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 Fluticasone Oral Inhalation (Flovent)
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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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EditText of this page (last edited June 8, 2010)

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