fluticasone (Flonase, Flonase Allergy Relief) (cont.)

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Medical and Pharmacy Editor:
Medical and Pharmacy Editor:

Some children may experience growth suppression from use of inhaled steroids.

PRESCRIPTION: Yes, also available over-the-counter (OTC)


PREPARATIONS: Fluticasone propionate nasal spray is available as a 16 gm bottle, providing a total of 120 sprays. Each spray contains 50 mcg of fluticasone propionate.

STORAGE: Fluticasone propionate should be store between 4 C and 30 C (39 F and 86 F).



  • Adults: The recommended dosing is 2 sprays per nostril daily. The maximum dose is 200 mcg/day (4 sprays).
  • Adolescents and Children 4 years of age and older: the recommended dosing is 1 spray per nostril daily that maybe increased to 2 sprays per nostril daily. The maximum dose is 200 mcg/day.


  • Children 12 years or older use 2 sprays in each nostril once daily for 1 week, and use 1 or 2 sprays in each nostril once daily as needed for for weeks, up to 2 to 6 months. Consult a doctor before using for more than 6 months.
  • Children 4 to 11 years should use 1 spray in each nostril daily.

DRUG INTERACTIONS: Ritonavir (Norvir) and ketoconazole (Nizoral, Extina, Xolegel, Kuric) increase fluticasone levels in the body by delaying its metabolism (elimination). It is not clear how important this effect is.

PREGNANCY: There are no adequate studies of fluticasone to determine its safety and effectiveness in pregnant women.

NURSING MOTHERS: It is not known whether fluticasone enters breast milk; therefore, it is best to be cautious before using it in nursing mothers.

Medically reviewed by Omudhome Ogbru, PharmD

Reference: FDA Prescribing Information.

Medically Reviewed by a Doctor on 4/14/2015

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