How do I use Flonase (fluticasone propionate)?

How to Properly Use Flonase (Fluticasone Propionate)

For optimal control of allergic rhinitis symptoms, use Flonase nasal spray by administering 2 sprays in each nostril once daily for adults, or 1 spray in each nostril once daily for children and adolescents (4 years and older). 1

Proper Administration Technique

1. Before first use or after a week of non-use:

   • Shake the bottle gently
   • Remove the cap
   • Prime the pump by spraying 6 times into the air away from your face 1

2. For daily use:

   • Shake the bottle gently before each use
   • Blow your nose to clear your nostrils
   • Tilt your head forward slightly
   • Close one nostril
   • Insert the nasal applicator into the other nostril
   • While breathing in through your nose, press down firmly and quickly on the applicator
   • Breathe out through your mouth
   • Repeat for the other nostril 1

3. After use:

   • Wipe the nasal applicator with a clean tissue
   • Replace the cap 1

Dosage Guidelines

• Adults: 2 sprays in each nostril once daily (total of 4 sprays)
• Children and adolescents (4 years and older): 1 spray in each nostril once daily (total of 2 sprays) 1, 2
• After symptoms improve, some adults may reduce to 1 spray in each nostril once daily 1

Important Usage Tips

• Onset of action: May begin working within 12 hours, but full effectiveness takes several days of regular use 1, 3
• Consistency is key: Use regularly rather than as needed for best results 4
• Duration: Continue using as prescribed even after symptoms improve 1
• Missed dose: Take the next scheduled dose (do not double dose) 1

Maintenance and Cleaning

• Weekly cleaning:

  • Remove cap and nasal applicator
  • Wash with warm water
  • Allow to dry at room temperature
  • Reassemble 1

• If blocked:

  • Remove applicator and soak in warm water
  • Rinse with cold water and dry
  • Never use pins or sharp objects to unblock 1

Safety Considerations

• Storage: Keep out of reach of children; store between 39°F and 86°F 1
• Side effects: Most common are mild and include epistaxis (nose bleeds), pharyngitis, nasal irritation, and headache 4
• Long-term use: Intranasal corticosteroids at recommended doses are not generally associated with clinically significant systemic side effects 3
• Children: Growth effects are not typically seen with fluticasone propionate at recommended doses 3

Common Pitfalls to Avoid

1. Inconsistent use: Fluticasone works best when used regularly, not just when symptoms are severe 4
2. Improper technique: Failing to tilt the head forward or breathe in during administration reduces effectiveness
3. Inadequate priming: Not priming after periods of non-use can result in inadequate dosing
4. Stopping too soon: Discontinuing use when symptoms improve may lead to symptom recurrence 1
5. Using for more than labeled sprays: Discard the bottle after the labeled number of sprays even if it's not empty 1

Fluticasone propionate is the most effective medication class for controlling all symptoms of allergic rhinitis 4, and when used properly, can significantly improve quality of life for those suffering from nasal allergies.