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Flovent Inhaler

Flovent is a brand name for Fluticasone propionate, which is a glucocorticoid steroid related to hydrocortisone or cortisol naturally occurring hormone produced by the adrenal glands. It possesses anti-inflammatory actions, so when a person inhales the Fluticasone propionate, it travels to windpipe in the lungs and it reduces inflammation due to any allergen or inflammatory reaction in the lungs.

It is an important preventer medication for asthmatic patients. Therefore, it is used as prophylactic and maintenance therapy in asthmatic patients aged 4 years or above. Over the time, many patients may reduce the dose or eliminate the requirement of oral corticosteroid.

How does it work?

The main principle for long-term management of asthma is to reduce the inflammation of the airways and prevent narrowing of airways.

Fluticasone propionate alleviates the inflammation, which ultimately prevents narrowing of the airways. Inflammation caused by allergens is a main trigger that cause narrowing or bronchospasm. Therefore, the long-term prevention of inflammation reduces the tendency of recurrence of asthma attacks.

Points to be remembered:

  • Flovent inhaler is not indicated for quick relief or during acute aggravations of the symptoms due to asthma or bronchospasm.
  • It is a part of maintenance therapy, so during acute aggravation, you can use rescue inhalers as per your prescriptions. It never provides quick relief during acute attack of asthma, so you may need fast acting beta2 agonist, such as Salbutamol inhaler (Ventolin inhaler).

Dosage:

It is not recommended to use in children below the age of 4.

In children (aged 4 to 11 years): 44 mcg twice a day (maximum dose is 88 mcg twice a day)

Adults (aged 12 years or above): 88 mcg twice a day (440 mcg is maximum dosage)

Notes:

  • Starting dose should be 88 mcg twice a day in case of adults and 44mcg in case of children aged 4 or above. If you had to take previously corticosteroid to control asthma, then you may require higher doses of Fluvent.
  • If you are taking oral prednisone, the dose of oral prednisone should be decreased slowly not more than 2.5 mg per day after the first week with Fluticasone propionate inhalation therapy.
  • After the completion of oral prednisone reduction, the dose of Fluvent should also be decreased to the lowest effective and tolerable dose.

Side effects:

Fluticasone propionate is absorbed in the body with very little doses and side effects due to lower dosage are well tolerable, but if we use it frequently and in larger doses, it may cause unwanted effects. Some are listed below:

  1. Candida albicans infection
  2. Adrenal suppression or Hypercorticism
  3. It may cause bone mineral density reduction
  4. Cataract
  5. Glucoma
  6. It may reduce growth velocity in children.

Contraindications:

  1. Acute attack of asthma
  2. Hypersensitivity to the ingredients present in Flovent.

Warning Signs:

If you are experiencing any of the following symptoms or signs after use or during use of Fluticasone propionate inhaler, you should consult your doctor right away.

  1. Chest congestion
  2. Increase in wheezing
  3. Oral infection
  4. Nausea or vomiting
  5. Eye pain
  6. Tiredness
  7. Candida albicans infection or oral thrush
  8. Throat pain

In addition, also keep checking on if your symptoms worse while using Fluvent inhaler and ask your doctor about them.

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