respiratory system diseases  : asthma

What is fluticasone?

Fluticasone is a synthetic glucocorticoid that prevents the release of substances that cause inflammation in the body, such as histamine and leukotrienes, and acts as a vasoconstrictor and anti-inflammatory. It reduces inflammation of bronchial cells, so it is used to treat bronchial cell inflammation, in maintenance and control treatment of persistent asthma.

This medicine is used by asthma patients every day, even if the patient feels better. Do not reduce the dose or stop fluticasone orange inhaler unless your doctor tells you to do so.

Fluticasone side effects

The medicine may cause some side effects, such as:

Diarrhea.

epistaxis.

Upper respiratory tract infection.

Muscle pain.

Hoarseness.

cough.

Back Pains.

pharyngitis.

Fever.

Abdominal pain.

Loss of sense of taste.

Candidiasis.

Itchy throat.

headache.

Upper respiratory tract infection

epistaxis

Muscle pain

Hoarseness

cough

Back pain

Tummy ache

Loss of taste

Oral candidiasis

Itchy throat

headache

Loss of sexual desire

Menstrual problems

pharyngitis

fever

Diarrhea

What are the uses of fluticasone?

Fluticasone is used in the following cases:

Continuous treatment in the case of chronic asthma, and is also used in the case of acute asthma.

Salmeterol is added to fluticasone, to be used in the maintenance treatment of asthma that is not completely controlled with inhaled corticosteroids, or if the condition stabilizes with salmeterol and fluticasone.

Treatment of seasonal and annual allergic diseases.

Treating sinus infections.

Chronic obstructive pulmonary disease.

What are the contraindications for using fluticasone?

It is prohibited to use fluticasone orange asthma spray without consulting a specialist doctor in the following cases:

Hypersensitivity to fluticasone or any of the components of the drug.

What are the precautions for using fluticasone?

Fluticasone should be used with caution under the supervision of a doctor in the following cases:

Pregnancy and breastfeeding period, as there are not sufficient studies on the safety of its use by inhalation, and it should be used with caution.

Use with caution in cases of thyroid dysfunction.

Kidney failure.

Liver failure.

Heart disease.

diabetes.

Glaucoma.

Osteoporosis.

What are the drug interactions of fluticasone?

It is preferable to have a doctor or pharmacist check all medications, herbs, vitamins and nutritional supplements before starting treatment.

Including taking fluticasone asthma spray in conjunction with the following medications:

Adrenal gland insufficiency.

Mental illnesses, such as depression.

There is a risk of epilepsy.

Gastrointestinal diseases, such as ulcers.

Delayed wound healing. The use of nasal corticosteroids should be avoided in patients who suffer from a nasal ulcer, nasal surgery, or nasal injury until healing occurs.

Children: Orange asthma inhaler for children should be used under the supervision of a doctor, as cortisone delays and prevents children’s growth.

Fluticasone should be discontinued gradually, not suddenly.

Other types of corticosteroids.

Fluoroquinone.

Antifungal medications, such as ketoconazole.

HIV medications, such as ritonavir.

What are the doses of fluticasone and how to use it?

Dosages for using fluticasone in cases of persistent asthma:

Adults: 100-250 mcg twice a day; Up to 1000 micrograms twice a day is used in severe asthma, and requires specialist supervision for patients who require more than 500 micrograms as a daily dose.

Children older than 4 years: 50-100 mcg twice a day; Up to 200 micrograms twice a day in severe persistent asthma that requires specialist supervision for children <5 years, which requires > 250 micrograms as a daily dose.

Fluticasone can also be given via a nebulizer in severe chronic asthma:

The usual adult dose is: 0.5 to 2 mg twice daily.

Children aged 4-16 years can be given 1 mg twice daily.

What are the pharmaceutical forms of fluticasone?

Fluticasone orange asthma spray is available in the following dosage forms:

Powder inside rotary tablet device for oral inhalation: 50 mcg/inhalation, 100 mcg/inhalation, 250 mcg/inhalation, 500 mcg/inhalation.

Powder inside the nebulizer for oral inhalation in the form of propionate: 44 micrograms/inhalation, 125 micrograms/inhalation, and 220 micrograms/inhalation.

Suspension in nasal spray: 50 mcg/inhalation.

What are the storage conditions for fluticasone?

Fluticasone should be stored away from light and moisture, at a room temperature below 25 degrees Celsius, and kept out of the reach of children.

How to use fluticasone?

Provide the following advice and information to the patient before using fluticasone orange asthma inhaler:

Fluticasone is sometimes added to salmeterol.

A dispenser is used with the inhaler to administer the specified dose.

This medication is not used for immediate relief of severe asthma symptoms.

It is recommended to rinse your mouth after using this medicine, spit out the water and avoid swallowing it.

Use this medication every day even if you feel better. The dose is not reduced or stopped unless the doctor advises doing so.

The dose is reduced every 3 months by approximately 25% if asthma is controlled.