fluticasone propionate oral inhaler, Flovent (Discontinued), Flovent Diskus, Flovent HFA (cont.)
Omudhome Ogbru, PharmD
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:
STORAGE: Fluticasone should be kept at room temperature, 4-30 C (39-86 F), and the aerosol should be shaken well before each use.
PRESCRIBED FOR: Fluticasone is used for the treatment of asthma in patients 4 years of age old or older who require oral steroid treatment. Fluticasone is not used for acute episodes of asthma; a faster acting dilator of the airways such as albuterol (Ventolin, Proventil, Proventil HFA, AccuNeb, Vospire, ProAir) should be used for acute episodes of asthma.
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.
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