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What special precautions should I follow?
Check with your doctor:

- if signs of a nose, sinus, or throat infection occur.
- if your symptoms do not improve within 7 days (for dexamethasone) or within 3 weeks (for beclomethasone , budesonide, flunisolide, Flonase, mometasone, or triamcinolone).
- if your condition gets worse.

Precautions Before Using This Medicine
The presence of other medical problems may affect the use of Flonase. Make sure you tell your doctor if you have any other medical problems, especially:
- Amebiasis¡XNasal Flonase may make this c ndition worse
- Asthma¡XNasal Flonase may make this condition worse
- Diabetes mellitus (sugar diabetes)¡XUse of dexamethasone may decrease carbohydrate tolerance, worsening blood glucose co rol and warranting an increase in insulin dosage
- Glaucoma¡XLong-term use of nasal Flonase may worsen glaucoma by increasing the pressure within the eye
- Herpes simplex (virus) infection o the eye or
- Infections (virus, bacteria, or fungus)¡XNasal Flonase may cover up the signs of these conditions

Other medical problems
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.

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.

Drug Interactions
Before using this medication, tell your doctor and pharmacist about any other drugs you are taking. The use of other oral or inhaled steroids may increase the chance of side effects or overdose. ? Dru gs other than those listed here may also interact with Flonase (fluticasone nasal ). Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

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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