Fluticasone

Fluticasone furoate nasal spray
Drug Indication Prophylaxis and treatment of seasonal and perennial allergic rhinitis and hay fever
Precautions Treatment of the infections of the nose and pharynx before using this medicine; gradual withdrawal of exogenous steroids; transfer of patients from systemic steroid treatment; nasal trauma; recent nasal surgery.
Contra-Indications History of recurrent nasal bleeding; untreated bacterial/viral/fungal infections; children under 6yrs; unhealed nasal wound; pregnancy.
Side Effects Epistaxis; nasal septum perforation; unpleasant taste and smell; glaucoma; increase IOP; haemorrhagic nasal discharge; stuffy nose; local candidal infections
Dosage Children 4-11yrs: inhale into each nostril once daily, increased to twice daily (max. 4 sprays daily). Adults and children over 12yrs: inhale two sprays once daily to a max. of 8 sprays daily.
Drug Category DRUGS ACTING ON ENT
Drug Sub-Category Steroid hormones and related synthetic drugs
Brand Name Manufacturer Name Distributor Drug Strength Packaging Formulation Formulation Strength Price
Avamys GSK Ltd. 27.5mcg Spray -120doses KES 853

Fluticasone propionate inhaler
Mode Of Action

Corticosteroids activity involve inhibition of various process that are involved in the inflammation e.g. inhibition of secretion of growth factors, endothelial activating and other cytokines from lymphocytes, eosinophils, macrophages, fibroblasts, and mast cells. The net effect is to reduce the chronic inflammation in asthmatic airways.

Drug Indication Prevention of bronchial asthma (not for acute attack) not well controlled by the bronchodilators
Precautions Active pulmonary TB; airways obstruction; times of stress; gradual withdrawal of systematic steroid therapy; respiratory infections.
Contra-Indications Status asthmaticus; safety in pregnancy and lactation not yet fully established; acute asthma attack; untreated airways infections; recurrent nasal bleeding.
Side Effects Throat candidiasis; hoarseness of the voice; throat irritation; paradoxical bronchospasm (discontinue); adrenal suppression; cataract formation after prolonged use; cutaneous hypersensitivity reactions; cough and sneeze due to irritation; pulmonary infiltrates.
Dosage Adult and children over 16yrs; 100-1000mg BD: Children over 6 years; 50-100mg BD.
Pregnancy Category Category B3
Pregnancy Category Description Drugs which have been taken by only a small number of pregnant women and women of child-bearing age with no any established rise in the frequency of malformations or other direct or indirect detrimental effects on the foetus having been noted. Studies in animals show evidence of an increased occurrence of foetal damage, the significance of which is uncertain in human
Drug Category DRUGS ACTING ON RESPIRATORY SYSTEM
Drug Sub-Category Inhalers
Brand Name Manufacturer Name Distributor Drug Strength Packaging Formulation Formulation Strength Price
Flixotide GlaxoSmithkline GlaxoSmithKline 50mcg 120 doses inhaler per actuation KES 581.70
Flixotide GlaxoSmithkline GlaxoSmithKline 0.125mg 120 doses inhaler per actuation KES 1,169.30
Flixotide GlaxoSmithkline GlaxoSmithKline 0.25mg 120 doses inhaler per actuation KES 1,351.50

Fluticasone propionate nasal spray
Drug Indication Prophylaxis and treatment of seasonal and perennial allergic rhinitis and hay fever
Precautions Treatment of the infections of the nose and pharynx before using this medicine; gradual withdrawal of exogenous steroids; transfer of patients from systemic steroid treatment; nasal trauma; recent nasal surgery.
Contra-Indications History of recurrent nasal bleeding; untreated bacterial/viral/fungal infections; children under 6yrs; unhealed nasal wound; pregnancy.
Side Effects Epistaxis; nasal septum perforation; unpleasant taste and smell; glaucoma; increase IOP; haemorrhagic nasal discharge; stuffy nose; local candidal infections
Dosage Children 4-11yrs: inhale into each nostril once daily, increased to twice daily (max. 4 sprays daily). Adults and children over 12yrs: inhale two sprays once daily to a max. of 8 sprays daily.
Drug Category DRUGS ACTING ON ENT
Drug Sub-Category Steroid hormones and related synthetic drugs

Brand Name Manufacturer Name Distributor Drug Strength Packaging Formulation Formulation Strength Price
Fixonase GSK Ltd. 50mcg/spray 120 doses KES 700
Flonaspray Square 50mcg/spray 120 doses KES 700