Buy Fluticasone Propionate (Flovent) (Flixotide) and other pharmacy medication online

Why is this drug prescribed?

Flixonase Nasal Spray contains a steroid called fluticasone propionate, which treats inflamed tissue. It works by shrinking swelling inside your nose. This makes breathing easier. You may not feel the maximum benefit for a few weeks.

Inflamed tissue inside the nose can form grape-like swellings called 'polyps'. They cause nasal blockage and discomfort. Flixonase Nasule Drops are used to relieve the symptoms caused by nasal polyps by shrinking them. Flixonase Nasule Drops have not been studied in patients under 16 years of age.

Your doctor may have prescribed Flixonase Nasule Drops for another reason.

Ask your doctor if you have any questions or if you aren't sure why Flixonase Nasule Drops has been prescribed for you.

Flixonase Nasule Drops are not addictive.

How should you take this medication?

Note: It may be easier if someone else puts the drops in for you.

1. Gently blow each nostril, in turn, to clear.

2. Open the foil pack by tearing off one side.

3. Detach one container and return the remaining containers, in the foil, to the carton.

4. It is important to ensure that the contents of your Nasule are well mixed before use.

5. While holding the container horizontally by the larger tab, flick the other end a few times and shake. Repeat this process several times until the entire contents of the container are completely mixed.

6. Hold the lower tab of the container securely. Twist and remove the top, and discard the drops.

7. To ensure the medicine treats the affected area, ideally you should position yourself as follows (see also the diagrams inside the pack):

(a) Move into one of the following positions: kneeling, sitting, or standing. Bend forward until your head is at knee level

OR

(b) Lie on your back on a bed with your head supported but tilted backwards over the edge.

Gently insert the opened nozzle of the container into one nostril. Squeeze the container to deliver 6 drops. This is approximately half the dose.

NOTE: It is not always easy to count the drops. Make sure you hold the container by the dimpled sides. When the container is held just inside the nostril, squeeze until the dimpled sides meet. This delivers about half the dose.

8. Transfer the container to the other nostril and squeeze it to deliver the remaining drops.

9. Keep your head in this position for at least 1 minute. If you are lying down, rest your head to one side. After about half a minute rest your head to the other side, for a similar time.

--If you miss a dose...

If it is almost time for your next dose, skip the dose you missed and use your next dose when you are meant to. Otherwise, use the product as soon as you remember, then go back to using the product as you would normally.

Do not use a double dose to make up for the dose that you missed.

--Storage instructions...

Keep this medicine where young children cannot reach it.

A locked cupboard at least one-and-a half metres above the ground is a good place to store medicines.

Condensation may form on the inside of the foil pack during storage, but it is not a cause for concern.

Store your Flixonase Nasule Drops upright, at below 30°C.

Protect the drops from direct sunlight.

Do not freeze the drops.

What side effects may occur?

Like other medicines, Flixonase Nasule Drops can cause some side-effects. If they occur, they are most likely to be minor and temporary. However, some may be serious and need medical attention.

The most commonly reported side-effects are:

• sneezing
• irritation or dryness in the nose or throat
• bad taste or smell
• nose bleed
• difficulty in breathing

Rare side effects include:

• allergic reactions
• breakdown of tissue inside the nose (nasal septal perforation)

If any of these side effects persist, or are troublesome, see your doctor.

Ask your doctor or pharmacist to answer any questions you may have.

If you think you are having an allergic reaction to Flixonase Nasule Drops, TELL YOUR DOCTOR IMMEDIATELY or go to the emergency department at your nearest hospital.

Symptoms usually include some or all of the following:

• wheezing
• swelling of the lips/mouth
• difficulty in breathing
• hay fever
• lumpy rash (hives)
• fainting

This is not a complete list of all possible side-effects. Others may occur in some people and there may be some side-effects not yet known.

Possible food and drug interactions when taking this medication

Tell your doctor if you are taking any other medicines, including medicines you buy without a prescription from a pharmacy, supermarket or health food shop.

Some medicines may affect the way others work. For example, medicines like ketoconazole, used to treat fungal infection, and ritonavir used to treat HIV infection, may affect how Flixonase Nasule Drops works. If you are taking these medicines, consult your doctor or pharmacist who will advise on what you should do.

Special information if you are pregnant or breastfeeding

There is inadequate evidence of safety in human pregnancy. In animal reproduction studies adverse effects typical of potent corticosteroids are only seen at high systemic exposure levels; direct intranasal application ensures minimal systemic exposure.

However, as with other medicines the use of FLIXONASE 24 HOUR during human pregnancy requires that the benefits be weighed against the possible risks associated with the product or with any alternative therapy.

The excretion of fluticasone propionate into human breast milk has not been investigated. When measurable plasma levels were obtained in lactating laboratory rats following subcutaneous administration there was evidence of fluticasone propionate in the breast milk. However plasma levels in patients following intranasal application of fluticasone propionate at recommended doses are likely to be low.

Recommended dosage

In patients over 16 years of age, the normal dose is one container (400 micrograms contained in 400 microlitres) once or twice every day, unless your doctor tells you otherwise.

The medicine should be divided equally between both affected nostrils.

Your doctor will advise you what to do if only one nostril is affected.

You may not feel the maximum benefit from your medicine straight away, but it is important that you continue to use the drops regularly.

Your doctor will assess your polyps regularly to decide on the best treatment.

Overdosage

There are no data available on the effects of acute or chronic overdosage with FLIXONASE 24 HOUR. Intranasal administration of 2mg fluticasone propionate twice daily for seven days to healthy human volunteers had no effect on hypothalamic-pituitary-adrenal axis function.