Adult Dosing
Seasonal/Perennial allergic rhinitis (fluticasone propionate)
- 2 sprays/nostril qd in the morning; Alt: 1 spray/nostril bid
Perennial nonallergic rhinitis (fluticasone propionate)
- 2 sprays/nostril qd in the morning; Alt: 1 spray/nostril bid
Allergic rhinitis (fluticasone furoate)
Pediatric Dosing
Seasonal/Perennial allergic rhinitis (fluticasone propionate)
Adolescents and children 
4 yrs
- Initial: Start 1 spray/nostril qd, increase to 2 sprays/nostril qd if patient does not respond
- Maint: 1 spray/nostril qd
- Max: 2 sprays/nostril qd
Perennial nonallergic rhinitis (fluticasone propionate)
Adolescents and children 4 yrs
- Initial: Start 1 spray/nostril qd, increase to 2 sprays/nostril qd if patient does not respond
- Maint: 1 spray/nostril qd
- Max: 2 sprays/nostril qd
- Note: Not recommended for use in children <4 yrs
Allergic rhinitis (fluticasone furoate)
Child 2-11 yrs
- Start 1 spray/nostril qd, increase to 2 sprays/nostril qd if patient does not respond
- Max: 2 sprays/nostril qd
Child 12-17 yrs
[Outline]
- Reduction in growth velocity may occur when intranasal corticosteroids are administered to pediatric pts
- Higher than recommended doses of nasal corticosteroids may cause signs or symptoms of hypercorticism and/or suppression of HPA function
- Ritonavir can greatly increase plasma concentration of fluticasone propionate. Concomitant use should be avoided, unless the potential benefit to the patient outweighs the risk of systemic corticosteroid side effects
Cautions: Use cautiously in
- Diabetes
- Tuberculosis
- Local or systemic infection, untreated
- Measles/varicella exposure
- Systemic corticosteroid therapy (should not be abruptly discontinued when intranasal therapy is started)
- Recent nasal trauma, septal ulcers, or surgery (wound healing may be impaired by nasal corticosteroids)
- Recurrent epistaxis
- Glaucoma
- Cataracts
- Adrenal suppression
- Adrenal insufficiency
- Hypercorticism
- Elderly patients
- Lactation
Pregnancy Category:C
Breastfeeding: It is not known if fluticasone is excreted in breastmilk. Manufacturer advises caution.
US Trade Name(s)
US Availability
fluticasone proprionate (generic)
- Metered nasal SPRAY: 50 mcg/actuation
Flonase (fluticasone proprionate)
- Metered nasal SPRAY: 50 mcg/actuation
Veramyst (fluticasone furoate)
- Metered nasal SPRY: 27.5 mcg/actuation
Canadian Trade Name(s)
Canadian Availability
fluticasone proprionate (generic)
- Metered nasal SPRAY: 50 mcg/actuation
Avamys (fluticasone furoate)
- Metered nasal SPRAY: 27.5 mcg/actuation
Flonase (fluticasone proprionate)
- Metered nasal SPRAY: 50 mcg/actuation
UK Trade Name(s)
- Avamys
- Flixonase
- Flixonase Nasule
- Nasofan
UK Availability
fluticasone (generic)
- Metered nasal SPRAY: 50 mcg/actuation
Avamys (fluticasone furoate)
- Metered nasal SPRAY: 27.5 mcg/actuation
Flixonase (fluticasone proprionate)
- Metered nasal SPRAY: 50 mcg/actuation
Flixonase Nasule (fluticasone proprionate)
- NASAL DROPS: 400 mcg/dose
Nasofan (fluticasone proprionate)
- Metered nasal SPRAY: 50 mcg/actuation
Australian Trade Name(s)
- Avamys
- Beconase allergy and Hayfever 24 hr
- Flixonase Nasule
Australian Availability
Avamys (fluticasone furoate)
- Metered nasal SPRAY: 27.5 mcg/actuation
Beconase allergy and Hayfever 24 hr (fluticasone proprionate)
- Metered nasal SPRAY: 50 mcg/actuation
Flixonase Nasule (fluticasone proprionate)
- NASAL DROPS: 400 mcg/dose
[Outline]
Pricing data from www.DrugStore.com in U.S.A.
- Veramyst 27.5 MCG/SPRAY SUSP [Bottle] (GLAXO SMITH KLINE)
10 spray = $112.99
30 spray = $320.96 - Flonase 50 MCG/ACT SUSP [Bottle] (GLAXO SMITH KLINE)
16 act = $89.99
48 act = $260.98
Warning: This pricing information is subject to change at the sole discretion of DS Pharmacy. For the most current and up-to-date pricing information, please visit drugstore.com.
