The recommended regular daily dose of fluticasone inhalation is that which is the lowest required to control asthma symptoms. The full benefit of this medication may take 1 to 2 weeks or longer to achieve.
The usual dose for adults and adolescents over 16 years of age is 100 µg to 500 µg twice daily (the number of inhalations varies depending on strength of medication used). For people with severe asthma, higher doses up to 1,000 µg twice daily may be needed. When using the HFA inhaler, each dose should be used as two inhalations (e.g., two inhalations of 50 µg should be used to get a 100 µg dose).
The usual dose for children between 4 and 16 years of age is 50 µg or 100 µg twice daily (the number of inhalations varies depending on strength of medication used). On occasion, a dose of 200 µg may be needed to control asthma symptoms. Your doctor may tell you to adjust the dose of this medication in order to find one that helps control your asthma symptoms.
Children 12 months to 4 years of age may be given 100 µg twice daily, using a spacer device. The dose should be given as a single 50 µg actuation of the HFA inhaler into the spacer device, inhaled, and then repeated.
Inhaled fluticasone is used to prevent asthma attacks. It is not used to relieve an attack that has already started. For relief of an asthma attack that has already started, you should use another medication. If you do not have another medication to use for an attack or if you have any questions about this, check with your health care professional. If your doctor has asked you to use a "reliever" inhaler such as salbutamol or terbutaline with your fluticasone inhaler, you should use the reliever inhaler first, wait several minutes, and then use the fluticasone inhaler. The reliever medication will provide immediate relief of symptoms of asthma attack, while the fluticasone inhalation works to treat and control asthma regularly.
Shake the HFA inhaler well before use or before inserting the mouthpiece into the spacer device. In order to get the most medication into the lungs from the inhaled dose, ask your doctor or pharmacist about proper techniques for taking this medication.
Rinsing your mouth and gargling with water after each inhalation can help prevent hoarseness, throat irritation, and infection in the mouth caused by candidiasis (a type of yeast infection of the mouth; also known as "thrush"). If you have dentures, they should be cleansed after each dose.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
It is important that this medication be used exactly as prescribed by your doctor. If you miss a dose, administer it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not administer a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store the diskus blisters in the sealed foil wrap that it is packaged in, until you are ready to put the disk in the device for use. Store this medication at room temperature, out of direct sunlight and out of reach of children. Protect the inhaler and diskus blisters from freezing.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.