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Special warnings about this medication
If your symptoms do not improve after the first few days of flonase therapy, check with your doctor. Never take more than the recommended dose. High doses of steroid medications such as flonase can ca use a condition known as Cushing's syndrome. Warning signs of this problem include weight gain and changes in the appearance of the face.

If you are being switched from an oral steroid table t to flonase, you may experience joint pain, muscle pain, weakness, depression, or fatigue while your body adjusts to the absence of steroid tablets and increases its own production of steroids. You m ay also experience eye inflammation, eczema, arthritis, and nasal inflammation.

Drug Interactions
Tell your health care professional if you are taking any prescription or nonprescription (over-the-counter [OTC]) medicines, such as:

- Ephedrine or
- Phenobarbital or
- Rifampin (e .g., Rifadin)¡XEphedrine, phenobarbital, and rifampin may decrease the blood levels of nasal Flonase, such as dexamethasone, warranting an increase in corticosteroid dose

Symptoms of overdose
Acne; blurred vision; bone fractures; excess hair growth in females; fullness or rounding of the face, neck, and trunk; high blood pressure; impotence in males ; increased urination or thirst; lack of menstrual periods; menstrual changes; muscle wasting and weakness

Cautions
Avoid items or activities that you know are allergens for you if they make your symptoms worse. Clean areas where dust or pet fur may aggravate your condition. ? Avoid exposing yourself to known sourc es of infection. Stay away from people with chicken pox, measles, or any other type of infection. Your immune system may not be strong enough to fight off an infection while you are using Flonase (flu ticasone nasal ).

What special precautions should I follow?
The presence of other medical problems may affect the use of Flonase. Make sure you tell your doctor if you have any other medical problems, especially:
- Injury to the nose (recent) or
- No se surgery (recent) or
- Sores in the nose¡XNasal Flonase may prevent proper healing of these conditions
- Liver disease
- Tuberculosis (active or history of)
- Underactive thyroi
- Weak heart or
- Recent heart attack¡XUse of dexamethasone may worsen these conditions

What Is It
Fluticasone is a steroid. It prevents the release of substances in the body that cause inflammation. ? Flonase (fluticasone nasal ) is used to treat the nasal symptoms of allergies and other seasonal reactions. ? Flonase (fluticasone nasal ) may also be used for purposes other than those listed in this medication guide.




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