From the Guidelines
The recommended dose of Flonase (fluticasone propionate) for a 13-year-old is 1 spray per nostril every day, as indicated in the clinical practice guideline for allergic rhinitis 1.
Key Considerations
- The dosage is based on the age of the patient, with 1 spray per nostril every day being the recommended dose for individuals aged 4 years to adult, according to the study published in Otolaryngology--head and neck surgery 1.
- It is essential to shake the nasal spray bottle gently and prime it if it's the first time using it or if it hasn't been used for a week or more.
- The patient should clear their nasal passages before use, then insert the tip into the nostril, point slightly away from the septum, and spray while breathing in gently.
Mechanism of Action and Benefits
- Flonase works by reducing inflammation in the nasal passages to relieve symptoms of allergic rhinitis, such as sneezing, itching, and runny nose.
- It typically takes several days of regular use to notice improvement, with full benefit often seen after 1-2 weeks of consistent use.
Important Safety Information
- Common side effects of Flonase include headache, pharyngitis, epistaxis, nasal burning or irritation, nausea or vomiting, asthma symptoms, and cough, as reported in the study 1.
- Patients should be monitored for signs of somnolence, especially when initiating treatment with intranasal antihistamines, as noted in the guideline for allergic rhinitis 1.
From the FDA Drug Label
Patients should be started with 100 mcg (1 spray in each nostril once daily). Patients not adequately responding to 100 mcg may use 200 mcg (2 sprays in each nostril). The maximum total daily dosage should not exceed 2 sprays in each nostril (200 mcg/day).
The recommended dose of Flonase for a 13-year-old is 100 mcg (1 spray in each nostril) once daily, which can be increased to 200 mcg (2 sprays in each nostril) once daily if needed, with a maximum total daily dosage of 200 mcg/day 2.
From the Research
Flonase Dose for 13-Year-Old
The recommended dose of Flonase (fluticasone propionate) for a 13-year-old can be determined based on the provided studies.
- The studies 3, 4, 5, 6, 7 suggest that fluticasone propionate is effective for the treatment of allergic rhinitis in adolescents.
- According to the study 3, adolescents (aged 12 to 71 years) received fluticasone propionate aqueous nasal spray 100 micrograms twice daily or 200 micrograms once daily.
- The study 4 evaluated the efficacy and safety of fluticasone propionate aqueous nasal spray in children aged 4 to 11 years, but also mentioned that 200 micrograms once daily is effective for patients over 12 years of age.
- The study 5 compared the efficacy of two dosing regimens of fluticasone propionate (100 micrograms twice daily or 200 micrograms once daily) with beclomethasone dipropionate in patients with moderate to severe seasonal allergic rhinitis, including adolescents.
- Based on these studies, the recommended dose of Flonase for a 13-year-old is likely to be 100 micrograms twice daily or 200 micrograms once daily, as these dosages have been shown to be effective and well-tolerated in adolescents with allergic rhinitis 3, 4, 5.