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Flovent HFA
Flovent HFA (generic name: fluticasone propionate) is an inhaled corticosteroid used to manage and prevent asthma symptoms such as wheezing and shortness of breath. It helps reduce inflammation in the airways, allowing for easier breathing and preventing asthma attacks. Flovent HFA is not intended for acute relief but is used for long-term asthma management. It is inhaled via a metered-dose inhaler (MDI), delivering medication directly to the lungs.
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Frequently Asked Questions
How long does it take for Flovent HFA to work?
Flovent HFA may start improving asthma symptoms within 24 hours, but full benefits typically develop after 1 to 2 weeks of regular use.
Can I use Flovent HFA during an asthma attack?
No, Flovent HFA is not a rescue inhaler. It is intended for long-term asthma control, not for treating acute asthma symptoms. For sudden asthma attacks, a short-acting bronchodilator (like albuterol) should be used.
What should I do if I miss a dose of Flovent HFA?
Take the missed dose as soon as you remember. If it’s close to the time of your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to make up for the missed one.
Can Flovent HFA cause weight gain?
While weight gain is more common with oral corticosteroids, long-term use of inhaled corticosteroids like Flovent HFA at high doses may cause systemic side effects, including weight gain. Talk to your doctor if you’re concerned about this risk.
Is Flovent HFA safe for children?
Yes, Flovent HFA is approved for use in children aged 4 years and older. However, long-term use should be monitored for potential effects on growth.
Comprehensive Drug Guide
How Does Flovent HFA Work?
Flovent HFA works by reducing inflammation and swelling in the airways. It inhibits the production of inflammatory substances like cytokines and prostaglandins, which play a role in asthma symptoms. This leads to improved airflow, reduced asthma symptoms, and a lower risk of asthma attacks. It is not a bronchodilator and will not provide immediate relief during an asthma attack.
Common Dosages
The dosage for Flovent HFA depends on the severity of the asthma and the patient’s age:
- Adults and adolescents (12 years and older): Initial dose ranges from 88 mcg to 220 mcg twice daily, adjusted based on response.
- Children aged 4 to 11 years: Typical starting dose is 88 mcg twice daily.
Typical Dosing
- For asthma maintenance: Flovent HFA is usually taken twice daily, once in the morning and once in the evening. The dose may be adjusted based on the patient’s asthma control.
- Not for acute asthma attacks: Patients should use a rescue inhaler (such as albuterol) for quick relief during an asthma attack.
Typical Dosing
FDA Approved Indications
- Maintenance treatment of asthma in both adults and children aged 4 years and older.
- Long-term asthma control, helping reduce symptoms and prevent exacerbations.
Who Shouldn't Take Flovent HFA?
- Known hypersensitivity to fluticasone or any ingredients in the inhaler.
- Acute asthma symptoms or status asthmaticus, where immediate bronchodilation is required.
Advice From The Pharmacist
- Use Flovent HFA regularly, even if you’re feeling well, to control your asthma. It is a maintenance medication and works best when used consistently.
- Rinse your mouth with water after each use to prevent the development of thrush (a fungal infection in the mouth).
- Shake the inhaler well before each use, and prime it before the first use or if it hasn’t been used in a while.
- Do not stop using Flovent HFA suddenly, as this may cause your asthma to worsen. Consult your healthcare provider before making any changes to your treatment plan.
- Keep track of your inhaler doses and replace it when empty, as the canister may feel the same even when it’s out of medication.
Side Effects of Flovent HFA
Common Side Effects
- Hoarseness
- Sore throat
- Oral thrush (fungal infection)
- Cough
- Headache
Uncommon/Severe Side Effects
- Adrenal insufficiency, especially with high doses or long-term use.
- Increased risk of infections, including respiratory infections.
- Allergic reactions, such as rash, swelling, or difficulty breathing.
- Decreased bone mineral density with long-term use, increasing the risk of osteoporosis.
- Slowed growth in children, which should be monitored during treatment.
Risks and Warnings of Flovent HFA
- Oral Thrush (Candidiasis): Flovent HFA increases the risk of developing oral thrush. Rinse your mouth after each use to prevent this.
- Adrenal Suppression: Long-term use of high doses can lead to adrenal insufficiency, where the body is unable to produce enough cortisol. Monitoring may be necessary in patients on prolonged treatment.
- Growth Suppression in Children: Long-term use of inhaled corticosteroids may affect growth in children, so growth should be regularly monitored.
- Immune Suppression: Corticosteroids can suppress the immune system, increasing the risk of infections.
Interactions with Flovent HFA
Common Drug Interactions
- Ritonavir and other CYP3A4 inhibitors: These medications can increase fluticasone levels in the body, leading to more systemic corticosteroid side effects.
- Other corticosteroids: Combining Flovent HFA with other corticosteroid medications may increase the risk of side effects like adrenal suppression and weakened immune function.
Alternatives to Flovent HFA
- Qvar RediHaler (beclomethasone): Another inhaled corticosteroid used for asthma maintenance.
- Pulmicort Flexhaler (budesonide): An inhaled corticosteroid used for long-term asthma management.
- Advair Diskus (fluticasone/salmeterol): A combination inhaler containing both a corticosteroid and a long-acting bronchodilator.
- Asmanex Twisthaler (mometasone furoate): Another inhaled corticosteroid for asthma maintenance.
