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FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION

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About the medicine

How to use FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Flixonase 50 micrograms/spray, nasal spray suspension

Fluticasone propionate

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

  • 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 only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet (see section 4).

Contents of the pack:

  1. What is Flixonase and what is it used for
  2. What you need to know before you use Flixonase
  3. How to use Flixonase
  4. Possible side effects
  5. Storing Flixonase
  6. Contents of the pack and further information

1. What is Flixonase and what is it used for

Flixonase is a medicine belonging to the family of corticosteroids and is recommended to prevent and treat the symptoms of seasonal and perennial allergic rhinitis, which can include: sneezing, nasal itching and discharge, blockage, congestion, poor nasal breathing, pain and pressure around the nose and eyes (sinuses), in adults and children over 4 years of age.

Corticosteroids prevent inflammation and reduce the symptoms of the allergic reaction when administered directly into the nasal cavity.

Rhinitis is caused by small particles that are inhaled through the nose, which are not recognized as the body's own and are called allergens. The body tries to eliminate these substances, which can cause sneezing, runny eyes, and itchy eyes, as well as nasal discharge that can block the nose. This can occur at the beginning of summer due to the inhalation of pollen from grass or trees and is called seasonal allergic rhinitis (hay fever). Some people have these problems throughout the year, which is then called perennial rhinitis, often due to dust mites or pet hair (cats, dogs).

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you use Flixonase

Do not use Flixonase

If you are allergic to fluticasone propionate or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor or pharmacist:

Consult your doctor if you experience blurred vision or other visual disturbances, which can be caused by cataracts or glaucoma.

Using Flixonase with other medicines

Tell your doctor or pharmacist that you are using, have recently used, or may need to use any other medicine, including those obtained without a prescription.

Consult your doctor before using fluticasone propionate nasally if you are taking:

  • medicines containing ritonavir or cobicistat (for the treatment of HIV or AIDS). Some medicines may increase the effects of Flixonase, so your doctor will monitor you closely if you are taking these medicines.
  • oral medicines for the treatment of fungal infections (ketoconazole).

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Driving and using machines

No studies have described any effect of Flixonase on driving or operating machinery. Check if Flixonase affects you before driving or operating heavy machinery.

Flixonase contains benzalkonium chloride

This medicine contains 0.02 mg of benzalkonium chloride per spray.

Benzalkonium chloride may cause irritation or inflammation inside the nose, especially when used for long periods of treatment.

Use in athletes

Athletes are informed that this medicine contains a component that may result in a positive doping test result.

3. How to use Flixonase

Follow the instructions for administration of this medicine exactly as indicated by your doctor or pharmacist. Do not exceed the recommended dose. If in doubt, consult your doctor or pharmacist again.

Adults and children over 12 years

The recommended dose is 2 sprays in each nostril once a day, preferably in the morning. Your doctor may advise you to increase the dose to a maximum of 2 sprays in each nostril twice a day (morning and evening).

Use in children from 4 to 11 years

The normal dose is 1 spray in each nostril once a day, preferably in the morning. Your doctor may advise you to increase the dose to 1 spray in each nostril twice a day (morning and evening).

This medicine starts to work after a few days. It is very important that you use it regularly. Do not stop treatment even if you feel better, unless your doctor tells you to do so.

Flixonase should only be used in the nose.

How to use the nasal spray

Nasal spray appearance

The nasal spray has a cap that protects the nasal applicator from dust and keeps it clean. Remember to remove the cap before using the spray. A new spray (or one that has not been used for a few days) may not work the first time, so you will need to follow the instructions for "Preparing the nasal spray".

Preparing the nasal spray

You must prepare the nasal spray:

  • Before using it for the first time
  • If you have not used it for a few days
  • If you have just cleaned it following the instructions in the "Cleaning the nasal spray" section

Preparing the nasal spray helps ensure that you always receive the full dose of medicine. Follow these steps:

  • Shake the nasal spray and remove the cap (see drawing 1).
  • Hold the spray in an upright position and point the nasal applicator away from you.
  • Place your index and middle fingers on either side of the nasal applicator and your thumb under the bottle (see drawing 2).

DRAWING 1DRAWING 2

Hand holding a nasal dropper bottle with the tip inserted into a nostril and fingers holding the body of the bottle

Hand holding a white nasal spray with nozzle and spraying upwards, black arrow indicates direction

  • Keep your thumb and press firmly downwards with your fingers to release a fine spray mist into the air (see drawing 2).
  • The nasal spray is now ready for use.
  • If you think the nasal applicator may be blocked, do not use a pin or any other sharp object to unblock it.
  • Try to clean the spray following the instructions in "Cleaning the nasal spray".

Using the nasal spray

  1. Shake the nasal spray and remove the cap.
  2. Blow your nose to clear your nostrils.
  3. Close one nostril with your finger and carefully place the nasal applicator in the other nostril.

nasal. Tilt your head slightly forward and keep the nasal spray in an upright position (see drawings 3a and 3b).

DRAWING 3aDRAWING 3b

Hands holding a nasal applicator device with nozzle inserted into a nostrilHand holding a bottle with nasal spray and pressing the pump with the index finger, black arrow indicates direction

  1. Press firmly downwards with your fingers while inhaling through your nose (see drawings 3a and 3b).
  2. Remove the applicator and exhale through your mouth.
  3. Repeat steps 3 to 4 in the other nostril.
  4. After using the spray, carefully clean the nasal applicator with a clean tissue.
  5. Replace the cap.

Cleaning the nasal spray

The nasal spray should be cleaned at least once a week to prevent blockage of the nasal applicator. Follow these steps:

  • Remove the protective cap.
  • Soak the nasal applicator and cap in warm water for a few minutes.
  • Rinse under the tap.
  • Remove excess water by shaking and let it dry in a warm place.
  • Replace the nasal applicator on the spray.
  • Prepare the nasal spray following the instructions in "Preparing the nasal spray" so that it is ready for use.

If you use more Flixonase than you should

If you have used more Flixonase than you should, consult your doctor or pharmacist or the Toxicology Information Service, phone: 91 562 04 20.

It is important that you take your dose as indicated by your doctor. You should only use what your doctor recommends, using more or less dose may worsen your symptoms.

If you forget to use Flixonase

Do not take a double dose to make up for forgotten doses. If you forget a dose, wait until the next dose is due.

If you have any further questions about the use of this medicine, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Some people may be allergic to this medicine, although this is rare.

The systemic effects of nasal corticosteroids may occur, especially when using high doses for prolonged periods.

The following side effects are associated with Flixonase:

Very common side effects(may affect more than 1 in 10 people)

  • Nosebleeds (spontaneous bleeding from the nose).

Common side effects(may affect up to 1 in 10 people)

  • Headache, unpleasant taste or smell.
  • Nasal dryness, nasal irritation, throat dryness, and throat irritation.

Very rare side effects(may affect up to 1 in 10,000 people)

  • Hypersensitivity reactions, anaphylaxis/anaphylactoid reactions (generalized allergic reactions), bronchospasm (spasm in the bronchi that prevents air from entering the lungs), skin rash, swelling (edema) in the face or tongue.
  • Glaucoma (increased intraocular pressure), cataracts.
  • Nasal septum perforation.

Side effects with frequency not known (cannot be estimated from the available data)

  • Blurred vision
  • Nasal ulcers

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if it is possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Medicines and Health Products Agency (AEMPS) https://www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storing Flixonase

Keep this medicine out of the sight and reach of children.

Do not store above 30°C.

Do not use this medicine after the expiry date stated on the packaging. The expiry date is the last day of the month stated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Contents of the pack and further information

Composition of Flixonase

The active substance is fluticasone propionate. Each spray delivers 50 micrograms of fluticasone propionate.

The other ingredients are anhydrous glucose, microcrystalline cellulose, and sodium carmellose, phenylethyl alcohol, benzalkonium chloride, polysorbate 80, diluted hydrochloric acid (for pH adjustment), and purified water.

Appearance of the product and pack contents

The medicine is a nasal spray suspension contained in a polypropylene bottle.

Each bottle of Flixonase contains approximately 120 sprays.

Marketing authorization holder and manufacturer

Marketing authorization holder:

GlaxoSmithKline, S.A.

P.T.M. C/ Severo Ochoa, 2

28760 Tres Cantos (Madrid)

Tel: +34 900 202 700

[email protected]

Manufacturer:

Glaxo Wellcome, S.A.

Avenida de Extremadura, 3

09400 Aranda de Duero (Burgos)

Date of last revision of this leaflet:February 2018.

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION

Discuss questions about FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (3)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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5.0 (2)
Doctor

Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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€55
0.0 (0)
Doctor

Marta Reguero Capilla

Allergology 8 years exp.

Dr Marta Reguero Capilla is an allergist and immunologist who works with both adults and children. She specialises in the diagnosis, treatment, and ongoing management of allergic and immune-related conditions through online consultations.

In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
  • allergic conditions in adults and children;
  • bronchial asthma and allergy-related respiratory symptoms;
  • urticaria (acute and chronic) and angioedema;
  • food allergies and reactions to foods, additives, or medications;
  • atopic dermatitis, allergic rashes, and persistent itching;
  • unexplained or recurrent allergic reactions;
  • interpretation of laboratory tests, allergy testing, and immunology results;
  • immune system concerns, frequent infections, and reduced immune response;
  • ongoing medical follow-up and treatment adjustment.
Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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€60

Frequently Asked Questions

Is a prescription required for FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION?
FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION?
The active ingredient in FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION is fluticasone. This information helps identify medicines with the same composition but different brand names.
How much does FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION cost in pharmacies?
The average pharmacy price for FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION is around 11.18 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION?
FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION is manufactured by Glaxosmithkline S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to FLIXONASE 50 micrograms/spray, NASAL SPRAY SUSPENSION?
Other medicines with the same active substance (fluticasone) include FLONASE 50 micrograms/spray NASAL SUSPENSION, FLUTICASONA TEVA 50 micrograms NASAL SPRAY SUSPENSION, AVAMYS 27.5 micrograms/spray, nasal spray suspension. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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