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Flovent Diskus
Flovent Diskus (generic name: fluticasone propionate) is an inhaled corticosteroid used for the long-term management of asthma. It helps reduce airway inflammation, making it easier to breathe and preventing asthma attacks. Flovent Diskus is a maintenance inhaler, meaning it is not used for acute asthma attacks, but rather for ongoing management to control symptoms and prevent flare-ups.
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Frequently Asked Questions
How long does it take for Flovent Diskus to work?
Flovent Diskus may start to improve asthma symptoms within 24 hours, but full benefits are usually seen after 1 to 2 weeks of regular use.
Can I stop using Flovent Diskus if I feel better?
No, you should continue using Flovent Diskus as prescribed, even if you feel well. Stopping the medication suddenly can lead to a return of asthma symptoms or flare-ups.
What should I do if I miss a dose of Flovent Diskus?
If you miss a dose, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses.
Can Flovent Diskus be used in children?
Yes, Flovent Diskus is approved for use in children aged 4 years and older. However, long-term use should be monitored for possible effects on growth.
Is Flovent Diskus a rescue inhaler?
No, Flovent Diskus is not a rescue inhaler and should not be used for sudden asthma symptoms. You will need a short-acting bronchodilator (like albuterol) for immediate relief during an asthma attack.
Comprehensive Drug Guide
How Does Flovent Diskus Work?
Fluticasone propionate works by reducing inflammation and swelling in the airways. It inhibits the release of substances that cause inflammation, such as cytokines and prostaglandins, helping to improve airflow and prevent asthma symptoms like wheezing, shortness of breath, and chest tightness. As a corticosteroid, it helps to keep asthma under control over time by reducing the underlying inflammation that causes symptoms.
Common Dosages
- Adults and children over 12 years: The usual starting dose is 100 mcg to 250 mcg twice daily, which may be adjusted based on response and asthma control.
- Children aged 4 to 11 years: The recommended starting dose is 50 mcg twice daily, with adjustments as needed.
Typical Dosing
- For asthma control: Flovent Diskus is usually taken twice daily, with doses spaced approximately 12 hours apart. It is important to take the medication regularly, even if symptoms are not present, to maintain control over asthma.
- Not for acute asthma attacks: Flovent Diskus is not a rescue inhaler. For sudden asthma symptoms, a short-acting bronchodilator (such as albuterol) should be used.
Typical Dosing
FDA Approved Indications
- Maintenance treatment of asthma in adults and children aged 4 and older.
- Preventive asthma therapy to reduce the frequency and severity of asthma attacks.
Who Shouldn't Take Flovent Diskus?
- Known hypersensitivity to fluticasone or any components of the inhaler.
- Acute asthma attacks or status asthmaticus, where immediate bronchodilation is required.
Advice From The Pharmacist
- Use Flovent Diskus regularly, even when you’re feeling well, to prevent asthma symptoms from recurring. It is a maintenance inhaler and will not work quickly enough for acute asthma symptoms.
- Rinse your mouth with water after each use to reduce the risk of thrush, a fungal infection of the mouth.
- Store the inhaler in a dry place, and do not wash the inhaler itself.
- Do not stop using Flovent Diskus suddenly without consulting your healthcare provider, as this can lead to worsening asthma symptoms.
- If you notice that you’re needing your rescue inhaler more frequently, inform your doctor, as this may indicate that your asthma is not well-controlled.
Side Effects of Flovent Diskus
Common Side Effects
- Hoarseness
- Sore throat
- Thrush (oral fungal infection)
- Cough
- Headache
Uncommon/Severe Side Effects
- Adrenal suppression, especially with long-term use at high doses.
- Increased risk of infections, including respiratory infections.
- Allergic reactions, including rash, swelling, or difficulty breathing.
- Decreased bone mineral density, leading to osteoporosis with long-term use.
- Slowed growth in children with prolonged use.
Risks and Warnings of Flovent Diskus
- Oral Candidiasis (Thrush): Inhaled corticosteroids like fluticasone can increase the risk of oral thrush. Rinsing your mouth after using the inhaler can help prevent this.
- Adrenal Suppression: Long-term use of high doses may lead to adrenal insufficiency, where the body cannot produce enough cortisol. Regular monitoring may be required for patients on high doses.
- Growth Suppression in Children: Prolonged use of corticosteroids can affect growth in children. Growth should be monitored regularly in children using Flovent Diskus.
- Increased Risk of Infections: Corticosteroids can suppress the immune system, increasing the risk of infections, including respiratory infections.
Interactions with Flovent Diskus
Common Drug Interactions
- Ritonavir and other CYP3A4 inhibitors: These medications can increase the levels of fluticasone in the blood, increasing the risk of systemic corticosteroid effects such as adrenal suppression.
- Other inhaled corticosteroids: Avoid using more than one inhaled corticosteroid at a time without medical guidance, as this can increase the risk of systemic side effects.
Alternatives to Flovent Diskus
- Qvar (beclomethasone dipropionate): Another inhaled corticosteroid used for asthma maintenance therapy.
- Pulmicort Flexhaler (budesonide): An inhaled corticosteroid used for long-term asthma management.
- Advair Diskus (fluticasone/salmeterol): A combination inhaler containing both an inhaled corticosteroid and a long-acting bronchodilator.
- Asmanex Twisthaler (mometasone furoate): An inhaled corticosteroid for maintenance treatment of asthma.