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- Flixonase Nasal Spray
| Category | Details |
| Type of Medicine | Corticosteroid nasal spray used to reduce inflammation in the nasal passages |
| Health Conditions Prescribed For | Hay fever, allergic rhinitis (seasonal), nasal congestion, sneezing, runny or itchy nose |
| Active Ingredients | Fluticasone propionate |
| Brand Names | Flixonase |
| Available Strengths | 50 micrograms per spray |
| Available As | Nasal spray (aqueous suspension) |
| Possible Side Effects | Nosebleeds, nasal dryness or irritation, sore throat, unpleasant taste or smell, headache. Rarely: vision changes, severe allergic reaction, or raised eye pressure |
| Manufacturers | GlaxoSmithKline (GSK) and licensed generic manufacturers |
What is Flixonase Nasal Spray?
Flixonase is a nasal spray that helps control the symptoms of hay fever and other allergies affecting the nose. It contains fluticasone propionate, a corticosteroid that reduces inflammation in the nasal passages. This makes it easier to breathe and relieves symptoms such as sneezing, congestion, and a runny or itchy nose.
How does Flixonase work?
When you spray Flixonase into your nose, the medicine acts directly on the nasal lining. It reduces swelling and irritation, which helps prevent allergy symptoms from developing. Unlike antihistamines, which work quickly but only block histamine, Flixonase targets several chemicals involved in the allergic response. This gives longer-lasting relief when used regularly.
When to consider Flixonase Nasal Spray
You may benefit from Flixonase if you have:
- Seasonal hay fever caused by pollen
- Year-round allergic rhinitis from triggers such as dust mites, animal dander, or mould
- Blocked or runny nose that affects your daily life or sleep
Who should use Flixonase?
Adults aged 18 and over can use Flixonase for allergy relief. It may also be prescribed for younger patients under medical supervision.
Who should not use Flixonase?
Do not use Flixonase if you are allergic to fluticasone propionate or any other ingredient in the spray. Speak to your doctor or pharmacist before using if you have:
- Recent nasal surgery or injury
- Ongoing nasal infections
- Glaucoma or cataracts
- Severe liver disease
Alternative treatments
If Flixonase does not suit you, other options include antihistamine tablets, antihistamine nasal sprays, or other steroid nasal sprays such as beclometasone or mometasone. Saline sprays or rinses may also help clear nasal passages.
Can you buy Flixonase Nasal Spray over the counter?
Yes. Flixonase Nasal Spray is available from pharmacies without a prescription for adults aged 18 and over. A pharmacist may ask you questions about your symptoms before sale.
How to use Flixonase Nasal Spray
- Shake the bottle gently before each use.
- Prime the spray if using it for the first time (or after several days of non-use) by pressing down until a fine mist appears.
- The usual dose for adults is 2 sprays into each nostril once daily, preferably in the morning. Do not exceed this dose.
- Relief may be felt within 12 hours, but it can take a few days of regular use for full benefit.
- Use regularly during your allergy season or while exposed to triggers.
Tell your prescriber if you are taking:
- Other steroid medicines
- Ritonavir or cobicistat (HIV treatments)
- Strong antifungal medicines such as ketoconazole
These can increase the effects of corticosteroids.
Active ingredient:
Fluticasone propionate 50 micrograms per spray
Inactive ingredients:
Dextrose (anhydrous glucose)
Microcrystalline cellulose
Carboxymethylcellulose sodium
Phenylethyl alcohol
Purified water
Dilute hydrochloric acid (for pH adjustment)
Polysorbate 80
Benzalkonium chloride (as preservative)
Always check the patient information leaflet (PIL) in your pack for the full ingredient list — especially if you have skin allergies or sensitivities.
Flixonase is generally well tolerated, but some people may experience:
- Nosebleeds
- Headache
- Nasal dryness or irritation
- Unpleasant taste or smell after spraying
Rare but serious side effects include allergic reactions (rash, swelling, difficulty breathing), vision changes, or severe nasal irritation. Seek medical advice if these occur.
What is Flixonase Nasal Spray used for?
It is used to relieve symptoms of hay fever and other allergies such as sneezing, nasal congestion, runny nose, and itching.
How does Flixonase work?
It contains fluticasone propionate, a corticosteroid that reduces swelling and irritation in the nose. This helps control allergy symptoms and makes breathing easier.
How quickly does it work?
Some people feel relief within 12 hours. For full benefit, you may need to use it daily for a few days.
How do I use Flixonase Nasal Spray?
Shake the bottle gently. Prime the spray before first use. The usual dose for adults is 2 sprays in each nostril once daily, preferably in the morning. Do not use more than recommended.
Can I use it every day?
Yes. Flixonase works best when used regularly during your allergy season or while exposed to your triggers.
What if I miss a dose?
Take it when you remember, but do not double the dose. Continue with your usual schedule.
What are the common side effects?
The most common are nosebleeds, a dry or irritated nose or throat, an unpleasant taste or smell, and headache. These are usually mild.
Who should not use Flixonase?
Do not use if you are allergic to fluticasone or any ingredient in the spray. Speak to your doctor before using if you have had nasal surgery, a nose injury, glaucoma, cataracts, or severe liver problems.
Can I use Flixonase with other hay fever medicines?
Yes, sometimes doctors recommend using it alongside antihistamines or eye drops if symptoms are severe. Check with your pharmacist before combining treatments.
Can I use Flixonase if I am pregnant or breastfeeding?
Speak to your doctor first. Flixonase is only used in pregnancy or breastfeeding if the benefits outweigh the risks.
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