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Indications - Fluticasone Propionate Nasal Spray is indicated for the management of the nasal symptoms of seasonal and perennial allergic and nonallergic rhinitis in adults and pediatric patients 4 years of age and older. Safety and effectiveness of this Nasal Spray in children below 4 years of age have not been adequately established.

Dosage & Administration - Adults: Recommended usual dosage: 02 sprays (50 µgm/spray) in each nostril once daily, preferably in the morning. In some cases, 02 sprays in each nostril twice daily may be required. Total daily doses of 200 µgm (04 sprays) should not generally be exceeded. Children (4 to 11 years of age): Usual dose: 01 spray in each nostril once daily. In some cases, 01 spray in each nostril twice daily may be required. Total daily doses of 100 µgm (02 sprays) should not generally be exceeded.

Side Effects - The most common side effects reported are nasal irritation & stinging. Rare instances of nasal septum perforation have been reported following intranasal administration. As with other nasal sprays, dryness of nose and throat, unpleasant taste & smell and epistaxis have been reported rarely.

Contraindications - Contraindicated in patients with a history of hypersensitivity to any of its components.

Others - Pregnancy & Lactation There are no adequate & well controlled studies in pregnant women. Fluticasone propionate should be used during pregnancy, if the potential benefit justifies the potential risks to fetus. It is not known whether Fluticasone is excreted in breast milk. As other corticosteroids are excreted in human milk, caution should be exercised when Fluticasone nasal spray is administered to a lactating mother. Overdose Effects Symptoms: Suppression of adrenal function (inhalation); hypercortisolism (topical). Management: Gradually reduce the dose.