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Precautions Before Using This Medicine
Make sure you tell your doctor if you have any other medical problems, especially:
- Glaucoma¡XRare cases of glaucoma have been reported following use of nasal corticosteroids, including nasal Fl nase
- Herpes simplex (virus) infection of the eye or
- Infections (viral, bacterial, parasitic, or fungal)¡XNasal corticosteroids may cover up the signs of these infections
- Injury to the nose (recent) or
- Nose surgery (recent) or
- Sores in the nose¡XNasal corticosteroids may prevent proper healing of these conditions
- Tuberculosis (active or history of)¡XNasal co icosteroids may cover up the signs of this infection or cause it to start up again

Possible Side Effect
Although side effects from Flonase are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- headache
- nasal irritation or dryness
- sore throat
- sneezing
- nosebleed
- change in taste or smell

If you experience any of the following symptoms, call your doctor immediately:

- increased difficulty breathing
- swelling of eyelids, face, or lips
- skin rash or hives
- tingling of the hands or feet
- white spots in the mouth or nose

What special precautions should I follow?
Pregnancy¡XNasal Flonase has not been studied in pregnant women. However, in animal studies, Flonase given by injection was shown to cause birth defects, although oral doses did not.

Symptoms of overdose
Blindness; blurred vision; bone fractures; excess facial hair growth in females; fullness of face, neck, and trunk; high blood pressure; impotence in males ; increased thirst or urination; lac k of menstrual periods; muscle wasting; 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.

Significant Interactions:
Tell your health care professional if you are taking any prescription or nonprescription (over-the-counter [OTC]) medicines, such as:

- Ephedrine or
- Phenobarbital or
- Rifampin (e .g., Rifadin)¡XEphedrine, phenobarbital, and rifampin may decrease the blood levels of nasal Flonase, such as dexamethasone, warranting an increase in corticosteroid dose


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