fluticasone propionate oral inhaler, Flovent (Discontinued), Flovent Diskus, Flovent HFA

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

Asthma Attack Treatment

PRESCRIPTION: Yes

GENERIC AVAILABLE: No

PREPARATIONS: Inhalation aerosol: 44, 110, and 220 mcg/inhalation. Inhalation Powder (Diskhaler): 50, 100, and 250 mcg/inhalation

STORAGE: Fluticasone should be kept at room temperature, 4 C - 30 C (39 F - 86 F), and the aerosol should be shaken well before each use.

Other important side effects include Allergic reactions such as:

  • including swelling of face,
  • throat swelling,
  • tongue swellling,
  • rash,
  • hives, and
  • breathing problems

DOSING: Doses vary from patient to patient.

The recommended dose for the aerosol is 88 to 440 mcg twice daily.

The recommended dose for the Diskhaler is 100 to 1000 mcg twice daily. Following administration, the mouth should be rinsed thoroughly with water or mouthwash to minimize dry mouth, irritation of the throat, and hoarseness.

The aerosol inhaler must be cleaned at least once a week.

If a bronchodilator aerosol spray (a spray that causes the airways to expand), for example, albuterol (Proventil; Ventolin), is used, it should be used first, and then 5-15 minutes later fluticasone should be used.

DRUG INTERACTIONS: Ritonavir (Norvir), atazanavir (Reyataz), clarithromycin (Biaxin), indinavir (Crixivan), itraconazole (Sporanox), ketoconazole, nelfinavir (Viracept), and telithromycin (Ketek) may increase levels of fluticasone in the body by reducing the breakdown of fluticasone by liver enzymes. This may increase side effects of fluticasone.

PREGNANCY: Adequate studies of fluticasone during pregnancy have not been done. Fluticasone use during pregnancy should be avoided unless the potential benefit justifies the potential but unknown risk to the fetus.

NURSING MOTHERS: It is not known if fluticasone is secreted in breast milk. Other medications in the same class as fluticasone are secreted into breast milk. It is not known whether the small amounts that may appear in the milk affect the infant.

Medically reviewed by Eni Williams, PharmD

Reference: FDA Prescribing Information

Medically Reviewed by a Doctor on 12/23/2015

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