Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Infection: This medication, like other corticosteroids, may prevent you from noticing the early signs of a serious infection. Try to limit the amount of time you spend around others who have recently had infections such as chickenpox or measles. If you do come into contact with someone who has one of these infections, contact your doctor for advice.
Liver function: Liver disease or reduced liver function may cause fluticasone to build up in the body, causing side effects. If you have liver problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Non-responsive asthma: Contact your doctor immediately if you experience episodes of asthma that are not responsive to bronchodilators (such as salbutamol or terbutaline) while using this medication. During such episodes, further treatment may be needed.
Oral hygiene: Adequate oral hygiene is very important in minimizing the overgrowth of microorganisms such as candidiasis (thrush). Proper oral hygiene includes rinsing your mouth with water after using the inhaler. If you do get a thrush infection, you may require treatment with antifungal therapy or you may have to stop using fluticasone, depending on the seriousness of the infection.
Stopping this medication: Do not stop this medication suddenly, as this may result in withdrawal symptoms such as stomach discomfort or pain, worsening of asthma. Your doctor will tell you to gradually lower the dose over a period of time in order to stop this medication properly.
Worsening of asthma: If you find you need to use your bronchodilators more often (e.g., salbutamol) to control asthma symptoms it may be an indication that your asthma is worsening. Worsening asthma can potentially become life-threatening. Your fluticasone dose may need to be increased. Talk to your doctor or pharmacist to learn more about how to properly monitor for symptoms of worsening asthma.
Wheezing: This medication may cause the airways to spasm immediately after using the inhaler. If this happens, use your rescue inhaler as soon as possible to relieve the symptoms, then call your doctor as soon as possible.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: It is not known if fluticasone passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this medication have not been established for children less than 12 years of age. Adolescents may experience slowing of growth while using this medication. Your doctor will monitor for this. Talk to your doctor if you have any concerns.