Fluticasone Inhalers

What are fluticasone inhalers?

Fluticasone inhalers contain fluticasone propionate, a corticosteroid used to treat respiratory conditions such as asthma. Fluticasone is indicated for use in COPD when used in combination with other inhaled medications that help to relax the airways. Common brand names include Flixotide, and it is only available on prescription. Some inhalers contain fluticasone mixed with other medicines that help your breathing; brand names include Flutiform, Relvar, Seretide, and Trelegy. [1]. 

You can also find advice here on fluticasone nasal spray and fluticasone skin cream. 

What are fluticasone inhalers used for?

Fluticasone inhalers are primarily used to help manage and prevent symptoms associated with respiratory conditions. These include[1]: 

• Asthma 

• Chronic Obstructive Pulmonary Disease (COPD) when used in combination with other inhaled medicines if your clinician believes it will be beneficial 

These inhalers are classified as preventer inhalers. They help reduce inflammation in the lungs and prevent symptoms such as wheezing, coughing, and breathlessness. However, they are not suitable for immediate relief during an asthma attack[1]. 

How do fluticasone inhalers work?

Fluticasone is a corticosteroid that works in several ways to reduce airway inflammation[1]: 

• It reduces swelling and irritation in the airways 

• It decreases the production of inflammatory substances 

• It makes airways less likely to constrict  

Who can take fluticasone inhalers?

Most adults and children over the age of 4 with asthma and some patients with COPD when used in combination with other inhaled medicines, can use fluticasone inhalers,  but certain factors may require caution. You should speak to a pharmacist or doctor if you[1]: 

• Are pregnant or breastfeeding 

• Have recently taken or are taking steroid medicines 

• Have eye, mouth, chest, viral, or fungal infections 

• Have previously had tuberculosis (TB) 

• Are allergic to fluticasone or lactose (some inhalers contain lactose) 

Children may use fluticasone under supervision, but their growth should be monitored due to potential effects on adrenal function[1]. 

Please tell your doctor or pharmacist about any conditions you may have or medication you take before you start treatment, and always follow the instructions in the Patient Information Leaflet[2].  

What is the typical dosage of fluticasone inhalers?

The dose you are prescribed will depend on the severity of your condition and inhaler device prescribed. Examples of common doses for fluticasone propionate include[1]: 

• Mild asthma: 100 to 250 microgramsper day in two divided doses 

• Moderate to severe asthma: 300 to 500 micrograms per day in two divided doses 

• Maximum dose: 600 to 1000 micrograms per day in two divided doses 

Common doses for fluticasone furoate include: 

• 100 micrograms per day as a single dose for moderate asthma 

• 200 micrograms per day as a single dose for severe asthma 

Always take your medication as prescribed. If you find that your symptoms worsen, become uncontrolled or you don’t feel like your inhaler is no longer having an effect it is important to discuss this with your prescriber. 

How do you take fluticasone inhalers?

To use the inhaler correctly and safely[1]: 

• Take 1-2 puffs twice daily (once daily if using fluticasone furoate) 

• Use a spacer if advised (especially for children) 

• Shake the inhaler before use 

• Rinse your mouth after use to prevent oral thrush 

• Clean the mouthpiece regularly 

Can you stop taking fluticasone inhalers?

Do not stop using fluticasone inhalers, even if you feel you don’t need them without medical advice. They are maintenance medications, and stopping suddenly may worsen your symptoms[1]. 

What do you do if you take too much fluticasone inhalers?

Taking too much fluticasone over time can cause complications such as[1]: 

• Adrenal suppression 

• Weakened immune response 

• Growth issues in children 

Seek medical advice if you think you have used too much. 

What do you do if you forget to take fluticasone inhalers?

If you forget to take a dose[1]: 

• Take it as soon as you remember 

• If it is nearly time for your next dose, skip the missed dose 

• Do not double up to make up for a missed dose  

How to store fluticasone inhalers

To ensure the medicine stays effective[1]: 

• Store at room temperature 

• Keep away from heat and direct sunlight 

• Replace the mouthpiece cover after each use 

• Do not use after the expiry date 

• If you have a dry powder inhaler, avoid storing in areas with high humidity such as your bathroom 

What medicines can’t you take with fluticasone inhalers?

Fluticasone can generally be taken with most asthma medications. However, there are some medicines that may require caution[1]: 

• Other steroids 

• Ritonavir or other HIV medications (can increase steroid levels) 

• Antifungals like ketoconazole or itraconazole 

Always inform your doctor or pharmacist about all medications and supplements you take before you start a new medicine, and follow the instructions in the Patient Information Leaflet[2]. 

What are the side effects of fluticasone inhalers?

Side effects can occur, especially if the inhaler is not used correctly. These side effects include[1]: 

• Oral thrush 

• Hoarse voice 

• Sore throat 

• Eye problems (e.g., blurred vision) 

• Growth suppression in children 

• Signs of an infection 

• Adrenal gland problems 

Rinsing your mouth after use can help reduce side effects. 

You should contact your GP if you experience any of these symptoms. In rare cases, the medicine may cause a serious allergic reaction (anaphylaxis). You should call 999 or visit A&E immediately if you believe this is happening[1]. 

Symptoms of anaphylaxis include:  

• Difficulty breathing  

• Tightness in throat and chest  

• Swelling of the tongue or throat  

• Feeling faint or dizzy  

• Blue/grey skin or lips  

• Loss of consciousness 

If you experience any side effects, including those not listed, you are encouraged to report them via the Yellow Card Scheme or contact your doctor, pharmacist, or nurse. This information is intended as a summary for general awareness and does not replace professional medical advice. 

The information provided in the side effects section is not a comprehensive list of all possible side effects associated with this medication. For a complete list of side effects, please refer to the Patient Information Leaflet (PIL) provided with your medication or consult your healthcare professional[2]. 

Frequently asked questions about fluticasone inhalers

Can I use fluticasone during an asthma attack? 
No, it is not a reliever inhaler. Use your prescribed quick-relief inhaler like salbutamol (blue inhaler) instead[1]. 

How long does it take to work? 
Effects build up over several days to weeks. It is not an instant relief medication[1]. 

Can children use fluticasone? 
Yes, under supervision. Growth monitoring is advised[1]. 

Can I drink alcohol while using fluticasone? 
Yes, alcohol does not interfere with fluticasone[1]. 

Can I use it with other inhalers? 
Yes, it’s often prescribed alongside reliever inhalers[1]. 

Is fluticasone safe in pregnancy? 
Usually, but you should consult your doctor[1]. 

What if I get oral thrush? 
Use antifungal treatment and rinse your mouth after each use. 

Can I travel with fluticasone? 
Yes. Keep it in your hand luggage and carry a spare if possible[1]. 

Do I need to shake the inhaler before use? 
Yes, especially for pressurised metered-dose inhalers (pMDIs)[1]. 

For the official NHS guide to fluticasone inhalers, visit their website.