Fluticasone (By breathing)
Prevents asthma attacks. This medicine is a corticosteroid.
There may be other brand names for this medicine.
Flovent HFA, Flovent, Flovent Diskus
When This Medicine Should Not Be Used
You should not use this medicine if you have had an allergic reaction to fluticasone or to other corticosteroids such as beclomethasone (Beconase®, Vancenase®), budesonide (Rhinocort®), mometasone (Nasonex®), or triamcinolone (Nasacort®). This medicine is not to be used during an asthma attack.
How to Use This Medicine
Powder Under Pressure, Liquid Under Pressure
- Your doctor will tell you how much of this medicine to use and how often. Your dose may need to be changed several times in order to find out what works best for you. Do not use more medicine or use it more often than your doctor tells you to.
- This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
Flovent® is a liquid that is inhaled with a device called a metered-dose inhaler. The inhaler fits on the medicine canister, and turns the medicine into a fine spray. The spray is breathed in through your mouth and to your lungs. You may be told to use a spacer, which is a tube that is placed between the inhaler and your mouth. Your caregiver can show you how to use your inhaler and the spacer (if it is needed).
Flovent® HFA inhaler has a dose counter that keeps track of how many more times you can use the inhaler before you need to open a new one. When the dose counter reaches "020", call your doctor or pharmacist if refill is needed.
- If the dose counter is not working correctly, do not use the Flovent® HFA inhaler and return it to your pharmacy or doctor. Do not change the numbers or remove the counter from the canister.
- Test spray in the air before using for the first time or if the inhaler has not been used for a while.Point the inhaler away from your face and pump 4 test sprays into the air. Shake the inhaler before each test spray.
- Shake the inhaler well just before each use. Avoid spraying this medicine into your eyes.After inhaling the medicine, rinse your mouth out with water and do not swallow.
- Clean the inhaler mouthpiece daily with warm water.
Flovent® Diskus® and Flovent® Rotadisk® are powder forms of this medicine that each come with a special inhaler device. The medicine is preloaded inside the device, in packets called blisters. The device pierces each blister one at a time to load the correct dose into the chamber when you are ready to use the medicine.
- Do not use a spacer with either the Flovent® Diskus® or the Flovent Rotadisk® device. Do not breath into the device or take it apart.
- You may rinse your mouth out with water after inhaling this medicine.
- You may need to use this medicine for 2 weeks or longer before you notice improvement in your asthma. Tell your doctor if you do not begin to feel better after using the medicine for 2 weeks.
If a dose is missed:
- If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
How to Store and Dispose of This Medicine
- Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty. Store the powder at room temperature in a dry place, away from heat, moisture, or light. Store the Flovent® HFA inhaler with the mouthpiece down.
- Keep your Diskus® or Rotadisk® device dry at all times. You may wipe the mouthpiece with a dry cloth or tissue, but do not wash it with water.
- Throw away the Flovent® inhaler after you have used 120 sprays.
- Throw away the Flovent® HFA inhaler when the dose counter is at "000".
- Ask your pharmacist, doctor, or health caregiver about the best way to dispose of the used medicine container and any leftover medicine. You will also need to throw away old medicine after the expiration date has passed.
- Keep all medicine away from children and never share your medicine with anyone.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Make sure your doctor knows if you are taking medicine to treat fungal infections (such as fluconazole, itraconazole, ketoconazole, Diflucan®, Nizoral®, Sporanox®), antibiotics (such as erythromycin, metronidazole, Biaxin®, Flagyl®), medicine for depression (such as Celexa®, Luvox®, Prozac®, Serzone®, Zoloft®), or medicines to treat HIV/AIDS (Agenerase®, Crixivan®, Invirase®, Norvir®, Sustiva®, Viracept®). Tell your doctor if you are also using cyclosporine (Neoral®, Sandimmune®), diltiazem (Cardizem®, Tiazac®), norfloxacin (Noroxin®), omeprazole (Prilosec®), ondansetron (Zofran®), or tacrolimus (Prograf®).
Warnings While Using This Medicine
- Make sure your doctor knows if you are pregnant or breastfeeding. Tell your doctor if you have liver disease, glaucoma, any type of infection, especially a lung infection such as tuberculosis (TB), or herpes infection of the eye.
- If you have switched from using prednisone or another steroid medicine to using fluticasone, watch for these symptoms: weakness, tiredness, nausea and vomiting, joint or muscle pain, lightheadedness or fainting, or depression. Tell your doctor right away if you have any of these symptoms. Also watch for these symptoms if your doctor has told you to stop using, or take less of your other steroid medicine.
- This medicine will not stop an asthma attack that has already started. Your doctor may prescribe another medicine for you to use in case of an acute asthma attack.
- If you use any type of corticosteroid medicine to control your asthma, keep using it as ordered by your doctor. This includes corticosteroid medicines that are taken by mouth or inhaled (such as cortisone, prednisone, Azmacort®, Celestone®, Cortone®, Deltasone®, Flovent®, Prelone® Pediapred®, Vanceril®).
- Your doctor may change your other medicines or taper them off altogether. Carefully follow your doctor's instructions for lowering the doses of your other medicines. Do not stop using them completely unless and until your doctor tells you to.
- The amount of medicine you need may change during periods of stress, illness, surgery, or after a serious asthma attack. Be sure to tell your doctor if you are in any of these situations.
- If any of your asthma medicines do not seem to be working as well as usual, call your doctor right away. Do not change your doses or stop using your medicines without asking your doctor.
- Avoid people who are sick or have infections.Tell your doctor right away if you have been exposed to measles or chickenpox.
- This medicine may slow down a child's growth. If you think your child is not growing properly while using this medicine, talk with your doctor.
- If your symptoms do not improve or if they get worse, call your doctor.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
- Changes in skin color, darkened freckles or scars.
- Fever, chills, cough, sore throat, nosebleed, runny or stuffy nose.
- Pain, numbness, weakness, skin rash, or muscle changes.
- Problems with vision.
- Gaining weight around your neck, upper back, breast, face, or waist.
- Sores or white patches in your mouth or throat.
- Worsening of asthma symptoms.
If you notice these less serious side effects, talk with your doctor:
- Headache, muscle aches, migraine.
- Hoarseness or changes in your voice.
- Muscle or joint pain.
- Runny or stuffy nose, sore throat.
- Stomach upset, nausea, diarrhea.
- Trouble sleeping, tiredness.
- Weight gain, thirst, loss of appetite.
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088
Review Date: 2011-02-04
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