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Significant Interactions:

The risk of developing Cushing's syndrome and other side effects increases when you take other steroid medications while using flonase. Prednisone and dexamethasone are examples of oral steroid medica tions. Certain other asthma inhalers, skin creams, eyedrops, and eardrops also may contain steroids.

Also be sure to check with your doctor before combining flonase with ketoconazole (Nizora l) or HIV drugs known as protease inhibitors, including Agenerase, Crixivan, Fortovase, Norvir, and Viracept.

Special warnings about this medication

In rare cases, inhaled steroids such as Flovent have caused cataracts or increased pressure in the eye (glaucoma). Alert your doctor if you suffer from either problem.

If you have recently h ad a nasal injury or ulcer, or had surgery on your nose, you should wait until you are fully healed before using Flonase.

Before Using This Medicine

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:
- Amebiasis¡XNasal Flonase may make this c ndition worse
- Asthma¡XNasal Flonase may make this condition worse
- Diabetes mellitus (sugar diabetes)¡XUse of dexamethasone may decrease carbohydrate tolerance, worsening blood glucose co rol and warranting an increase in insulin dosage
- Glaucoma¡XLong-term use of nasal Flonase may worsen glaucoma by increasing the pressure within the eye
- Herpes simplex (virus) infection o the eye or
- Infections (virus, bacteria, or fungus)¡XNasal Flonase may cover up the signs of these conditions

What side effects can this medication cause?

Although side effects from Flonase are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- headache
- nasal irritation or dryness
- sore throat
- sneezing
- nosebleed
- change in taste or smell

If you experience any of the following symptoms, call your doctor immediately:

- increased difficulty breathing
- swelling of eyelids, face, or lips
- skin rash or hives
- tingling of the hands or feet
- white spots in the mouth or nose

What special precautions should I follow?

Children¡XFlonase taken by mouth or injection have been shown to slow or stop growth in children and cause reduced adrenal gland function. If Flonase are medically necessary to control nasal problems n a child, nasal Flonase are generally considered to be safer than Flonase taken by mouth or injection. Prolonged or high-dose use of nasal Flonase may potentially affect growth; although, most nasal Flonase have not been shown to affect growth.
Before this medicine is given to a child, you and your child's doctor should talk about the good this medicine will do as well as the risks of using i t.

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


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