Flovent (fluticasone) is an inhaled corticosteroid medication used in people 4 years and older with asthma. It helps keep lung inflammation low and the airways open. This inhaler is used twice per day. When used every day, Flovent (fluticasone) can lower the number and severity of asthma attacks. It's not a rescue inhaler, so it won't help an asthma attack that has already started.
Maintenance treatment of asthma
Flovent (fluticasone) is a corticosteroid. It works like cortisol, which is a natural hormone your body makes. When you breathe in Flovent (fluticasone), it works directly in your lungs to lower inflammation and open up your airways. This helps control asthma and prevents asthma attacks.
Source: DailyMed
Side effects that you should report to your care team as soon as possible:
Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
Works well to prevent and lower asthma symptoms
Has few side effects since the medication is directly inhaled into the lungs
Available as two different types of inhalers (HFA inhaler and Diskus inhaler)
Lower-cost generic available for Flovent HFA
Need to use twice per day
Need to rinse your mouth after each use to prevent fungal infection in the mouth (thrush)
Can't use to treat active asthma attacks
Can't use Flovent Diskus if you're allergic to milk proteins since it contains lactose
Use Flovent (fluticasone) twice per day (about 12 hours apart) at the same times every day. This medication works best if it's taken consistently every day. If you have sudden shortness of breath, use your rescue inhaler.
Make sure you know how to use your Flovent (fluticasone) HFA or Diskus inhaler. Doing so helps make sure it's working as best as possible to control your asthma. Carefully read the instructions on how to use your HFA inhaler or Diskus inhaler. Ask your provider or pharmacist if you have any questions.
After each time you use either the HFA or Diskus inhaler, hold your breath for up to 10 seconds or for as long as you comfortably can. This allows time for the medication to reach deep into your lungs.
Make sure to rinse your mouth with water and spit after each time you use Flovent (fluticasone). This helps prevent fungal infections in your mouth and throat (thrush).
Before starting any new medications, check with your pharmacist or provider to make sure they don't interact with Flovent (fluticasone).
Call your provider if your breathing or peak flow meter results worsen. Also do so if your rescue inhaler isn't working as well for you. Speak with your provider if you're using your rescue inhaler more often than usual, especially if you need to use more than three inhalations in a 24-hour period for at least 2 days in a row or use one whole canister of your rescue inhaler in about 2 months. These could be signs that your Flovent (fluticasone) dose is too low. You also might need another long-acting inhaled medication to help manage your asthma.
More tips for the Flovent Diskus inhaler:
Once you take out the Diskus inhaler from the foil pouch, write the date you opened it on the first blank line on the label. Then, write the "use by" (expiration) date on the second blank line. The 50 mcg strength of the Diskus expires 6 weeks after opening. The 100 mcg and 250 mcg strengths expire 2 months after opening.
There's a dose counter on the front face of the Diskus inhaler. It should say "60" for a new inhaler. Use this counter to keep track of when you need to get a refill.
Don't open and close the cover of the Diskus inhaler if you aren't using it for your dose. You're losing doses of the medication by doing this.
Don't wash the Diskus inhaler. Clean the mouthpiece every once in a while by wiping it with a dry cloth. Just make sure you don't get water or moisture on or near the inhaler. Moisture can make the dry powder medication clump together and clog the inhaler.
More tips for the Flovent HFA inhaler:
You need to prime your HFA inhaler if you're using a new inhaler for the first time, if you haven't used it in more than 7 days, or if you drop it. To prime the inhaler, shake it for 5 seconds, and spray once into the air away from your face. For a new inhaler, shake and spray three more times to finish priming.
There's a dose counter on the back of the inhaler that'll read "124" when you first use a new inhaler. After priming the inhaler, the dose counter should read "120". Use the dose counter to track how many doses you have left so you know when to get a refill.
Before each time you use the HFA inhaler, shake it well for 5 seconds. This mixes the medication in the canister so you receive the right dose every time.
Clean the mouthpiece of the inhaler at least once per week after your evening dose. Use clean cotton swabs and tissues, both dampened with water, and let the inhaler air-dry overnight.
Flovent (fluticasone) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Risk factor: Not rinsing and spitting after using Flovent (fluticasone) | Weakened immune system from medical conditions or medications
Flovent (fluticasone) is a steroid medication. When inhaled through the mouth, it can cause a fungal infection in your mouth and throat called thrush. To lower your risk for thrush, make sure to rinse your mouth with water and spit after each inhalation of Flovent (fluticasone). If you notice symptoms of thrush, such as white patches in your mouth, cotton-like feeling in your mouth, pain while eating or swallowing, or loss of taste, contact your provider. You might need to take an antifungal for treatment.
Inhaled medications, including Flovent (fluticasone), can sometimes cause a muscle spasm in your lungs (bronchospasm). This can lead to difficulty breathing, wheezing, cough, and chest discomfort. If you become short of breath after using Flovent (fluticasone), use your rescue inhaler and get medical attention right away.
Severe allergic reactions to Flovent (fluticasone) are possible, including life-threatening reactions like facial swelling, shock, and anaphylaxis (closing of the throat). Get medical attention right away if you notice hives, rash, red skin, swelling of the lips or tongue, or difficulty breathing after using Flovent (fluticasone).
Risk factors: Using Flovent (fluticasone) for a long time | Using too much Flovent (fluticasone)
Using Flovent (fluticasone) for long periods of time or using too much of it can cause more medication to be absorbed into the body. This can affect your body in different ways since the medication acts similar to cortisol (a natural stress hormone made by your body). You might experience symptoms of too much cortisol (called Cushing's disease), such as weight gain around your gut, puffiness of your face, and muscle weakness in the arms and legs. On the other hand, Flovent (fluticasone) can also cause your body to make less natural cortisol. Symptoms of low cortisol include long-lasting fatigue, loss of appetite, nausea, and vomiting. If either problem is severe enough, you might need additional medical treatment. Use Flovent (fluticasone) only as directed. Don't use more than the maximum number of inhalations each day. Use the lowest dose possible for the shortest amount of time.
It's possible for children to experience a delay in growth during treatment with Flovent (fluticasone). Growth rate typically goes back to normal within a few years after stopping the medication. But there isn't enough information available to know what the long-term effects of Flovent (fluticasone) are on children's growth. Children should use the lowest dose for the shortest amount of time needed. If you're concerned about how Flovent (fluticasone) might affect your child's growth, discuss with your child's provider to see if this medication is right for them.
Risk factors: History of glaucoma or cataracts | Long-term use of Flovent (fluticasone)
People taking Flovent (fluticasone) for a long time have reported having higher pressure in the eyes, glaucoma, and cataracts. Talk to your eye provider before using Flovent (fluticasone) if you have glaucoma or cataracts. Also speak with them if you notice any changes to your vision while using the medication.
Flovent HFA and its generic come as inhalers with either 44 mcg, 110 mcg, or 220 mcg of fluticasone propionate per inhalation. You'll typically need to take 2 inhalations each time you use the inhaler.
People age 12 years and older: The typical starting dose is 88 mcg (or two inhalations of 44 mcg strength) inhaled through the mouth twice per day. The maximum dose is 880 mcg twice per day.
Children age 4 to 11 years: The typical dose is 88 mcg (or two inhalations of 44 mcg strength) inhaled through the mouth twice per day.
Flovent Diskus is available as an inhaler containing either 50 mcg, 100 mcg, or 250 mcg of fluticasone propionate per inhalation. Depending on the strength you have, you'll typically need to take 1 or 2 inhalations each time you use the inhaler.
People age 12 years and older: The typical starting dose is 100 mcg inhaled through the mouth twice per day. The maximum dose is 1,000 mcg twice per day.
Children age 4 to 11 years: The typical starting dose is 50 mcg inhaled through the mouth twice per day. The maximum dose is 100 mcg twice per day.
Your provider will adjust your dose based on if you've previously been on an inhaled corticosteroid before and are switching to Flovent (fluticasone), how well the medication is controlling your asthma symptoms, and if you're having side effects.
Treatment of sudden asthma attack
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