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FLIXOTIDE INHALER (fluticasone propionate) 50 MCG

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FLIXOTIDE INHALER is manufactured by gsk

FLIXOTIDE INHALER  (fluticasone propionate) 50 MCG

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What is Flixotide (Fluticasone Propionate) ?
Flixotide (Fluticasone Propionate) is a corticosteroid. It works by reducing inflammatory reactions in the airways in response to allergens and irritants in the air.Flixotide (Fluticasone Propionate) is used to prevent bronchial asthma attacks. It will not treat an asthma attack that has already begun.Flixotide (Fluticasone Propionate) may also be used for other purposes not listed in this medication guide.


Important information about Flixotide (Fluticasone Propionate) 
Do not use Flixotide (Fluticasone Propionate) to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use another, faster-acting inhalation medication to treat an asthma attack.Contact your doctor if your asthma symptoms do not improve after using Flixotide (Fluticasone Propionate) for 2 weeks.Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack.Your dosage needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks.If you were switched from an oral (taken by mouth) steroid to Flixotide (Fluticasone Propionate) , you may need to go back to taking the oral medicine if you are under stress or have an asthma attack or other medical emergency. 


Before using Flixotide (Fluticasone Propionate) 
You should not use Flixotide (Fluticasone Propionate) if you are allergic to fluticasone.Before using this medication, tell your doctor if you have been sick or had an infection of any kind. You may not be able to use Flixotide (Fluticasone Propionate) until you are well.FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before using Flixotide (Fluticasone Propionate) , tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether fluticasone passes into breast milk or if it could harm a nursing baby. Do not use Flixotide (Fluticasone Propionate) without telling your doctor if you are breast-feeding a baby.Flixotide (Fluticasone Propionate) can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication.Do not give this medicine to a child younger than 4 years old without the advice of a doctor.Long-term use of steroids may lead to bone loss (osteoporosis), especially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis. Talk with your doctor about your risk of osteoporosis.


How should I use Flixotide (Fluticasone Propionate) ?
Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. This medication comes with patient instructions for safe and effective use, and directions for priming the inhaler device. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.Do not use Flixotide (Fluticasone Propionate) to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use another, faster-acting inhalation medication to treat an asthma attack.Flixotide (Fluticasone Propionate) is a liquid form of fluticasone that is used with an inhaler device. This device creates a spray that you inhale through your mouth and into your lungs. Your doctor or pharmacist can show you how to use an inhaler.Flixotide (Fluticasone Propionate) Diskus is a powder form of fluticasone that comes with a special inhaler device preloaded with blister packs containing measured doses of fluticasone. The device opens and loads a blister of fluticasone each time you use the inhaler. The disk device is not to be used with a spacer. Follow the patient instructions provided with the Diskus.To reduce the chance of developing a yeast infection in your mouth, rinse with water after using Flixotide (Fluticasone Propionate) products. Do not swallow.Asthma is usually treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor.It is important to use Flixotide (Fluticasone Propionate) regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.Contact your doctor if your asthma symptoms do not improve after using Flixotide (Fluticasone Propionate) for 2 weeks.Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack.Your dosage needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks.If you were switched from an oral (taken by mouth) steroid to Flixotide (Fluticasone Propionate) , you may need to go back to taking the oral medicine if you are under stress or have an asthma attack or other medical emergency. 
Store this medication at room temperature away from moisture and heat. Keep the medicine canister away from high heat, such as open flame or in a car on a hot day. The canister may explode if it gets too hot.
 


What happens if I miss a dose?
Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.


What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.An overdose of Flixotide (Fluticasone Propionate) is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.


What should I avoid while using Flixotide (Fluticasone Propionate) ?
Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using Flixotide (Fluticasone Propionate) .


Side effects of Flixotide (Fluticasone Propionate)  
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:weakness, tired feeling, nausea, vomiting, feeling like you might pass out;skin rash, bruising, severe tingling, numbness, pain, muscle weakness;blurred vision, eye pain, or seeing halos around lights;signs of infection such as fever, chills, sore throat, ear pain, flu symptoms;wheezing or breathing problems after using this medication; orworsening asthma symptoms.
 


Less serious Flixotide (Fluticasone Propionate) side effects may include:
headache;dryness in your mouth, nose, or throat;white patches or sores inside your mouth or on your lips;stuffy nose, sinus pain, cough; orhoarseness or deepened voice.This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. 


What other drugs will affect Flixotide (Fluticasone Propionate) ?
Before using Flixotide (Fluticasone Propionate) , tell your doctor if you are using any of the following drugs:conivaptan (Vaprisol);diclofenac (Arthrotec, Cataflam, Voltaren, Flector Patch, Solareze);imatinib (Gleevec);isoniazid (for treating tuberculosis);an antibiotic such as clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab,Erythrocin) or telithromycin (Ketek);an antifungal medication such as clotrimazole (Mycelex Troche), itraconazole (Sporanox), ketoconazole (Nizoral), or voriconazole (Vfend);an antidepressant such as nefazodone;heart or blood pressure medication such as diltiazem(Cardizem, Dilacor, Tiazac), nicardipine (Cardene), quinidine (Quinaglute, Quinidex, Quin-Release), or verapamil (Calan, Covera, Isoptin, Verelan); orHIV/AIDS medicine such as amprenavir (Agenerase), atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase, Fortovase), or ritonavir(Norvir).This list is not complete and there may be other drugs that can interact with Flixotide (Fluticasone Propionate) . Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.




Generic Name fluticasone propionate
Search Name Flovent Inhaler Brand 50 MCG MDI
Supply Name FLIXOTIDE INHALER
Brand Generic BRAND NAME
Presentation Unit in box
Dosage MDI
USA Brand Flovent Inhaler
Manufacture gsk
Strength 50 MCG
Search Terms Flovent Inhaler,FLIXOTIDE INHALER ,fluticasone
Origin NEW ZEALAND

Use spaces to separate tags. Use single quotes (') for phrases.

FOR THE CONSUMER

Along with its needed effects, fluticasone may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking fluticasone:

More common:
-White patches in mouth and throat

Less common:
-Diarrhea
-ear ache
-fever
-lower abdominal pain
-nausea
-pain on passing urine
-redness or discharge of the eye, eyelid, or lining of the eye
-shortness of breath
-sore throat
-trouble in swallowing
-vaginal discharge (creamy white) and itching
-vomiting

Rare:
-Blindness, blurred vision, eye pain
-large hives
-bone fractures
-diabetes mellitus [increased hunger, thirst, or urination]
-excess facial hair in women
-fullness or roundness of face, neck, and trunk
-growth reduction in children or adolescents
-heart problems
-high blood pressure
-hives and skin rash
-impotence in males
-lack of menstrual periods
-muscle wasting
-numbness and weakness of hands and feet
-weakness
-swelling of face, lips, or eyelids
-tightness in chest, troubled breathing, or wheezing

Incidence not known:
-Difficulty breathing
-difficulty swallowing
-dizziness
-fast heartbeat
-growth rate decreased in children and teenagers
-itching, puffiness, or swelling of the eyelids or around the eyes, face, lips, or tongue
-noisy breathing
-swelling of the mouth or throat

Symptoms of overdose:
-Darkening of skin
-fainting
-loss of appetite
-mental depression
-unusual tiredness or weakness

Some side effects of fluticasone may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common:
-Cough
-general aches and pains or general feeling of illness
-greenish-yellow mucus in nose
-headache
-hoarseness or other voice changes
-runny, sore, or stuffy nose

Less common:
-Bloody mucus or unexplained nosebleeds
-dizziness
-eye irritation
-feeling 'faint'
-giddiness
-irregular or painful menstrual periods
-irritation due to inhalant
-joint pain
-migraines
-mouth irritation
-muscle soreness, sprain, or strain
-sneezing
-stomach pain or burning

Rare:
-Aggression
-agitation
-bruising
-itching
-restlessness
-weight gain

Incidence not known:
-Abdominal pain
-blurred vision
-decrease in height
-dry mouth
-fatigue
-flushed, dry skin
-fruit-like breath odor
-increased hunger
-increased thirst
-increased urination
-loss of voice
-pain in back, ribs, arms or legs
-sweating
-trouble sitting still
-unexplained weight loss
USUAL ADULT DOSE FOR ASTHMA - MAINTENANCE
-Inhalation aerosol:
Patients previously treated with bronchodilators only: Initial dose: 88 mcg twice daily; maximum dose: 440 mcg twice daily.
Patients treated with an inhaled corticosteroid: Initial dose: 88 to 220 mcg twice daily; maximum dose: 440 mcg twice daily; may start at doses above 88 mcg twice daily in poorly controlled patients or those who previously required higher doses of inhaled corticosteroids.
Patients previously treated with oral corticosteroids: Initial dose: 880 mcg twice daily; maximum dose: 880 mcg twice daily.
-Inhalation powder:
Patients previously treated with bronchodilators only: Initial dose: 100 mcg twice daily; maximum dose: 500 mcg twice daily.
Patients treated with an inhaled corticosteroid: Initial dose: 100 to 250 mcg twice daily; maximum dose: 500 mcg twice daily; may start at doses above 100 mcg twice daily in poorly controlled patients or those who previously required higher doses of inhaled corticosteroids.
Patients previously treated with oral corticosteroids: Initial dose: 1000 mcg twice daily; maximum dose: 1000 mcg twice daily.

USUAL PEDIATRIC DOSE FOR ASTHMA - MAINTENANCE
4 to 11 years:
-Inhalation powder:
Patients previously treated with bronchodilators or inhaled corticosteroids: Initial dose: 50 mcg twice daily; maximum dose: 100 mcg twice daily. May start at higher dose in poorly controlled patients or those who previously required higher doses of inhaled corticosteroids.
-Inhalation aerosol:
Patients previously treated with inhaled or oral corticosteroids: Initial dose: 88 mcg twice daily; maximum dose: 88 mcg twice daily. May start at higher dose in poorly controlled patients or those who previously required higher doses of inhaled corticosteroids.

12 years or older:
-Inhalation powder:
Patients previously treated with bronchodilators alone: Initial dose: 100 mcg twice daily; maximum dose: 500 mcg twice daily.
Patients previously treated with inhaled corticosteroids: Initial dose: 100 to 250 mcg twice daily. Maximum dose: 500 mcg twice daily. May start doses above 100 mcg twice daily in poorly controlled patients or those who previously required higher doses of inhaled corticosteroids.
Patients previously treated with oral corticosteroids: Initial dose: 1000 mcg twice daily. Maximum dose: 1000 mcg twice daily.

13 years or older:
-Inhalation aerosol:
Patients previously treated with bronchodilators only: Initial dose: 88 mcg twice daily; maximum dose: 440 mcg twice daily.
Patients treated with an inhaled corticosteroid: Initial dose: 88 to 220 mcg twice daily; maximum dose: 440 mcg twice daily; may start at doses above 88 mcg twice daily in poorly controlled patients or those who previously required higher doses of inhaled corticosteroids.
Patients previously treated with oral corticosteroids: Initial dose: 880 mcg twice daily; maximum dose: 880 mcg twice daily.
-Inhalation powder:
Patients previously treated with bronchodilators only: Initial dose: 100 mcg twice daily; maximum dose: 500 mcg twice daily.
Patients treated with an inhaled corticosteroid: Initial dose: 100 to 250 mcg twice daily; maximum dose: 500 mcg twice daily; may start at doses above 100 mcg twice daily in poorly controlled patients or those who previously required higher doses of inhaled corticosteroids.
Patients previously treated with oral corticosteroids: Initial dose: 1000 mcg twice daily; maximum dose: 1000 mcg twice daily.

USUAL PEDIATRIC DOSE FOR EOSINOPHILIC ESOPHAGITIS
Not an FDA approved indication. Optimal dose and dosing regimen are not established.
Oral (swallowed): Note: Patients use an oral inhaler without a spacer and swallow the medication.
1 year to 10 years: 220 mcg orally 4 times daily for 4 weeks, 220 mcg orally 3 times daily for 3 weeks, 220 mcg orally twice daily for 3 weeks, 220 mcg orally daily for 2 weeks.
11 years and older: 440 mcg 4 times daily for 4 weeks, 440 mcg 3 times daily for 3 weeks, 440 mcg twice daily for 3 weeks, 440 mcg daily for 2 weeks.

USUAL PEDIATRIC DOSE FOR BRONCHOPULMONARY DYSPLASIA
Older than 28 days: Some centers have used 2 to 4 puffs (44 mcg/puff) every 12 hours via a face mask and a spacer. One trial used fixed doses administered via a spacer and neonatal anesthesia bag (into ventilator, directly into nasopharyngeal endotracheal tube, or with a face mask) in 16 former preterm neonates (GA: less than 32 weeks; Post Natal Age: 28 to 60 days); chest radiograph score was improved compared to placebo; the treatment group had increased blood pressure compared to baseline; the authors conclude that the trial results do not support the use of fluticasone in oxygen dependent patients with moderate BPD; exact dosing cannot be replicated in the U.S. with available products. (Body weight: 0.5 to 1.2 kg: 125 mcg every 12 hours for 3 weeks, followed by 125 mcg once daily for the 4th week; greater than 1.2 kg: 250 mcg every 12 hours for 3 weeks, followed by 250 mcg once daily for the 4th week)

DOSE ADJUSTMENTS
Inhalation aerosol: If adequate response is not seen after 2 weeks of initial dosage, increase dose. Doses should be reduced to the lowest effective dose once asthma is controlled.

PRECAUTIONS
Fluticasone inhalation is used also used to reduce or discontinue oral corticosteroid therapy for asthma. Do not decrease prednisone faster than 2.5 mg/day on a weekly basis, beginning after at least 1 week of fluticasone inhalation therapy. Monitor for signs of asthma instability and adrenal insufficiency. Decrease fluticasone to lowest effective dose after prednisone reduction is complete. If bronchospasm with wheezing occurs after oral inhalation use, a fast acting bronchodilator may be used.