Allergic rhinitis is a common disease in our lives, every spring flower and autumn season, there will definitely be people around sneezing, snot continuously, and some people are even deeply troubled by allergic rhinitis all year round.
At present, there are three main types of drugs for the treatment of allergic rhinitis:
Nasal glucocorticoids: fluticasone propionate nasal spray, budesonide nasal spray, mometasone furoate nasal spray, etc.;
Antihistamines: cetirizine (click on the blue word to review the treatment of allergies with cetirizine, be sure to pay attention to these 5 points!) ), oral drugs such as loratadine, nasal drugs such as azelastine nasal spray;
Leukotriene receptor antagonists: montelukast sodium, etc.
Today we take a look at fluticasone propionate nasal spray.
01 This is a topical hormone
Fluticasone propionate nasal spray is a glucocorticoid, but you don't have to panic because it's a hormone.
Because fluticasone propionate nasal spray is used topically in the nasal cavity, the liquid acts directly on the nasal mucosa, which can effectively exert anti-inflammatory, anti-edematous, anti-allergic effects, and is rarely absorbed by the whole body, so there are few adverse reactions throughout the body.
It is mainly used to prevent and treat seasonal allergic rhinitis and perennial allergic rhinitis, which can effectively alleviate nasal symptoms such as nasal congestion, sneezing, runny nose, nasal itching, etc.
02 Fluticasone propionate nasal spray use caution
Fluticasone propionate nasal spray, if used improperly, may cause erosion of the nasal mucosa, ulceration, bleeding, and even the risk of perforation of the nasal septum, so be sure to learn to use it correctly.
Before using fluticasone propionate nasal spray, clean your hands and nasal passages of secretions. Then shake the bottle, shake the white suspension well, the first use or long time without use also need to try to spray, see the mist liquid can be used.
How to use:
Open the cap, pinch the tip of the bottle with your index and middle fingers, hold the bottom of the bottle with your thumb, and tilt your head forward.
When spraying the left nostril, press the right nose wing with your left hand and hold the medicine bottle in your right hand to spray, and the two hands are crossed.
When spraying in the right nostril, the hands are exchanged, the right hand presses the left nose wing, and the left hand holds the pill bottle to spray.
Pay attention to the outside of the nasal cavity, do not spray directly to the nasal septum, to avoid the risk of perforation of the nasal septum.
And after spraying the drug, use your nose to inhale and exhale in your mouth.
After use, wipe off the residual liquid next to it and cover it with a dust cap.
Specific dosage:
For children over 12 years of age and adults, it is generally used once a morning with 2 sprays in each nostril.
Some patients with more serious conditions may need to increase the dose, generally twice a day, once in the morning and once in the evening, and the same 2 sprays in each nostril.
Note that fluticasone propionate nasal spray is the maximum daily dose, ≤ 4 sprays per nostril.
When the patient's symptoms gradually improve, it can be reduced to the minimum dose and maintained for a period of time, such as once a day, 1 spray in each nostril.
Time of onset:
After using fluticasone propionate nasal spray, it usually takes 3-4 days to take effect.
Therefore, the use of fluticasone propionate nasal spray must be regular medication, with enough courses, and can not have symptoms on the use, no symptoms on the stop, which may lead to prolonged course of disease, and even complications such as asthma or chronic rhinitis, more affect the quality of life.
Medication course:
For mild and moderately severe allergic rhinitis, the general course of treatment is not less than two weeks, and for moderate to severe, persistent allergic rhinitis, the course of treatment is not less than four weeks.
However, if it is used for a week and the symptoms have not improved or are not completely controlled, it is recommended to temporarily stop the drug, seek medical attention in time, and consult the doctor whether the treatment plan needs to be changed. Even if the use of fluticasone propionate nasal spray is effective, continuous use for more than three months is not recommended.
In addition, it should be noted that after the use of fluticasone propionate nasal spray for a long time, the nozzle may be somewhat blocked, and it must not be used to prick the nozzle, if the nozzle is damaged as a result, the dose will be inaccurate.
The correct treatment method is to remove the nozzle, rinse it with clean water, dry it, and then install it.
03 Adverse reactions are very mild
As mentioned earlier, fluticasone propionate nasal spray is a glucocorticoid, which is what we often call a hormone.
Hormones everyone feels very panicked when they talk about it, and indeed, long-term use of glucocorticoids can lead to a variety of side effects such as full moon face, buffalo back, osteoporosis, femoral head necrosis, gastrointestinal ulcers and so on.
However, these side effects usually occur only on oral and injectable hormones and are caused after long-term use in large doses. For fluticasone propionate nasal spray, it is a locally absorbed drug, and the proportion of systemic absorption is only 0.5%, so the adverse reactions are very mild compared with systemic hormones.
Major adverse effects include bleeding from the nose, dryness of the nasal mucosa and irritation, which usually resolve after a period of medication.
Moreover, according to research investigations, nosebleeds may be caused by improper use and are not necessarily adverse reactions of the drug.
Therefore, the use of fluticasone propionate nasal spray must be carried out in the same way as described above.
There are also some rare but more serious adverse reactions, such as skin rashes caused by allergies and edema of the face or tongue, or more rare perforation of the nasal septum, etc., once these adverse reactions occur, it is recommended to seek urgent medical attention.
References: Medical Microvision official website - Wang Hailian Deputy Chief Pharmacist "Fluticasone Propionate Nasal Spray"