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Flixonase nasal spray

from£19.99

Flixonase Nasal Spray is an effective treatment for relieving symptoms of allergic rhinitis, including hay fever and year-round allergies. It contains the active ingredient fluticasone propionate, a corticosteroid that reduces inflammation in the nasal passages, helping to alleviate congestion, sneezing, and itching. Flixonase is easy to use and provides relief from allergy symptoms, making it easier to breathe and feel comfortable throughout the day. Ideal for managing both seasonal and perennial allergies, Flixonase should be used regularly as directed for the best results.

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Flixonase nasal spray

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1 x 150 dose spray, 2 x 150 dose spray, 3 x 150 dose spray

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Overview

Active ingredients

What is it for?

How does it work?

How do you use it?

Warnings and precautions

Side effects

Drug interactions

FAQs

Download patent leaflet

Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Independent prescriber, Superintendent pharmacist.


Checked By
Dr Sarah Thornton
MbChB, Coaching Academy diploma with distinction

Medical coaching


What is Flixonase?

Flixonase Aqueous Nasal Spray contains the active ingredient fluticasone propionate, a type of corticosteroid (steroid). Corticosteroids work by reducing inflammation, which helps to relieve swelling and irritation in the nasal passages. This action effectively alleviates common allergy symptoms such as itching, sneezing, and a blocked or runny nose. Flixonase is used to treat and prevent allergic rhinitis, providing relief from both seasonal and year-round allergies through its anti-inflammatory effects.

 

What is the active ingredient in Flixonase?

The active ingredient in Flixonase Nasal Spray is Fluticasone propionate.  

What is Flixonase use for?

Flixonase nasal spray is designed to treat both seasonal and perennial allergies, commonly known as allergic rhinitis, including hay fever. While allergic rhinitis is not curable, its symptoms can be effectively managed with the right treatment. Steroid nasal sprays like Flixonase work by inhibiting the immune system's inflammatory response to allergens, preventing symptoms such as sneezing, itchiness, and a blocked or runny nose. Allergic rhinitis occurs due to an overactive immune system. When harmless allergens, like pollen, pet fur, dust mites, or mold spores, enter the nasal passages, the immune system mistakenly identifies them as harmful invaders, similar to viruses. In response, the body produces excess mucus, leading to allergy symptoms. In addition to relieving nasal symptoms, Flixonase spray can also help alleviate eye-related allergy symptoms. It may take a few days for Flixonase to reach its full effectiveness, so it's recommended to start treatment a few days before exposure to allergens like pollen if possible.  

How does Flixonase work?

Flixonase works by utilizing its active ingredient, fluticasone propionate, which is a corticosteroid (a type of steroid). Corticosteroids are known for their powerful anti-inflammatory properties. When you use Flixonase nasal spray, the fluticasone propionate is absorbed into the cells in the lining of your nasal passages. It works by inhibiting the release of certain chemicals that trigger inflammation, such as histamines and cytokines. These chemicals are typically released by the immune system in response to allergens like pollen, dust mites, pet dander, or mold spores. By reducing the inflammation, Flixonase helps to decrease the swelling and irritation in the nasal passages. This action effectively relieves common allergy symptoms such as:
  • Sneezing
  • Itchiness in the nose
  • Blocked or stuffy nose
  • Runny nose
Additionally, Flixonase can help alleviate related eye symptoms such as itchy, watery eyes. Because it acts locally in the nasal passages, Flixonase minimizes the systemic side effects that can occur with oral corticosteroids. However, it usually takes a few days of consistent use to reach its full therapeutic effect, making it important to use the spray regularly during allergy season or when you anticipate exposure to allergens.

How do you use Flixonase?

Always use this medication exactly as directed by your doctor. If you are unsure about how to use it, consult your doctor or pharmacist for guidance.
  • Do not use this medication in children under 4 years old.
  • Only use the spray in your nose, and avoid contact with your eyes.
  • It may take a few days for this medication to start working, so continue using it even if you don't feel immediate relief.
  • Use the spray consistently every day.
Dosage for Adults and Children (12 years and older):
  • The usual starting dose is 2 sprays into each nostril once a day, preferably in the morning.
  • The maximum recommended dose in 24 hours is 8 sprays (4 sprays per nostril).
  • As symptoms improve, your doctor may reduce your dose to 1 spray into each nostril once a day.
  • If your symptoms worsen, your dose may be increased back to the starting dose.
Dosage for Children Aged 4 to 11 Years:
  • The usual starting dose is 1 spray into each nostril once a day, preferably in the morning.
  • The maximum recommended dose in 24 hours is 4 sprays (2 sprays per nostril).
If You Use High Doses of Flixonase:
  • You may need additional steroids during times of extreme stress, following a serious accident or injury, or before surgery.
  • Your doctor may prescribe extra steroid medication, such as tablets or an injection.
Preparing Your Spray:
  • Each spray bottle has a dust cap to protect the nozzle and keep it clean. Always remove the cap before use.
  • If the spray is new or hasn’t been used for a few days, it may need to be "primed." Pump the spray a few times until a fine mist is produced.
  1. Hold the bottle as shown, with the nozzle pointed away from you.
  2. Place your forefinger and middle finger on either side of the nozzle, with your thumb under the bottle.
  3. Keep your thumb steady and press down with your fingers to pump the spray.
  4. If the spray isn’t working and you suspect it’s blocked, you’ll need to clean it. Refer to the "Cleaning your spray" section below.
  5. Never attempt to unblock or enlarge the tiny spray hole with a pin or other sharp object, as this will damage the spray mechanism.
  6. Using Your Spray:
    1. Shake the bottle well and remove the dust cap.
    2. Gently blow your nose to clear your nostrils.
    3. Close one nostril with your finger, and insert the nozzle into the other nostril. Tilt your head slightly forward and keep the bottle upright, holding it as shown in the instructions.
    4. Begin to slowly breathe in through your nose. As you breathe in, press down firmly on the collar with your fingers to release a fine mist into your nostril.
    5. Breathe out through your mouth.
    6. Repeat step 4 to apply a second spray in the same nostril.
    7. Remove the nozzle from your nostril and breathe out through your mouth.
    8. Repeat steps 3 to 6 for your other nostril.
    9. After using the spray, carefully wipe the nozzle with a clean tissue or handkerchief, and replace the dust cap.
    Cleaning Your Spray: Clean your spray at least once a week, or more frequently if it becomes blocked.
    1. Remove the dust cap by gently squeezing the ribbed sides between your finger and thumb and lifting it off. Do not twist it off.
    2. Pull upwards on the white collar to remove the nozzle.
    3. Soak the nozzle and dust cap in warm water for a few minutes.
    4. Rinse them thoroughly under running water.
    5. Shake off any excess water and allow them to dry in a warm place.
    6. Reattach the nozzle to the spray bottle.
    7. 'Prime' the bottle again as outlined in the "Preparing Your Spray" section above.
      If you use more Flixonase than recommended: Inform your doctor if you have used more than the prescribed amount. It's crucial to follow the dosage instructions on the pharmacist’s label or as directed by your doctor. Using more or less than recommended may worsen your symptoms. If you forget to use Flixonase: If you miss a dose, simply take the next dose at the usual time. Do not double up on doses to compensate for the missed one. If you stop using Flixonase: Continue using Flixonase as directed by your doctor, even if you start feeling better. Stopping the treatment suddenly may cause your symptoms to return. Always consult your doctor before discontinuing the medication. If you have any further questions about using this medicine, consult your doctor or pharmacist.

Who should not use Flixonase?

Do not use Flixonase if:
  • You are allergic to fluticasone propionate or any other ingredients in this medicine, please refer to the patient information leaflet.
Warnings and precautions: Consult your doctor or pharmacist before using Flixonase:
  • If you have ever had surgery on your nose.
  • If you have an infection in your nose.
  • Contact your doctor if you experience blurred vision or other visual disturbances.
Other medicines and Flixonase: Inform your doctor if you are currently taking, have recently taken, or might take any other medicines, including those obtained without a prescription, such as herbal remedies. Check with your doctor or pharmacist before using Flixonase if:
  • You have been on steroids for a long time, either as an injection or oral medication.
  • You are taking antiviral medicines known as protease inhibitors (e.g., ritonavir) or cobicistat-containing products, as these may increase the effects of fluticasone propionate. Your doctor may want to monitor you closely.
  • You are taking certain medicines used to treat fungal infections (e.g., ketoconazole).
Taking Flixonase with food and drink: You can use Flixonase at any time of the day, with or without food. Pregnancy and breastfeeding: If you are pregnant, breastfeeding, think you might be pregnant, or are planning to have a baby, consult your doctor for advice before using this medicine. Driving and using machines: Flixonase is unlikely to affect your ability to drive or operate tools and machinery. Flixonase contains benzalkonium chloride: Each unit dose of Flixonase contains 0.02 mg of benzalkonium chloride. This ingredient may cause breathing difficulties (bronchospasm) and could lead to irritation or swelling inside the nose, particularly with long-term use.

What are the side effects of Flixonase?

Like all medicines, Flixonase can cause side effects, although not everyone experiences them. The following side effects may occur: Allergic reactions: Seek immediate medical attention A small number of people may experience allergic reactions to Flixonase, which can become serious or even life-threatening if not treated promptly. Symptoms may include:
  • Severe wheezing, coughing, or difficulty breathing
  • Sudden weakness or light-headedness, which may lead to collapse or loss of consciousness
  • Swelling around the face, mouth, or tongue
  • Skin rashes or redness
If you experience any of these symptoms, contact your doctor immediately as you may require urgent medical treatment. Allergic reactions to Flixonase are very rare (affecting less than 1 in 10,000 people). Immediately after using your spray:
  • You might sneeze briefly, but this should stop soon.
  • Occasionally, you may notice an unpleasant taste or smell.
Notify your doctor if you notice any of the following side effects: Other side effects include: Very common (may affect more than 1 in 10 people):
  • Nosebleeds
Common (may affect up to 1 in 10 people):
  • Headache
  • Unpleasant taste
  • Unpleasant smell
  • Dry or painful nose or throat
Very rare (may affect up to 1 in 10,000 people):
  • Skin reactions, ranging from red, itchy rash and blotches to more severe reactions like dry, cracked, and peeling skin
  • Eye problems, such as pain or blurred vision
  • Damage to your nose
Not known (frequency cannot be estimated from available data):
  • Blurred vision
  • Sores in the nose In rare cases, using Flixonase can cause sores inside the nose.
  • Effects on steroid production Very rarely, Flixonase may impact your body’s natural production of steroids, especially if used in high doses for an extended period. To prevent this, your doctor will ensure you use the lowest effective dose to manage your symptoms. In children, this side effect can occasionally lead to slower growth compared to their peers. Children receiving long-term treatment will have their height monitored regularly by their doctor.
  • Reporting of side effects If you experience any side effects, including those not listed here, speak to your doctor, pharmacist, or nurse. You can also report side effects directly through the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or via the MHRA Yellow Card app available on the Google Play or Apple App Store. Reporting side effects helps to provide more information on the safety of this medicine.
If you experience any of these side effects or if they worsen, contact your doctor or pharmacist.

Does Flixonase interact with other medicines?

Inform your doctor if you are currently taking, have recently taken, or might take any other medications, including those obtained without a prescription, such as herbal remedies. It is important to consult your doctor or pharmacist before using this medicine if:
  • You have been using steroids for a long time, whether as an injection or taken orally.
  • You are taking an antiviral medication known as a protease inhibitor (e.g., ritonavir) or products containing cobicistat, which may enhance the effects of fluticasone propionate. Your doctor may need to monitor you closely if you are on these medications.
  • You are taking certain medications used to treat fungal infections (e.g., ketoconazole).
 

Flixonase FAQs

What is Flixonase?

Flixonase is an aqueous nasal spray used to effectively treat and prevent allergic rhinitis, both seasonal and year-round. The active ingredient in Flixonase is fluticasone propionate, a corticosteroid that works by reducing inflammation and relieving allergy symptoms.

What is Flixonase used for?

Flixonase nasal spray is used to manage and prevent the symptoms of seasonal and year-round allergic rhinitis, including hay fever. Although allergic rhinitis cannot be cured, its symptoms can be managed with proper treatment. Flixonase helps by inhibiting the immune system’s inflammatory response to allergens, preventing symptoms like sneezing, itching, and a blocked or runny nose. It also helps relieve eye-related allergy symptoms.

How does Flixonase work?

Flixonase works by reducing inflammation in the nasal passages, which helps alleviate symptoms of allergic rhinitis, such as a stuffy or runny nose, sneezing, and itchy eyes. The active ingredient, fluticasone propionate, is a corticosteroid that inhibits the immune system’s response to allergens. For best results, it should be used regularly, as directed by a doctor or pharmacist.

Does Flixonase work?

Yes, Flixonase nasal spray is effective in treating and preventing the symptoms of allergic rhinitis. By reducing inflammation in the nasal passages, it helps alleviate common allergy symptoms such as a runny or blocked nose, sneezing, and eye irritation. Consistent use as directed is important for optimal results.

What are alternatives to Flixonase?

If you are unable to use Flixonase or prefer not to use nasal sprays, there are several alternatives available:
  • Over-the-counter (OTC) antihistamines: Piriton, Loratadine, Cetirizine
  • Prescription antihistamines: Telfast, Xyzal
  • OTC nasal sprays: Pirinase, Beclometasone
  • Prescription steroid nasal sprays: Avamys, Nasonex
  • Combination nasal sprays: Dymista (steroid and antihistamine)
  • Eye drops: Opticrom, Optilast
Non-medicinal methods like keeping windows closed on high pollen days, showering regularly to remove pollen, and wearing sunglasses can also help reduce symptoms.

How to take Flixonase nasal spray?

To use Flixonase effectively, shake the bottle gently, and if it’s your first use, prime it by spraying it until a fine mist appears. The typical starting dose for adults and children over 12 is two sprays per nostril once daily. Adjustments to the dose may be necessary depending on symptom severity. Always follow the dosage instructions provided by your doctor or pharmacist.

What are the ingredients in Flixonase?

The active ingredient in Flixonase is fluticasone propionate, a corticosteroid that reduces inflammation. Other inactive ingredients include:
  • Cellulose microcrystalline
  • Carmellose sodium
  • Glucose
  • Polysorbate 80
  • Purified water
  • Benzalkonium chloride
  • Phenylethyl alcohol
If you have allergies to any of these ingredients, consult your doctor before using Flixonase.

What are the side effects of Flixonase?

While Flixonase is generally well-tolerated, some users may experience side effects. Common side effects include:
  • Headache
  • Nosebleed
  • Irritation or dryness of the nose or throat
  • Unpleasant taste or smell
These side effects affect up to 1 in 10 users. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

What precautions should I take with Flixonase?

Flixonase may not be suitable if you have a nasal infection or have recently had nasal surgery. Inform your doctor if you are taking any of the following:
  • Protease inhibitors (e.g., ritonavir)
  • Other corticosteroid medicines
  • Treatments for fungal infections (e.g., ketoconazole)
Always read the packaging and Patient Information Leaflet before starting a new medication.

Can I take Flixonase with other medications?

Before using Flixonase, inform your doctor if you are taking other medications, including over-the-counter or herbal products. Special caution is needed if you have been on long-term steroid treatments or are taking antiviral or antifungal medications that may interact with fluticasone propionate.

Download patient leaflet

https://www.medicines.org.uk/emc/files/pil.845.pdf

Checked By
Dr Sarah Thornton
MbChB, Coaching Academy diploma with distinction

Medical coaching


Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Independent prescriber, Superintendent pharmacist.


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