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Flonase is a nasal corticosteroid that works directly on nasal tissue to reduce swelling and inflammation. Flonase?treats itching, runny nose, postnasal drip, nasal congestion and sneezing in people with a history of rhinitis.

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Important Note
The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

Uses
This is a nasal corticosteroid that works directly on nasal tissue to reduce swelling and inflammation. The medication is used to treat itching, runny nose, postnasal drip, nasal congestion and sneezing in people with a history of rhinitis.

How to Use
To get the most benefit from Flonase, make sure you understand how to use the nasal spray properly. Ask your doctor or pharmacist to show you how to use the pump and nasal adapter. Shake gently before each use. Before using the medication for the first time, the unit must be "primed" with 3 to 4 pumps of the spray. Use Flonase exactly as prescribed. Do not use more than two sprays in each nostril daily. It may take a few days before the benefits of the medication are noticed. If no improvement occurs after several days, notify your doctor.

Side Effects
The more common side effects are nose bleeding, blood in nasal mucus, or nasal burning or irritation. Less common or rare occurrences are headache, sneezing, runny nose, nasal dryness, congestion, or stomach upset. If these effects continue or become bothersome, inform your doctor. Long-term use of nasal steroids may cause fungal infections of the nose or throat. Inform your doctor if you develop an infection. The medication may be discontinued while the infection is treated. Very unlikely to occur but report: vision problems, headache, increased thirst or urination, unusual weakness, weight loss, nausea, dizziness. In the very unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Tell your doctor your medical history, especially of: any allergies, eye problems (glaucoma), infections, recent nasal surgery, nasal sores. If you are prescribed doses higher than those usually recommended, avoid exposure to chickenpox or measles. If you do become exposed, notify your doctor promptly. Though very unlikely, it is possible Flonase will be absorbed into your bloodstream. This may have undesirable consequences that may require additional corticosteroid treatment. This is especially true for children and for those who have used this for an extended period if they also have serious medical problems such as serious infections, injuries or surgeries. This precaution applies for up to one year after stopping use of this drug. Consult your doctor or pharmacist for more details. Flonase should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug is excreted into breast milk. Consult your doctor before breast-feeding. Caution is advised in children as this drug may affect growth patterns. Consult child's doctor. Avoid use in children under 4.

Drug Interactions
Tell your doctor of all other prescription or nonprescription medicines you use, especially of: other nasal products (such as cold products), other corticosteroids (e.g., prednisone), antibiotics. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately.

Notes
Do not share Flonase with others. Watering or itching eyes often associated with allergies are not significantly relieved by Flonase. Inform all your doctors you use (or have used) Flonase.

Missed Dose
Use the missed dose as soon as remembered unless it is almost time for the next dose. If so, skip the missed dose and resume your regular dosing schedule. Do not "double-up" the doses to catch up.

Storage
Store at room temperature and keep away from moisture and sunlight.

Medical Alert
Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).

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To get the best results with FLONASE, you should use it regularly, as prescribed by your doctor, since its effectiveness depends on regular use. Because FLONASE helps relieve inflammation, once you begin treatment you should use it once a day, every day—as directed by your healthcare professional.

Follow the instructions below and watch a short demonstration on the proper use of FLONASE. To view this demonstration, you need the FLASH plugin. Get the FLASH Plugin here.

Before using:

1.

Shake the bottle gently and then remove the dust cover (Figure 1). Figure 1

2.

It is necessary to prime the pump into the air the first time it is used, or when you have not used it for a week or more. To prime the pump, hold the bottle as shown, with the nasal applicator pointing away from you and with your forefinger and middle finger on either side of the nasal applicator and your thumb underneath the bottle. When you prime the pump for the first time, press down and release the pump six times (Figure 2). Figure 2 The pump is now ready for use. If the pump is not used in 7 days, prime until a fine spray appears.

Using the spray

3.	Blow your nose to clear your nostrils.
4.	Close one nostril. Tilt your head forward slightly and, keeping the bottle upright, carefully insert the nasal applicator into the other nostril (Figure 3). Figure 3
5.	Start to breathe in through your nose, and WHILE BREATHING IN, press firmly down once on the applicator to release the spray. To get a full actuation, use your forefinger and middle finger to spray while supporting the base of the bottle with your thumb. Avoid spraying in eyes. Breathe gently inward through the nostril (Figure 4). Figure 4
6.	Breathe out through your mouth.
7.	If a second spray is required in that nostril, repeat steps 4 through 6.
8.	Repeat steps 4 through 7 in the other nostril.
9.	Wipe the nasal applicator with a clean tissue and replace the dust cover (Figure 5). Figure 5
10.	Do not use this bottle for more than the labeled number of sprays, even if the bottle is not completely empty. Before you throw the bottle away, you should consult your doctor to see if a refill is needed. Do not take extra doses or stop taking FLONASE without consulting your doctor.

Cleaning

Your nasal spray applicator should be cleaned once a week. To do this:
 

Storing your nasal spray