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