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Having a visit does not guarantee a medication will be ordered or refilled. It is clinicians’ professional decision. It is prohibited by law to prescribe or refill controlled substances via virtual visits. Your provider may recommend follow-up care, including additional services that may not be included in visit price.

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Fluticasone (Generic Flonase)

What Is Fluticasone?

Fluticasone is a corticosteroid used to treat various conditions. When formulated as a nasal spray, it’s primarily used to address symptoms related to rhinitis. As an inhaler, it’s used for the management and prevention of asthma symptoms.

The medication functions by interacting with steroid receptors, reducing inflammation in targeted areas.

Fluticasone can be found under multiple brand names. For instance:

  • Flonase: A nasal spray for rhinitis.
  • Flovent: An inhaler for asthma.
  • Xhance: Another nasal spray primarily designed for nasal polyps, but also used for rhinitis.

Each of these brands contains the active ingredient, fluticasone propionate, but they serve different therapeutic purposes.

How Does Fluticasone Work?

The main function of Fluticasone is to reduce inflammation in the nasal passages and sinuses. As a corticosteroid, it targets the glucocorticoid receptors, which are responsible for triggering the release of substances causing typical allergy symptoms. This leads to irritation in the nasal passageways and sinuses, resulting in a stuffy nose, itching, sneezing, etc.

Stopping the release of substances triggering allergy symptoms ensures that the sinuses no longer become irritated and inflamed. In turn, it is easier to breathe and your allergy symptoms are heavily decreased.

What Is Fluticasone Used For?

Fluticasone when used as a nasal spray is largely used to treat allergies affecting the nose and sinuses. This can include seasonal allergies, dust mite allergies, pet allergies, and so on. It will target some of the main symptoms experienced when suffering from these allergies, such as:

  • Sneezing
  • Itchy nose
  • Runny nose
  • Stuffy nose
  • Nasal inflammation
  • Itchy eyes
  • Watery eyes

It is also common for Fluticasone to be prescribed for any symptoms of non-allergic rhinitis. The symptoms may be similar to those above, only they are not caused by allergies.

In some cases, doctors may use this medication to treat nasal polyps too. Nasal polyps are small lesions that grow on the inside of the nose and cause the passageways to swell and become restricted. Fluticasone is used to decrease the swelling and size of these polyps, preventing them from getting too restrictive and impacting a person’s breathing.

One important note on the use of Fluticasone is that it will not be prescribed to treat rhinitis symptoms caused by a cold or flu. Corticosteroid medications specifically target symptoms and reactions caused by allergens in the air, while a common cold/flu is a virus.

What Are the Side Effects of Fluticasone?

Using Fluticasone nasal spray may cause a series of side effects. Make a note of any that occur after using this nasal spray and inform your doctor if they get worse or do not fade away.

Common side effects of Fluticasone include:

  • Mild nasal bleeding
  • Mild nasal irritation
  • Dryness in the nasal passageways
  • Mild headache
  • Mild dizziness
  • Mild nausea
  • Mild diarrhea

These side effects are likely to go away after you’ve used this nasal spray a handful of times. Again, if they worsen or last for longer than a couple of weeks, consult your doctor immediately.

Furthermore, severe and rare side effects of Fluticasone include:

  • Pain in your face
  • A high fever
  • Hives or a rash on your skin
  • Swelling around your nose and face
  • A hoarse voice & sore throat
  • Breathing/swallowing difficulty
  • Wheezing
  • Extreme dizziness
  • Whistling from the nose
  • Thick nasal discharge

Should any of these symptoms arise, you must contact a medical professional as soon as possible. They could indicate a bad reaction to the medication, or perhaps that you are taking too high of a dose. Stop taking Fluticasone until a doctor has given you the all-clear to continue using it again.

How to Take Fluticasone?

Fluticasone will be usable as a liquid nasal spray. It comes in a small bottle with each spray administering a specific dose of the medication. While most bottles administer the same dose in each spray, it’s important to speak to your doctor before taking this drug. They will inform you of the recommended dosage, so you do not take too much or too little.

Taking this medication is very straightforward. Read the informational pamphlet that comes with the spray bottle to understand the correct way to store, clean, and use the nasal spray. Then, remove the plastic cap and insert the tip of the spray into your nostril. Be sure to insert it far enough so the spray goes deep into the nasal cavity and doesn’t drain out.

Press down on the spray (use the recommended dose set by your doctor, which will indicate how many sprays you do) and inhale lightly. Clean the tip of the spray using soapy water and make sure you avoid blowing your nose for 10 minutes after administering the medication.

Do not share your nasal spray with someone else as this can lead to infections.

Speak to your doctor if your symptoms do not improve or get worse. They can prescribe a higher dose of Fluticasone, or find a suitable alternative medication.

Frequently Asked Questions About Fluticasone 

Who Should Not Take Fluticasone?

Fluticasone is generally safe to use by the general population, but it should not be used on those with specific health conditions. If you have a weakened immune system, have a viral infection in the nasal passageways, have liver problems, or are taking other nasal spray medications, you should first consult with a medical professional before taking Fluticasone.

Also, consult with a doctor if you have a history of:

  • Diabetes
  • Sores or ulcers inside your nose
  • Glaucoma
  • Cataracts
  • Recent nasal injuries or surgeries
  • Fungal or bacterial infections

What Is the Most Common Side Effect of Fluticasone?

The most common side effect of Fluticasone nasal spray is nasal irritation. Other common side effects include:

  • Nosebleeds
  • Headache
  • Nasal Congestion
  • Dryness in the Nasal Passages
  • Nausea
  • Cough

The list above is not exhaustive and side effects vary among individuals. Speak to a medical professional if your symptoms persist or worsen.

What to Avoid While Taking Fluticasone?

When taking Fluticasone you should avoid the following:

  • Avoid using other nasal sprays, such as decongestants or antihistamines.
  • Avoid contact with people who have the flu or common cold.
  • Avoid any form of contact sport which may cause nosebleeds that will be made worse by taking Fluticasone.
  • Avoid drinking alcohol.
  • Avoid certain other medications like other corticosteroids.

The list above is not exhaustive, You should speak to your doctor or pharmacist for specific advice on what else to avoid while taking Fluticasone.

Can You Buy Fluticasone Over-The-Counter (OTC)?

Yes, Fluticasone is available both over-the-counter (OTC) and through a prescription. For example “Flonase Allergy Relief” and its generic versions are available OTC in the U.S.

If you’re considering using fluticasone, even the OTC version, it’s a good idea to consult with a healthcare professional to ensure it’s appropriate for your symptoms and to receive guidance on proper usage.


For more detailed information about fluticasone, you can refer to the following sources:

The content on this page has been medically reviewed for accuracy and comprehensiveness by Amy Dougherty, FNP-BC, AGAC 

Content on the DrHouse website is written by our medical content team and reviewed by qualified MDs, PhDs, NPs, and PharmDs. We follow strict content creation guidelines to ensure accurate medical information. However, this content is for informational purposes only and not a substitute for professional medical advice, diagnosis, or treatment. For more information read our medical disclaimer.

Always consult with your physician or other qualified health providers about medical concerns. Never disregard professional medical advice or delay seeking it based on what you read on this website.

If you are experiencing high fever (>103F/39.4C), shortness of breath, difficulty breathing, chest pain, heart palpitations, abnormal bruising, abnormal bleeding, extreme fatigue, dizziness, new weakness or paralysis, difficulty with speech, confusion, extreme pain in any body part, or inability to remain hydrated or keep down fluids or feel you may have any other life-threatening condition, please go to the emergency department or call 911 immediately.

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Frequently asked questions

  • Yes, you can get a new prescription or refill an existing one online through DrHouse. You just need to start a consultation with one of our licensed providers and they will be able to assess your needs and provide you with a prescription if necessary.

    Please note that the final decision always rests with the doctor based on their professional judgment and your health needs.

  • There are certain medications that cannot be prescribed online by DrHouse physicians due to safety reasons. These include controlled substances, such as opioids and other narcotics, as well as drugs with a high potential for abuse or dependence. DrHouse physicians also don’t prescribe Gabapentin, medical marijuana, muscle relaxants, and HRT medications.

  • With DrHouse getting a new prescription or a refill for your current Rx is a straightforward and quick process. All you need to do is follow a few easy steps:

    • Download the DrHouse telehealth app on your mobile device.
    • Create an account by providing basic information and medical history.
    • Start an on-demand virtual video consultation with one of our licensed physicians.
    • Discuss your medical needs and concerns with one of our physicians.
    • A doctor will review your medical history, symptoms, and current medications (if any) to determine if an online prescription is appropriate for you.
    • If a physician approves, they will electronically send a new prescription or refill request to the pharmacy of your choice.
    • Pick up your medication from the pharmacy.

    DrHouse makes it easy for you to get an online prescription from the comfort of your own home. No more waiting in line at the doctor’s office or pharmacy, and no need to take time off work to see a doctor. Our telehealth platform allows you to access quality medical care from anywhere with an internet connection.

    For more information about how our telehealth platform works visit our “How DrHouse Works” page.

  • During your virtual consultation with a DrHouse physician, you will have the opportunity to discuss your medical needs and concerns.

    The consultation will consist of a video call where a physician will assess your medical history and ask you questions about your symptoms and any other relevant information. This is to ensure that a physician has all the necessary information to make an informed decision about your prescription.

    You can also ask any questions or clarify any doubts you may have about your condition or medication. Our physicians are happy to address any concerns you may have.

    Once a physician has assessed your needs, they will determine if and what type of prescription is appropriate for you. If a new prescription or refill is approved, a doctor will send it electronically to your chosen pharmacy.

  • With our on-demand telehealth service, you have the opportunity to see the first available doctor in as little as 10 to 15 minutes. However, the exact consult time will depend on the complexity of your case and the thoroughness required by the healthcare provider to make an informed decision.

  • Absolutely, it is safe to get an online prescription from DrHouse. We are committed to ensuring the highest standards of patient safety and privacy.

    All our providers are highly qualified US-based physicians and often affiliated with major hospitals. They are board-certified and from the top U.S. medical schools with an average of 20 years of experience.

    We strictly adhere to HIPAA regulations, ensuring your personal and medical information is kept secure and confidential. Also, we comply with all applicable state and federal laws related to telehealth and the prescribing of medications.

    Therefore, you can rest assured knowing that your safety and privacy are our top priorities when you use DrHouse’s services.

  • DrHouse strives to provide accessible and affordable telehealth services. DrHouse urgent care, primary care, and specialist visits are $129 or your copay. This includes everything from your initial consultation through to the prescription of your medication.

    The cost of a doctor’s visit may be covered fully by your insurance. A typical copay is around $25. We recommend checking with your insurance provider to understand the extent of your coverage for telehealth services.

    To learn more about how much DrHouse costs, visit our pricing page

  • Yes, DrHouse accepts most major insurances, including Blue Cross Blue Shield, Aetna, and Medicare. The extent of coverage may vary depending on your individual plan.

  • Our physicians are able to prescribe up to a 90-day prescription without labs for any previously prescribed medication if it’s medically appropriate and is not classified as a controlled substance.

    DrHouse physicians also don’t prescribe Gabapentin, medical marijuana, muscle relaxants, and HRT medications.

    DrHouse physicians use their medical judgment to determine whether to prescribe and the duration.

    In certain cases, the prescription may be limited to 30 days or less. There also may be a 12-month cap for some prescriptions without labs. For medications requiring annual monitoring (such as blood work or imaging), the maximum prescription limit is 90 days within a year without labs.

    DrHouse physicians can refer patients to labs for longer prescription periods or refills.