Flonase, a brand name for fluticasone propionate, is a widely used corticosteroid medication that effectively reduces inflammation in the nasal passages. Available over-the-counter and by prescription, Flonase nasal spray and nasal drops are primarily used to relieve symptoms of allergic rhinitis, hay fever, and non-allergic rhinitis, such as nasal congestion, sneezing, runny nose, and itchy nose. In some cases, Flonase nasal drops are also prescribed to shrink nasal polyps. Understanding How To Use Flonase correctly is crucial to maximize its benefits and minimize potential side effects. This comprehensive guide will walk you through the proper usage of both Flonase nasal spray and nasal drops, ensuring you get the most relief from your nasal symptoms.
Understanding Flonase: Nasal Spray and Drops
Flonase works by reducing inflammation in the nasal passages. It’s important to understand that Flonase is not a decongestant and may not provide immediate relief. It typically takes a few days to a week of consistent use to experience the full benefits. Flonase is available in different formulations, including:
- Flonase Allergy Relief Nasal Spray (0.05% fluticasone propionate): This is the standard over-the-counter strength, typically used for daily allergy symptom management.
- Children’s Flonase Allergy Relief Nasal Spray (0.05% fluticasone propionate): Formulated for children, with dosage adjustments.
- Flonase Sensimist Allergy Relief Nasal Spray (27.5 micrograms fluticasone furoate): A gentler mist spray formulation, also available over-the-counter.
- Fluticasone Propionate Nasal Drops (400 micrograms/1mg per 1ml): A higher concentration prescription formulation, often used for more severe nasal conditions or nasal polyps.
This guide will primarily focus on the usage of the 0.05% nasal spray and the 400 micrograms/ml nasal drops, as described in the original article. Always refer to the specific product packaging and instructions provided with your Flonase medication, as formulations and directions can vary.
Step-by-Step Guide: How to Use Flonase Nasal Spray
Using Flonase nasal spray correctly ensures the medication reaches the targeted areas in your nasal passages and provides optimal relief. Here’s a step-by-step guide:
Dosage and Frequency for Nasal Spray
The usual dosage for Flonase Allergy Relief Nasal Spray (0.05%) is typically one or two sprays in each nostril once or twice daily. It’s generally recommended to start with two sprays in each nostril twice a day for initial symptom control and then reduce the dosage to one spray once daily for maintenance as symptoms improve.
Always follow the specific dosage instructions on the product label or as directed by your doctor. Do not exceed the maximum recommended number of sprays in a 24-hour period.
Priming the Spray
If you are using a new bottle of Flonase nasal spray for the first time, or if you haven’t used it for a few days, you will need to prime the pump. Priming ensures that you get a consistent and accurate dose of medication. To prime the spray:
- Hold the bottle upright and away from your face.
- Place your index and middle fingers on the shoulder area of the spray bottle and your thumb on the base.
- Press down firmly and release.
- Repeat this pumping action several times (usually 6-7 pumps or as indicated in the product instructions) until a fine mist is released.
You only need to prime a new bottle or if it hasn’t been used recently. You do not need to prime before each use if you are using it regularly.
Detailed Spraying Instructions
Once the spray is primed, follow these steps each time you use Flonase nasal spray:
- Gently blow your nose: Clear your nasal passages by gently blowing your nose to remove any mucus before using the spray.
- Close one nostril: Use a finger to gently press and close one nostril.
- Position the spray: Tilt your head forward slightly and insert the nozzle of the spray into the open nostril. Keep the bottle upright. Be careful not to insert the nozzle too far into your nose.
- Spray and inhale: Breathe in slowly through your nose, and at the same time, firmly press down on the widest part of the nozzle to release the spray into your nostril.
- Breathe out: Remove the nozzle from your nostril and breathe out through your mouth.
- Repeat if needed: If your prescribed dose is two sprays per nostril, repeat steps 4 and 5 to administer a second spray into the same nostril.
- Switch nostrils: Repeat steps 2 through 6 for your other nostril.
- Clean the nozzle: After use, wipe the nozzle with a clean tissue and replace the dust cap to keep it clean and prevent blockage.
Image: Step-by-step illustration of using Flonase nasal spray, including blowing nose, closing nostril, inserting nozzle, and spraying while inhaling.
Cleaning and Maintenance of the Spray Nozzle
Regular cleaning of the Flonase nasal spray nozzle is important to prevent blockage and ensure hygiene. After each use, wipe the nozzle with a clean, dry tissue. Avoid using water to clean the nozzle, as this can contaminate the medication. If the nozzle becomes clogged, remove it from the bottle and rinse it under warm running water. Allow it to air dry completely before reattaching it to the bottle. If you rinse the nozzle, you will need to prime the spray again before using it.
Step-by-Step Guide: How to Use Flonase Nasal Drops
Flonase nasal drops are administered using small, single-use plastic containers called nasules. Each nasule contains a pre-measured dose of fluticasone.
Dosage and Frequency for Nasal Drops
The typical dosage for Flonase nasal drops is 6 drops in each nostril, once or twice a day. Follow your doctor’s prescription and the instructions provided with the nasal drops.
Preparing the Nasules
Flonase nasal drops come in strips of nasules. To prepare a dose:
- Separate a nasule: Gently pull off one plastic container (nasule) from the strip.
- Mix the medicine: Flick the container with your finger and then shake it several times to ensure the medication is well mixed.
- Open the nasule: Hold the bottom of the container firmly and twist and remove the top to open it. Only open the container when you are ready to use it.
Detailed Drop Application Instructions
Administering nasal drops requires a specific head position to ensure the medication reaches the right areas.
-
Blow your nose gently: Clear your nasal passages before using the drops.
-
Adopt the correct head position: Follow the instructions and diagrams in the manufacturer’s leaflet to get your head into the correct position. This usually involves tilting your head back and down, often while lying down or hanging your head over the edge of a bed. Proper head positioning is crucial for the drops to reach the nasal passages effectively.
Image: Illustration demonstrating the correct head position for administering nasal drops while lying down with head tilted back.
-
Administer the drops: Carefully place the open end of the nasule into one nostril and gently squeeze the container.
-
Squeeze until sides touch: Continue squeezing until the sides of the container touch each other. This ensures you have administered approximately half of the dose (about 6 drops).
-
Repeat for the other nostril: Repeat steps 3 and 4 for the other nostril to administer the remaining drops.
-
Maintain head position: Stay in the head-down position for at least 1 minute after putting in the drops to allow the medication to spread throughout your nasal passages.
If the recommended head positions are difficult, you can lie on a bed with your head tilted over the edge. After administering the drops, rest your head sideways on the bed for at least 1 minute.
Disposing of Nasules
Flonase nasal drops are for single use only. Discard the used nasule container immediately after each application, even if there is still some liquid left in it. Do not reuse nasules.
How Long Should You Use Flonase?
The duration of Flonase use depends on whether you are using an over-the-counter (OTC) product or a prescription medication.
- Over-the-counter Flonase: If you purchased Flonase nasal spray from a pharmacy or store without a prescription, check the product leaflet for recommended usage duration. Do not use OTC Flonase continuously for more than 1 month without consulting a doctor. If your symptoms persist beyond this period, or if you feel you need to use it for longer, seek medical advice.
- Prescription Flonase: If your doctor prescribed Flonase nasal spray or drops, they will advise you on the appropriate duration of use. In some cases, doctors may recommend longer-term use for chronic conditions. For shrinking nasal polyps, Flonase nasal drops are typically prescribed for 4 to 6 weeks.
It’s important to remember that Flonase may take a few weeks to reach its full effectiveness. Continue using it even if you don’t experience immediate relief. Consistency is key for Flonase to work properly.
What If You Miss a Dose?
If you forget to use your Flonase nasal spray or drops, use it as soon as you remember, unless it is almost time for your next scheduled dose. If it’s close to your next dose, skip the missed dose and continue with your regular dosing schedule. Do not use a double dose to make up for a missed one.
If you frequently forget doses, consider setting a reminder alarm or using a medication reminder app. Consult your pharmacist for additional tips to help you remember to take your medication consistently.
What If You Use Too Much Flonase?
Using too much Flonase nasal spray or drops is generally not considered harmful in the short term because minimal amounts of the medication are absorbed into the body. However, chronic overuse of corticosteroids can potentially lead to systemic side effects.
If you are concerned that you may have used too much Flonase or if you experience any unusual symptoms, consult your pharmacist or doctor for guidance.
By following these detailed instructions, you can ensure you are using Flonase nasal spray and drops correctly to effectively manage your nasal symptoms. Always consult with a healthcare professional if you have any questions or concerns regarding your Flonase usage or your nasal health.
