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Flixonase Nasule Drops 400 Micrograms (1mg/Ml) Nasal Drops Suspension

Document: leaflet MAH BRAND_PLPI 16369-1658 change

2. Before you use Flixonase Nasule Drops


3. How to use Flixonase Nasule Drops



Package leaflet: information for the user Flixonase® Nasule® Drops 400 micrograms (1mg/ml), nasal drops suspension

(fluticasone propionate)

Your medicine is known as the above but will be referred to as Flixonase Nasule Drops throughout the remainder of this leaflet.

Read all of this leaflet carefully before you start using this medicine.

•    Keep this leaflet. You may need to read it again.

•    If you have any further questions, ask your doctor or pharmacist.

•    This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.

•    If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:

1.    What Flixonase Nasule Drops are and what they are used for

2.    Before you use Flixonase Nasule Drops

3.    How to use Flixonase Nasule Drops

4.    Possible side effects

5.    How to store Flixonase Nasule Drops

6.    Further information

1. What Flixonase Nasule Drops are and what they are used for

Flixonase Nasule Drops contain a medicine called fluticasone propionate. This belongs to a group of medicines called steroids (also called 'corticosteroids').

•    Steroids work by reducing inflammation

•    they reduce swelling and irritation in your nose

•    this helps to relieve itching, sneezing and your blocked or runny nose.

Flixonase Nasule Drops are used to treat:

•    Small growths inside the nose (polyps)

•    Symptoms associated with nasal obstruction.

Flixonase Nasule Drops are provided in small plastic containers (Nasules).

Do not use Flixonase Nasule Drops if:

• you are allergic (hypersensitive) to fluticasone propionate or any of the other ingredients of Flixonase Nasule Drops (listed in section 6).

Take special care with Flixonase Nasule Drops

Check with your doctor or pharmacist before using your medicine if:

• you have an infection in your nose.

If you are not sure if the above applies to you, talk to your doctor or pharmacist before using Flixonase Nasule Drops.

Flixonase Nasule Drops may lower the normal production of steroid hormones in your body, particularly if doses higher than those recommended are used for a long time. In this situation people may need to take extra steroids in times of extreme stress, following serious injury or before a surgical operation. It is important therefore that you are taking the lowest dose of Flixonase Nasule Drops to control your symptoms. Your doctor will check you for signs of any problems.

Taking other medicines

Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This includes herbal medicines.

Check with your doctor or pharmacist before using your medicine if:

•    you are taking a type of antiviral medicine known as a protease inhibitor (such as ritonavir)

•    you are taking a medicine used to treat fungal infections (such as ketoconazole)

•    you have had steroids for a long time, either as an injection or by your mouth.

Pregnancy and breast-feeding

Do not use Flixonase Nasule Drops if you are pregnant, or planning to become pregnant, or if you are breast-feeding, unless your doctor or pharmacist tells you to.

Driving and using machines

Flixonase Nasule Drops are not likely to affect you being able to drive or use any tools or machines.

Always use Flixonase Nasule Drops exactly as your doctor has told

you to. Don't exceed the recommended dose. Check with your

doctor or pharmacist if you're not sure.

•    Do not use in children or young people under 16 years old.

•    Only use in your nose, contact with the eyes should be avoided.

•    It may take a few weeks for this medicine to work. So keep using it, even though you may not feel better straight away.

•    You should use Flixonase Nasule Drops every day.

How much to use - adults (over 16 years of age)

•    The usual starting dose is one single-use plastic container (400 micrograms) divided equally between each nostril, once or twice a day.

•    As your symptoms improve, your doctor may ask you to use a lower dose.

• If your symptoms do not improve after 4 to 6 weeks your doctor may change your medicine.

What the plastic container looks like

Using your Flixonase Nasule drops

1.    Open the foil pack by tearing off one side. Do not open the pack until the drops are needed.

2.    Take out the strip of plastic containers from the foil and pull off one container.

3.    Put the remaining containers back into the foil pack and put the pack back in the box.

4.    Flick and shake the plastic container several times. The contents of the container must be well mixed before use.

5.    Then shake downwards to make sure the liquid is not in the neck of the container.

6.    Hold the bottom tab of the container firmly. Twist and remove the top tab to open it.

How to put the drops in

Before you put the drops in, you must choose one of the positions shown in these pictures. Although they may not be easy, the positions will make sure the drops get to where they are needed.

1.    Gently blow your nose to clear it.

2.    While standing up, bend right over.

kneel down and then bend right over.

4.    Put the opened container into one nostril and gently squeeze.

5.    Keep squeezing until the sides of the container touch each other. This will mean that about half the dose has been given (about 6 drops).

6.    Repeat this step to use the rest in your other nostril.

7.    Stay with your head down for at least one minute after putting the drops in.

If these positions are difficult you can lie on a bed with your head tilted over the edge. After you have put the drops in, rest your head sideways on the bed for at least one minute.

Be careful not to get the drops in your eyes or on broken skin.

If you do, rinse your eyes or skin with water immediately.

If you forget to use Flixonase Nasule Drops

If you miss a dose, just use the next dose when it is due. Do not use a double dose to make up for a forgotten dose.

If you use more Flixonase Nasule Drops than you should

Tell your doctor if you use more than you were told to.


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