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Inhaled / intranasal corticosteroid (preventer)

Fluticasone: uses, side effects & precautions

Also known as Flonase, Flixonase, Flovent, Avamys (fluticasone furoate), Nasacort (note: different steroid).

Esta información es solo orientativa de carácter general y no constituye un consejo médico. Consulta siempre a un profesional sanitario cualificado para cualquier asunto médico personal. En caso de emergencia, llama al número de emergencias de tu zona.

What it is used for

  • Asthma (regular prevention) — inhaled form
  • Reducing airway inflammation to prevent symptoms
  • Hay fever and persistent allergic rhinitis — nasal spray form
  • Nasal congestion, sneezing, itching, and runny nose from allergy

How it works

Fluticasone is a steroid that reduces inflammation in the airways or the lining of the nose. Used regularly, it lessens swelling and sensitivity, helping to prevent asthma symptoms or ongoing nasal allergy symptoms.

How it is taken

Available as an inhaler (preventer) for asthma and as a nasal spray for allergies. Both are used regularly rather than for instant relief. Use it exactly as your doctor, nurse, or pharmacist directs. Rinsing your mouth after inhaler use can reduce side effects.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Oral thrush, hoarse voice, or sore throat (inhaler)
  • Dry or irritated nose, mild nosebleeds (nasal spray)
  • Unpleasant taste or smell
  • Headache
  • Nasal stinging

Serious effects — get help

  • Signs of a severe allergic reaction (swelling, difficulty breathing)
  • Eye problems such as blurred vision (rare, with long-term use)
  • Repeated or heavy nosebleeds, or a sore that will not heal inside the nose
  • Symptoms of adrenal effects with high long-term doses — discuss with your clinician

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Certain antifungal and some HIV medicines (ritonavir, ketoconazole) which can markedly raise steroid levels
  • Other steroid medicines (added effect)
  • Tell your clinician about all your medicines

Who should take care

  • Tell your clinician if you are pregnant, planning pregnancy, or breastfeeding
  • Use it regularly as prescribed for it to work, even when you feel well
  • Rinse your mouth after inhaler use
  • Tell any clinician you use an inhaled or nasal steroid, especially before surgery or if you become unwell
  • Do not stop long-term use suddenly without advice

Frequently asked questions

Is fluticasone a quick-relief medicine?
No — it is a preventer that works over time to reduce inflammation. It will not relieve a sudden asthma attack; a reliever inhaler does that.
How long does the nasal spray take to work for hay fever?
It can take a few days of regular use to reach full effect, so use it consistently.
Should I rinse my mouth after the inhaler?
Yes, rinsing and spitting helps prevent thrush and hoarseness.
Is long-term use of fluticasone safe?
Inhaled and nasal forms deliver low, targeted doses and are widely used long term with clinician supervision. Raise any concerns with your doctor.

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