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The following safety and warning information highlights the potential risks and necessary precautions associated with the use of fluticasone nasal spray. It is important to thoroughly review these warnings and discuss any concerns with your healthcare provider.

• Nasal Problems: Use of fluticasone nasal spray may lead to nosebleeds or the development of sores inside the nose. In rare cases, these sores can cause perforation of the nasal septum. If you experience any discomfort, frequent nosebleeds, or painful sores, consult your healthcare provider. Risks are heightened if you have recently undergone nasal surgery or injury, or if the spray is used for an extended period.

• Growth Suppression in Children: Fluticasone nasal spray can potentially slow down the growth rate in children. It is crucial for healthcare providers to monitor growth while on this medication. Utilize the minimum effective dose for the shortest duration necessary. Over-the-counter fluticasone should not be used for more than two months annually without professional guidance. Risks increase for children under 12, with higher doses, or prolonged use beyond two months.

• Eye Problems: This medication can increase eye pressure, potentially causing or worsening conditions like glaucoma and cataracts. If you notice any vision issues or have a history of eye problems, ensure regular vision monitoring by your provider. Seek advice from your healthcare provider or an eye specialist if vision changes occur. Risks are greater for those with a history of glaucoma or cataracts, or with prolonged use of the spray.

• Increased Infection Risk: Fluticasone nasal spray may suppress your immune system’s ability to combat infections. Avoid contact with individuals suffering from chickenpox or measles and inform your provider if exposure occurs. Consult your provider before using this spray if you are currently dealing with infections or have tuberculosis. Risks include being unvaccinated, using other immunosuppressive drugs, or long-term use of the spray.

• Adrenal Gland Problems: High doses or prolonged use of fluticasone nasal spray can affect stress hormone levels, potentially leading to symptoms such as depression, weight gain, and muscle weakness. Report these symptoms to your provider, who may advise a gradual reduction in dosage. Risks are associated with concurrent use of other corticosteroids, higher than recommended doses, or long-term use.

• Serious Allergic Reactions: Although rare, serious allergic reactions have been reported. Discontinue use immediately and seek medical attention if you experience symptoms such as rash, hives, swelling of the tongue and face, throat tightness, or difficulty breathing.

Please ensure you follow the prescribed guidelines and consult your healthcare provider for any uncertainties or adverse effects while using fluticasone nasal spray.

When using this medication, some common side effects might occur, but they are often mild and temporary. These include nasal dryness or irritation, headaches, sore throat, nosebleeds, nausea, vomiting, and asthma-like symptoms. It's important to monitor these effects and consult your healthcare provider if they persist or worsen to ensure your comfort and safety.

In some cases, other side effects such as nasal burning, cough, dry or irritated eyes, and changes in smell or taste might be experienced. While these are generally not severe, it's advisable to discuss them with your healthcare provider if they cause concern or discomfort.

More serious, though rare, side effects require immediate medical attention. These include persistent sore throat, eye or facial pain, signs of nasal damage such as severe nosebleeds or a constant whistling sound from the nose, and white patches in the nose or throat. Additionally, if you experience unusual tiredness, weight loss, headaches, swelling of the ankles or feet, increased thirst, urination, or vision problems, seek medical advice promptly as these could indicate an excess of corticosteroids entering the bloodstream.

A very serious allergic reaction is also rare but necessitates urgent care. Symptoms to watch for include trouble breathing, rash, hives, severe dizziness, and swelling of the face, lips, tongue, or throat. Always keep your healthcare provider informed of any unusual or persistent reactions to ensure the best care.