Medicines & Supplements A to Z > Fluticasone

Fluticasone

Last updated on 22/03/2021.

Overview   |   Dosage   |    Side Effects   |   Precautions  |   Tips  |   Where To Buy  

GENERIC NAME: Fluticasone 

CHINESE NAME: 氟替卡松

BRAND NAME(S) IN HONG KONG: Apo-Fluticasone, Avamys 鼻眼適, Cutivate 克廷膚, Dalman AQ, Dymista 鼻舒達 (Contains Fluticasone and Azelastine), Flixonase 輔舒良, Flixotide 輔舒酮, Flutiform 呼特康 (Contains Fluticasone and Formoterol), Relvar Ellipta 衛呼 (Contains Fluticasone and Vilanterol), Seretide 舒悅泰 (Contains Fluticasone and Salmeterol)

DRUG CLASS: Corticosteroid / glucocorticoid

USED FOR: Asthma, allergic and perennial rhinitis, nasal polyps, severe inflammatory skin disorders 

OTHER DRUGS IN THE SAME CLASS: Betamethasone, Dexamethasone, Fluocinolone, Hydrocortisone, Prednisolone, Prednisone

AVAILABLE DOSAGE FORMS:
– 50mcg/100mcg, 50mcg/250mcg, 50mcg/500mcg (inhalation powder)
– 0.05%, 50mcg, 27.5mcg (nasal spray)
– 0.05% (cream)

What is Fluticasone for?

Fluticasone belongs to a class of medications called glucocorticoids or steroid hormones. It mainly works by reducing inflammation and has a wide range of uses, including but not limited to:

– Asthma
– Allergic and perennial rhinitis
– Nasal polyps
– Dermatitis and eczema

How to use it?

Fluticasone can be either used intranasally (Flixonase), topically (Cultivate) or inhaled (Flutiform). When it is used as an inhaler for asthma control, it can be combined with a long-acting bronchodilator such as Formoterol. The suggested doses of Fluticasone for different uses by different routes of administration and age groups are listed below:

For asthma

Inhalation of powder/ aerosol

Adult/ Child (16-17 years)

100-500 mcg twice daily. A higher dose can be given depending on your severity of asthma.

Child (4-15 years)

50-100 mcg twice daily. A higher dose can be given depending on your severity of asthma.

 

For allergic rhinitis or perennial rhinitis

Intransal

Adult/ Child (12-17 years)

Flixonase: Two sprays (100 mcg) into each nostril once or twice daily. The dose might be reduced according to your response.

Avamys: Start with two sprays (55 mcg) into each nostril once daily. Then, one spray (27.5 mcg) into each nostril once daily.

Child (4-11 years)

Filxonase: One spray (50 mcg) into each nostril once or twice daily.

Child (2-11 years)

Avamys: One spray (27.5 mcg) into each nostril once daily.

 

For nasal polyps

Intranasal

Adult/ Child (16-17 years)

Filxonase: 200 mcg once or twice daily.

 

For dermatitis and eczema

Topical

Apply a thin layer of cream once or twice daily to the affected area.

What are the side effects of Fluticasone?

When used as a cream, minimise the period of time you use Fluticasone as long-term use can cause skin thinning.

When Fluticasone is used intranasally, it can have side effects such as nose bleeding, nasal ulceration, cough and nasal irritation.

When Fluticasone is inhaled, it can have side effects such as upper respiratory tract infection, changes to your voice and oral thrush (yeast infection).

Who should not take Fluticasone?

– People allergic to Fluticasone or any component of the formulation
– Topical fluticasone only: Patients with viral, bacterial or fungal skin lesions, parasitic skin infections or acne

Pharmacist Tips:

– If you are taking the drug for asthma, make sure you use the inhaler properly. You can also use a spacer with the inhaler.
– Rinse mouth with water after using the inhaler to prevent oral thrush.
– If you are using the drug topically, apply thinly onto the affected areas. Usually one fingertip unit (from the very end of the finger to the first crease in the finger) of topical steroid (the tube is assumed to have a 5 mm nozzle) is enough for a skin area twice the size of an adult’s hand (the flat side) with all fingers together.
– Wash hands before and after application.
– For intranasal preparation, shake well prior to each use. Close off the other nostril during application.

Common dosing schedule:
No specific meal schedule requirements.
Fluticasone for asthma should be used regularly.
Do not apply topical Fluticasone more than twice onto the affected area daily.

This schedule is for reference only, adjustments may be made according to individual needs.

Some common medications Fluticasone may interact with:
Inhaled Fluticasone:
– Cobicistat
– Lopinavir, Ritonavir
Ketoconazole, Posaconazole, Voriconazole

Please notify your doctor or pharmacist if you are taking the above medication, dosage adjustments might be needed.

Where to buy Fluticasone in Hong Kong?

In Hong Kong, Fluticasone is a prescription only medicine, and requires a prescription from a doctor to be purchased in a pharmacy. It can also be obtained from doctors. To find a pharmacy near you, refer to the list of pharmacies (“Authorized Sellers of Poisons”) from the Hong Kong Department of Health.

For more information about drug names and ingredients, you can visit Hong Kong’s Drug Office at https://www.drugoffice.gov.hk/

Need more information?

For detailed information about the use of Fluticasone in children, pregnancy and breastfeeding, and for questions about drug interactions, please check with your pharmacist or doctor.

Disclaimer: our goal is to provide you with the most relevant drug information and common dosage for Hong Kong. This information does not constitute medical advice. For specific treatment recommendations and advice, always discuss with your doctor or pharmacist, and follow the instructions included with your specific medicine.