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Fluticasone Oral Inhalation (Flovent)

Fluticasone Oral Inhalation
Dosage Forms
- This medicine is available as an oral inhaler.
Pharmacologic Category - Corticosteroid, Inhalant (Oral)
What key warnings should I know about before giving this medicine to my child? - When switching from an oral steroid to an inhaled one, there can be problems. Symptoms such as weakness, feeling tired, dizziness, nausea, vomiting, inability to think clearly, or low blood sugar may occur. Call healthcare provider right away if any of these symptoms occur. If your child has a serious accident and is injured, has surgery, or any infection, he/she may need extra doses of oral steroids. These extra steroids will help the body deal with these extra stresses. Have your child wear medical alert identification.
- This medicine does not mix well with many medicines. Serious reactions may occur. Check all medicines with child's healthcare provider.
Is it safe for my child to take this medicine? - Not if your child has an allergy to fluticasone or any other part of this medicine.
- Be sure to let healthcare provider know if your child has any allergies or reactions to medicine, food preservatives, or dyes. Make sure to tell about the allergy and how it affected your child. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
- If your child is allergic to milk, talk with healthcare provider.
- Not if your child is having a breathing attack.
Why does my child need this medicine? - This medicine is used to prevent asthma.
How does this medicine work? - Fluticasone blocks the allergic reaction by minimizing or preventing the body's reaction to the allergen.
- It prevents or reduces irritation and swelling.
How is this medicine given? - For inhaling (puffing) only.
- Shake Flovent® HFA well before use.
- A spacer is used with the Flovent® HFA inhaler for easier delivery. This gets more medicine into the lungs.
- Have your child rinse out mouth after each use.
- Do not take Flovent® Diskus® device apart or wash it. Do not use with a spacer. Do not exhale into device.
- Check your child's inhaler use with healthcare provider at each visit. Read and follow all instructions provided with inhaler. Using the inhaler the right way is very important.
How long does this medicine take to work? - Your child may start feeling better several days after starting this medicine.
- It may take several weeks to see the full effect.
What do I do if my child misses a dose? (does not apply to patients in the hospital)- Give a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed dose and return to your child's regular schedule.
- Do not give a double dose or extra doses.
- Do not change dose or stop your child's medicine. Talk with healthcare provider.
- What safety measures should I take while my child is using this medicine?
- Do not give this medicine to treat an asthma attack.
- Have your child wear a disease medical alert identification.
- If your child has been taking this medicine for several weeks, talk with healthcare provider before stopping. You may want to gradually withdraw this medicine.
- Talk with healthcare provider before your child receives any vaccinations. Use with this medicine may either increase the risk of serious infection or make the vaccination less effective.
- Do not run out of this medicine.
- Avoid exposure to chickenpox and measles.
- If your child has diabetes, talk with healthcare provider. This medicine can increase blood sugar.
- If your child has high blood pressure, talk with healthcare provider.
- If your child has kidney disease, talk with healthcare provider.
- If your child has liver disease, talk with healthcare provider.
- If your child has seizures, talk with healthcare provider.
- If your child has stomach ulcers, talk with healthcare provider.
- If your child has thyroid disease, talk with healthcare provider.
- If your child has tuberculosis, talk with healthcare provider.
- If your child has a weakened heart, talk with healthcare provider.
- If your child is being treated for any infection, talk with healthcare provider.
- Check your child's medicines with healthcare provider. This medicine may not mix well with other medicines.
- Tell dentists, surgeons, and other healthcare providers that your child is using this medicine.
- Avoid giving your child grapefruit and grapefruit juice.
What are some possible side effects of this medicine? - Headache.
- Mouth infection. To prevent, have your child rinse mouth with water and spit out.
- Nasal congestion.
What should I monitor? - Change in condition being treated. Is it better, worse, or about the same?
- For the occurrence of side effects.
- Number of asthma attacks.
- Monitor your child's growth carefully.
- Follow up with healthcare provider.
When should I call my child's healthcare provider? - If any of this information causes you to be concerned, any of the common side effects occur, or if your child's symptoms do not improve after taking this medicine.
- If you suspect an overdose, call your local poison control center or emergency department immediately.
- If your child shows signs of a life-threatening reaction, call healthcare provider or emergency department immediately. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat; or if your child exhibits any other unusual behavior.
- If your child shows any signs or symptoms of infection. These include a fever of 100.5 degrees or higher, chills, severe sore throat, ear or sinus pain, cough, increased sputum or change in color, painful urination, mouth sores, wound that will not heal, or anal itching or pain.
- If your child is feeling extremely tired, weak, or irritable; is trembling; has a fast heartbeat, confusion, sweating, or dizziness if a dose was missed or medicine recently stopped.
- If your child has severe mouth irritation.
- If your child develops a rash.
- No improvement in condition or if you believe your child's condition is worse.
How should I store and/or dispose of this medicine? - Store at room temperature. Do not freeze aerosol.
- Flovent® Diskus®: Throw away any unused portion after 6 weeks or when indicator reads zero, whichever comes first.
- Flovent® HFA: Throw away when indicator reads zero.
- Protect from light.
General statements - If your child has a life-threatening allergy, he/she should wear an allergy identification bracelet at all times.
- This medicine is available by prescription only. If there are refills, contact your pharmacy. If no refills remain, you may need to contact your child's healthcare provider.
- This medicine should be thrown out when your child no longer needs it or if the medicine becomes outdated.
- Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
- Do not share your child's medicine with others and do not give anyone else's medicine to your child.
- Keep all medicine out of the reach of children and pets.
- Many medications interact with other medications. Keep a list of all your child's medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to your child's healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
- Call your doctor for medical advice about side effects. You may report side effects to FDA .
- Talk with your child's healthcare provider before giving him/her any new medicine, including over-the-counter, natural products, or vitamins.
- Medicine can be dangerous if used incorrectly. Follow directions given by healthcare provider.
Notes:
Dr. Nelson Crumfield
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(last edited June 8, 2010)
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