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Cautions
When you are being treated with dexamethasone, and after you stop treatment with it, do not have any immunizations (vaccinations) without your doctor's approval. Dexamethasone may lower your body's re sistance and there is a chance you may get the infection the immunization is meant to prevent. In addition, other persons living in your household should not take or have recently taken oral polio vac cine since there is a chance they could pass the polio virus on to you. Also, avoid other persons who have taken oral polio vaccine. Don't get close to them, and do not stay in the same room with them for very long. If you cannot take these precautions, you should consider wearing a protective face mask that covers the nose and mouth.

What special precautions should I follow?
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

Description
flonase is not an instant cure. It may take a few days for the medication to start working; and you need to keep taking it regularly in order to maintain its benefits. While you are waiting for flonas e to take effect, neither increase the dose nor stop taking the medication.

Possible food and drug interactions when taking this medication
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

What side effects may occur?
Serious side effects from Flonase (fluticasone nasal ) are not likely to occur. Stop using Flonase (fluticasone nasal ) and seek emergency medical attention if you experience an allergic reaction (dif ficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives). ? Other, less serious side effects may be more likely to occur. Continue to use Flonase (fluticasone nasal ) and talk to your doctor if you experience stinging or burning of the nose; sneezing after application; yeast infection in the nose or throat (white patches); bleeding nose; perforated septum (insid e center of nose); increased pressure in the eyes, glaucoma, or tearing of the eyes; headache or lightheadedness; nausea; cough; asthma symptoms; nasal stuffiness or a runny nose

Special warnings about this medication
Flovent Rotadisk inhalation powder is also taken orally. Assemble the Rotadisk Diskhaler according to package instructions. To use, exhale, then place the Diskhaler mouthpiece between your teeth (with out biting down) and close your lips firmly around it. (Be careful to avoid covering the small air holes on either side of the mouthpiece.) Breathe in through your mouth as deeply as you can, then hol d your breath while you remove the Diskhaler. Continue to hold your breath as long as you comfortably can, up to a maximum of 10 seconds.


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