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Flovent Diskus

Flovent Diskus

(fluticasone-propionate-inh)

Fluticasone belongs to the class of medications called inhaled corticosteroids, which reduce symptoms of Asthma and prevent asthma attacks by decreasing inflammation in the lungs and thereby opening the airways. When used regularly every day, inhaled fluticasone decreases the number and severity of asthma attacks.

Available form

Dosage

Powder Inhaler

100MCG, 250MCG, 500MCG

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Flovent Diskus information

Dosage

Side Effects

Available Form

Contraindications

Precautions

Warnings

The recommended regular daily dose of fluticasone inhalation is that which is the lowest required to control asthma symptoms. The full benefit of Flovent Diskus (Fluticasone-propionate-inh) may take 1 to 2 weeks or longer to achieve.

The usual dose for adults and adolescents over 16 years of age is 100 µg to 500 µg twice daily (the number of inhalations varies depending on strength of medication used). For people with very severe asthma, higher doses up to 1,000 µg twice daily may be needed.

The usual dose for children between 4 and 16 years of age is 100 µg twice daily (the number of inhalations varies depending on strength of medication used). On occasion, a dose of 200 µg may be needed to control asthma symptoms. Your doctor may tell you to adjust the dose of Flovent Diskus (Fluticasone-propionate-inh) in order to find one that helps control your asthma symptoms.

Children 12 months to 4 years of age may be given 100 µg twice daily, using a spacer device. The dose should be given as a single 50 µg actuation of the HFA inhaler into the spacer device, inhaled, and then repeated. The Diskus form of Flovent Diskus (Fluticasone-propionate-inh) should not be used by children under the age of 4 years.

Inhaled fluticasone is used to prevent asthma attacks. It is not used to relieve an attack that has already started. For relief of an asthma attack that has already started, you should use another medication. If you do not have another medication to use for an attack or if you have any questions about this, check with your health care professional. If your doctor has asked you to use a "reliever" inhaler such as salbutamol or terbutaline with your fluticasone inhaler, you should use the reliever inhaler first, wait several minutes, and then use the fluticasone inhaler. The reliever medication will provide immediate relief of symptoms of asthma attack, while the fluticasone inhalation works to treat and control asthma regularly.

Shake the HFA inhaler well before use or before inserting the mouthpiece into the spacer device. In order to get the most medication into the lungs from the inhaled dose, ask your doctor or pharmacist about proper techniques for taking Flovent Diskus (Fluticasone-propionate-inh).

Rinsing your mouth and gargling with water after each inhalation can help prevent hoarseness, throat irritation, and infection in the mouth caused by Candidiasis (a type of yeast infection of the mouth; also known as "thrush"). If you have dentures, they should be cleaned after each dose.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

It is important that Flovent Diskus (Fluticasone-propionate-inh) be used exactly as prescribed by your doctor. If you miss a dose, skip the missed dose and continue with your regular dosing schedule. Do not administer a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store the diskus blisters in the sealed foil wrap that it is packaged in, until you are ready to put the disk in the device for use. Store Flovent Diskus (Fluticasone-propionate-inh) at room temperature, out of direct sunlight and out of reach of children. Protect the inhaler and diskus blisters from freezing. Do not store the diskus in a damp environment.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Flovent Diskus (Fluticasone-propionate-inh). If you are concerned about side effects, discuss the risks and benefits of Flovent Diskus (Fluticasone-propionate-inh) with your doctor.

The following side effects have been reported by at least 1% of people taking Flovent Diskus (Fluticasone-propionate-inh). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

cough
difficulty sleeping
Fever
headache
hoarseness, voice change
nasal congestion
runny nose
sore mouth and tongue
sore throat

Although most of these side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

anxiety
behaviour changes (e.g., hyperactivity, irritability)
fever
inability to speak
increased skin bruising
Osteoporosis or bone fractures
pins and needles or numbness of arms or legs, sinus pain and congestion, worsening breathing problems (Churg-Strauss Syndrome)
signs of respiratory tract infection (e.g., fever or chills, shortness of breath, prolonged dizziness, headache, weight loss, tightness in chest, difficulty breathing, or wheezing)
signs of too much corticosteroid (e.g., round face, rapid weight gain, increased sweating, thinning of skin, muscle weakness)
signs of thrush (e.g., white patches in mouth and throat, sore throat)
slowed growth (children and adolescents)
symptoms of decreased adrenal function (e.g., tiredness, weakness, nausea, vomiting, Low Blood Pressure)
symptoms of Glaucoma or Cataracts (e.g., blurred vision, seeing halos of bright colours around lights, red eyes, increased pressure in your eyes, eye pain or discomfort)
symptoms of high blood sugar (e.g., frequent urination, increased thirst, excessive eating, unexplained weight loss, poor wound healing, infections, fruity breath odour)

Stop taking the medication and seek immediate medical attention if any of the following occur:

signs of a serious allergic reaction (e.g., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)
skin rash or Hives
sudden shortness of breath and wheezing after using Flovent Diskus (Fluticasone-propionate-inh)
worsening asthma symptoms

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Flovent Diskus (Fluticasone-propionate-inh).

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Flovent Diskus (Fluticasone-propionate-inh).

Asthma attacks: Flovent Diskus (Fluticasone-propionate-inh) is not a "reliever" medication. If you start developing asthma symptoms, be sure to use your reliever medication (such as salbutamol or terbutaline) for rapid relief of your asthma symptoms. It is very important that you have your reliever medication with you at all times. If you persistently use more of your reliever medication, contact your doctor.

Bone effects: Long-term use of corticosteroids such as fluticasone may affect bone density and increase the risk of fracture. Your doctor will monitor your bone health while you are taking Flovent Diskus (Fluticasone-propionate-inh).

Diabetes: Fluticasone may cause an increase in blood sugar levels. If you have diabetes, you may find it necessary to monitor your blood sugar more frequently while using Flovent Diskus (Fluticasone-propionate-inh).

Eye problems: If you have glaucoma or cataracts or are at risk of developing them, have your eyes checked by your doctor before starting long-term treatment with Flovent Diskus (Fluticasone-propionate-inh). Have your eyes monitored at regular intervals while using Flovent Diskus (Fluticasone-propionate-inh).

Growth effects: Long-term use of corticosteroids, including inhaled forms such as Flovent Diskus (Fluticasone-propionate-inh), may slow the growth of children and adolescents. It is important to use the lowest effective dose for managing asthma symptoms. Talk to your doctor if you have any concerns.

Infection: Flovent Diskus (Fluticasone-propionate-inh), like other corticosteroids, may prevent the early signs of a serious infection from being noticed. Try to limit the amount of time you spend around others who have recently had infections such as Chickenpox or Measles. If you do come into contact with someone who has one of these infections, contact your doctor for advice.

Oral hygiene: Adequate oral hygiene is very important in minimizing the overgrowth of microorganisms such as candidiasis (thrush). Proper oral hygiene includes rinsing your mouth with water after using the inhaler. Using a spacer device with the inhaler can greatly reduce how much medication stays in your mouth. Thrush infections, should they occur, may require treatment with appropriate antifungal therapy or the discontinuance of treatment with fluticasone, depending on the severity of the infections.

Stopping Flovent Diskus (Fluticasone-propionate-inh): Do not stop Flovent Diskus (Fluticasone-propionate-inh) suddenly, as this may result in withdrawal symptoms associated with suppressed adrenal glands (e.g., stomach discomfort or pain, worsening of asthma). Your doctor will tell you how to gradually lower the dose over a period of time in order to stop Flovent Diskus (Fluticasone-propionate-inh) properly.

Thyroid problems: People with decreased thyroid function (hypothyroid) may experience an increased effect from corticosteroids. If you have a history of thyroid problems, discuss with your doctor how Flovent Diskus (Fluticasone-propionate-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Flovent Diskus (Fluticasone-propionate-inh), and whether any special monitoring is needed.

Wheezing: Flovent Diskus (Fluticasone-propionate-inh) may cause the airways to spasm immediately after using the inhaler. If this happens, use your rescue inhaler as soon as possible to relieve the symptoms, then call your doctor as soon as possible.

Worsening of asthma: Increasing use of your bronchodilators (e.g., salbutamol) to control asthma symptoms is an indication that your asthma may be worsening. Sudden and progressive worsening in asthma control is potentially life-threatening, and consideration should be given to increasing the dose of fluticasone inhalation. Talk to your doctor or pharmacist to learn more about how to properly monitor for symptoms of worsening asthma.

Pregnancy: The safety of fluticasone for use during pregnancy has not been established. Potential benefits need to be weighed against risks, especially in the first trimester of pregnancy.

Breast-feeding: Corticosteroid medications such as fluticasone pass into breast milk. Although the amount that appears in breast milk would likely be low, the benefits of using Flovent Diskus (Fluticasone-propionate-inh) while breast-feeding need to be weighed against risk. If you are a breast-feeding mother and are using fluticasone it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: Flovent Diskus (Fluticasone-propionate-inh) is not recommended for use by children under 12 months of age.

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