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What special precautions should I follow?
Avoid items or activities that you know are allergens for you if they make your symptoms worse. Clean areas where dust or pet fur may aggravate your condition. ? Avoid exposing yourself to known sourc es of infection. Stay away from people with chicken pox, measles, or any other type of infection. Your immune system may not be strong enough to fight off an infection while you are using Flonase (flu ticasone nasal ).

Overdosage
Acne; blurred vision; bone fractures; excess hair growth in females; fullness or rounding of the face, neck, and trunk; high blood pressure; impotence in males ; increased urination or thirst; lack of menstrual periods; menstrual changes; muscle wasting and weakness

Special warnings about this medication
If your symptoms do not improve after the first few days of flonase therapy, check with your doctor. Never take more than the recommended dose. High doses of steroid medications such as flonase can ca use a condition known as Cushing's syndrome. Warning signs of this problem include weight gain and changes in the appearance of the face.

If you are being switched from an oral steroid table t to flonase, you may experience joint pain, muscle pain, weakness, depression, or fatigue while your body adjusts to the absence of steroid tablets and increases its own production of steroids. You m ay also experience eye inflammation, eczema, arthritis, and nasal inflammation.

Side Effects of This Medicine
Check with your doctor as soon as possible if any of the following side effects occur:

- Bloody mucus or unexplained nosebleeds; cough; headache; nausea ; shortness of breath; vomiting

- Diarrhea; dizziness; excessive mucus; fever; general aches and pains; loss of appetite; stomach pain; weakness; runny nose

- White patches inside nose or throat

Possible food and drug interactions when taking this medication
The risk of developing Cushing's syndrome and other side effects increases when you take other steroid medications while using flonase. Prednisone and dexamethasone are examples of oral steroid medica tions. Certain other asthma inhalers, skin creams, eyedrops, and eardrops also may contain steroids.

Also be sure to check with your doctor before combining flonase with ketoconazole (Nizora l) or HIV drugs known as protease inhibitors, including Agenerase, Crixivan, Fortovase, Norvir, and Viracept.

Proper Use of This Medicine
Flonase comes as a solution to inhale through the nose. It is usually inhaled in each nostril once or twice a day. Follow the directions on your prescription label carefully, and ask your doctor or ph armacist to explain any part you do not understand. Use Flonase exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

Flonase needs to be use d regularly in order to work well. It may take several days for you to get the full benefit of the drug. You should use Flonase every day during the time when you usually have allergy symptoms. Call y our doctor if your symptoms do not get better or get worse.


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