How does Flixotide work?
Rather than being called an inhaler, Flixotide products are referred to as either an "Evohaler" or "Accuhaler" instead. These inhalers do not contain any CFC propellants and are used in a different way to a standard inhaler.
The "Evohaler" is a normal inhaler device, while the "Accuhaler" is a dry powder inhaler, in a circular container. Some people find an Accuhaler easier to use because you don't need to synchronise pressing a button and breathing in at the same time, like you do with normal inhalers.
Fluticasone starts working slowly, taking around four to seven days to reach the full effect, making its daily use very important. Be sure to use it even when your breathing feels normal. It is not suitable for use in relieving the immediate symptoms of asthma – you should have been prescribed a "reliever" inhaler for this. If your asthma hasn't been controlled by a reliever inhaler on its own, you may be prescribed Flixotide to help. You should already be aware of what to do if you suffer an asthma attack – if you don't feel confident or aren’t sure, speak with your asthma nurse or doctor.
How to use Flixotide
The Flixotide (fluticasone) Evohaler is available in three strengths, containing 50 micrograms, 125 micrograms, or 250 micrograms of fluticasone propionate per inhalation.
The Flixotide (fluticasone) Accuhaler is available in four strengths, containing 50 micrograms, 100 micrograms, 250 micrograms, or 500 micrograms of fluticasone propionate per inhalation.
For adults with asthma, the normal dosage of inhaled fluticasone is usually between 100 micrograms to 500 micrograms (both twice daily), depending on the severity of the symptoms. The dosage is usually lower for children.
Speak with your doctor or asthma nurse if your symptoms are currently bad, or worsen, as there may be a better way to manage your condition.
Check that you are using your inhaler in the correct manner – your doctor, asthma nurse or pharmacist should have shown you how to do this before and can assist if you have any concerns. If you're not using your inhaler correctly, the treatment may become less effective. The Asthma UK website has a useful guide showing the best technique for the most common types of inhalers – click here to learn more.
After using the inhaler, make sure to rinse your mouth out and give your teeth a good brush – do this each time, as traces of the powdered medicine from the inhaler can get left behind in the mouth, leaving you open to the risk of infection. Your doctor may recommend a "spacer" device to minimise the amount of medicine that stays in the mouth, if infections become commonplace.
If you are using a high dose of this or any other steroid "preventer" inhaler, it's important that you do not stop taking a high dosage treatment or any form of 'preventer' inhaler containing steroids without discussing it first with your documents. This can potentially cause side effects and make you feel unwell.
Is Flixotide suitable for me?
As with all medicines, Flixotide wouldn't be recommended, or it’s suggested it’s used with caution, in certain situations. Women who are pregnant or breastfeeding, children, people with diabetes and people who notice that their asthma is getting worse may be advised differently. If you have (or have had) pulmonary tuberculosis, or have an allergy to fluticasone or any of the inactive ingredients, taking the treatment may not be right for you.
Whether bought from a pharmacy or prescribed by your GP, you should ensure you tell the online doctor about any other medicines you are taking. Some medicines that the doctor should be made aware of include ketoconazole, and antiviral medicines known as 'protease inhibitors' (such as ritonavir).
So the doctor can fully assess you, give them a full picture of your health during your consultation. Failure to disclose any important information may lead to an inappropriate treatment being prescribed.
What are the side effects of Flixotide?
Flixotide can cause side effects, just like all medical treatments. Side effects that are considered to be common include oral thrush (rinse your mouth out after use to reduce the risk of this), hoarseness of the voice, and bruising. Skin rashes, depression or anxiety high blood sugar levels, indigestion, behavioural changes (common in children), and an unexpected increase in wheezing after using the inhaler are classed as less commonly reported or rare side effects. If the latter happens, a fast-acting "reliever" inhaler should be used straight away and medical advice sought.
If used over long periods of time and at high doses, fluticasone can cause steroid-like side effects in the body. You can learn more about this in the product leaflet.
Before starting your course of Flixotide, it is very important to ensure you know everything you need to know about the medicine. Please read the product information for further details, or you can find it online here: