Buy Flovent Online

What is Flovent?

Flovent (fluticasone) is a steroid. It prevents the release of substances in the body that cause inflammation.

Flovent is used to prevent asthma attacks. It will not treat an asthma attack that has already begun.

Flovent may also be used for purposes not listed in this medication guide.

Important information about Flovent

Do not use Flovent to treat an asthma attack that has already begun.

Before using Flovent, tell your doctor if you have been sick or had an infection of any kind. You may not be able to use Flovent until you are well.

Contact your doctor if your asthma symptoms do not improve after using Flovent 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. If you use a peak flow meter at home, call your doctor if your numbers are lower than normal.

Your Flovent 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 Flovent, 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. Carry an identification card or wear a medical alert ID to let others know that you may need an oral steroid in an emergency.

Before using Flovent

You should not use Flovent if you are allergic to fluticasone.

Before using Flovent, tell your doctor if you have been sick or had an infection of any kind. You may not be able to use Flovent until you are well.

FDA pregnancy category C. It is not known whether Flovent is harmful to an unborn baby. Before using Flovent, 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 Flovent without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 4 years old without the advice of a doctor. Flovent can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using Flovent.

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 Flovent?

Use Flovent exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Flovent comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Do not use Flovent to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medication.

Flovent 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.

Flovent 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 Flovent products. Do not swallow. Pay special attention to your dental hygiene. This medicine can cause cavities or tooth discoloration.

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. Get your prescription refilled before you run out of medicine completely. Do not change your doses or medication schedule without advice from your doctor.

Contact your doctor if your asthma symptoms do not improve after using Flovent 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. If you use a peak flow meter at home, call your doctor if your numbers are lower than normal.

Your Flovent 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 Flovent, 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. Carry an identification card or wear a medical alert ID to let others know that you may need an oral steroid in an emergency.

Store Flovent at room temperature away from moisture and heat. Keep the Flovent HFA aerosol 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 missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of Flovent 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 Flovent?

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 Flovent.

Flovent side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Flovent: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using Flovent and call your doctor at once if you have a serious side effect such as:

  • 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 Flovent; or

  • worsening asthma symptoms.

Less serious Flovent 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; or

  • hoarseness 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. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Flovent HFA?

Tell your doctor about all other medicines you use, especially:

  • conivaptan (Vaprisol);

  • imatinib (Gleevec);

  • isoniazid (for treating tuberculosis);

  • an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);

  • antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);

  • an antidepressant such as nefazodone;

  • heart or blood pressure medication such as diltiazem (Cardizem, Dilacor, Tiazac), nicardipine (Cardene), quinidine (Quin-G), or verapamil (Calan, Covera, Isoptin, Verelan); or

  • HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), or ritonavir (Norvir, Kaletra).

This list is not complete and other drugs may interact with Flovent. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

For the Consumer

Applies to fluticasone: inhalation aerosol powder, inhalation disk, inhalation powder

Along with its needed effects, fluticasone (the active ingredient contained in Flovent) 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

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Applies to fluticasone: inhalation aerosol, inhalation aerosol with adapter, inhalation powder, inhalation suspension

Hypersensitivity

Cases of serious eosinophilic conditions also have been reported with other inhaled corticosteroids in this clinical setting.

Hypersensitivity adverse effects have included rare cases of immediate and delayed reactions including rash, angioedema and bronchospasm. Hypersensitivity adverse effects have also included postmarketing reports of a systemic eosinophilic condition and anaphylactic reactions, including very rare anaphylactic reactions in patients with severe milk protein allergy. Clinical features of this condition have included a vasculitis consistent with Churg-Strauss syndrome, vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy. These events have usually been associated with a reduction and/or discontinuation of oral corticosteroid therapy following introduction of fluticasone.

Local

Asthma treatment with high doses of inhaled fluticasone (the active ingredient contained in Flovent) powder apparently led to a serious case of laryngeal aspergillosis in a 75-year-old man. The patient had been using fluticasone 1 mg twice daily via Diskhaler for about 3 years. The patient experienced progressive hoarseness which lead to complete aphonia. Aspergillosis fumigatus was cultured from the vocal cords. Amphotericin B lozenges were used to treat the infection. After 14 weeks the patient's voice was still gruff but intelligible. It is recommended that tests for fungal infection be performed in patients on fluticasone therapy who become hoarse, particularly if taking high doses.

Local side effects associated with inhaled fluticasone have included dysphonia, sore throat, bronchitis, chest congestion, nasal congestion, nasal discharge, and eye irritation.

Endocrine

Due to extensive first-pass metabolism of fluticasone (the active ingredient contained in Flovent) to an inactive carboxylic acid, significant systemic effects are not expected from any amount of the drug that may be ingested via inhalation of normally recommended dosages.

Endocrine side effects have included rare reports of symptoms of hypothalamic-pituitary-adrenal (HPA) axis suppression. These effects are more likely when higher potency corticosteroids are used in large doses. The use of a large-volume spacer may help minimize HPA suppression when fluticasone is inhaled orally.

Immunologic

Immunologic effects of infections from immune suppression associated with inhaled corticosteroids have been debated. No conclusive evidence is available to support an increase in tuberculosis or viral infections in patients receiving inhaled fluticasone (the active ingredient contained in Flovent)

In 1993, the American Academy of Allergy and Immunology (AAAI) requested that the FDA review its decision regarding the labeled risks of the use of inhaled corticosteroids during severe viral infections. The AAAI's request was based on the lack of data linking inhaled corticosteroids to increases in complications of viral infections.

Nervous system

Nervous system side effects have included headache, dizziness, giddiness, fatigue, and insomnia.

Gastrointestinal

Gastrointestinal side effects have included nausea, vomiting, and diarrhea. Oropharyngeal candidiasis and candida like lesions have also been reported. Postmarketing experience has included dental caries and tooth discoloration.

Ocular

Ocular side effects have included posterior capsular cataracts, especially with long-term use.

One epidemiologic study suggests that prolonged use of high-dose inhaled corticosteroids (>= 1500 mcg of fluticasone) may be associated with increased risk of ocular hypertension and open-angle glaucoma.

Musculoskeletal

Musculoskeletal adverse effects have included joint pain and muscle soreness. Long-term use of inhaled corticosteroids may be associated with a reduction in bone density. This effect may be dose related and has been reported with high dosages of orally inhaled beclomethasone and budesonide (>=800 mcg/day for >=1 year). Reduced levels of total body calcium have also been demonstrated in patients receiving lower dosages.

Psychiatric

Psychiatric side effects have included agitation, aggression, anxiety, depression, and restlessness. Behavioral changes, including hyperactivity and irritability, have been reported very rarely.

Other

Other side effects have included postmarketing reports of facial and oropharyngeal edema.