FLUTICASONE

(Flovent)

Standard Prescription

fluticasone MDI__mcg inhaled Q__H
fluticasone nasal spray:__spray(s) in each nostril Q__H

Dosages

Metered Dose Inhaler (MDI):
Low dose: 50-100 mcg/dose inhaled BID
Medium dose: >100-200 mcg/dose inhaled BID
High dose: >200-500 mcg/dose inhaled BID

Nasal Spray:
>4 yrs: 1-2 sprays each nostril once daily

High dose may be associated with significant side effects - refer to asthma specialists.

Mechanism of Action

Inhaled/nasal corticosteroid

Forms Supplied

inhaler: 50 mcg/puff, 125 mcg/puff, 250 mcg/puff
nasal spray: 50 mcg/dose (spray)

Comments

100 mcg ciclesonide= 125 mcg fluticasone = 100 mcg beclomethasone dipropionate = 200 mcg budesonide.

Inhaler:

Use with valved holding chamber (e.g. Aerochamber) recommended.

Significant improvements may be seen within 4-7 days.

Side effects: dysphonia and oral thrush. Rinse mouth after inhalation.

Nasal spray:

May take up to 2 weeks of regular use before full benefit of medication is known.

May cause transient epistaxis and nasal irritation.

Taste and smell alteration also reported.

References

44,  127, 189, 198, 271

Last Edited

2022-07-03 06:22:22