If you are switching from an oral steroid to fluticasone propionate nasal spray (which is a nasal steroid), your healthcare provider should slowly decrease your dose of the oral steroid. Stopping an oral steroid too quickly can be very dangerous.
     
  • Fluticasone propionate nasal spray can suppress the body's ability to make natural steroids. Usually, this happens when too much fluticasone propionate is used (or when a drug interaction with fluticasone propionate nasal spray occurs). In such circumstances, you should stop using the fluticasone propionate nasal spray very slowly to give your body a chance to begin making natural steroids again.
     
  • Like all steroids, fluticasone propionate nasal spray may slow down the growth rate of children and teenagers. Contact your child's healthcare provider if you are concerned about a slow growth rate in your child.
     
  • Fluticasone propionate nasal spray can cause glaucoma or cataracts (conditions of the eyes), or may make these conditions worse.
     
  • Before starting fluticasone propionate nasal spray, be sure to tell your healthcare provider if you currently have any type of infection. Also, let your healthcare provider know if you have ever had tuberculosis or a herpes infection of the eye, as fluticasone propionate nasal spray may weaken the immune system, allowing these infections to worsen.
     
  • Corticosteroids (such as fluticasone propionate nasal spray) can slow healing. Therefore, if you have had recent nasal surgery or nasal sores, you should wait until healing has occurred before using the fluticasone propionate nasal spray.
     
  • Fluticasone propionate nasal spray can potentially interact with other medications (see Drug Interactions With Fluticasone Propionate Nasal Spray).
     
  • Fluticasone propionate nasal spray is considered a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are not currently known (see Flonase and Pregnancy).
     
  • It is unknown whether fluticasone propionate passes through breast milk. Therefore, if you are breastfeeding or plan to start breastfeeding, discuss this with your healthcare provider prior to taking the drug (see Flonase and Breastfeeding).
     
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