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Symptoms of overdose
Any medication taken in excess can have serious consequences. If you habitually use too much flonase, you run the risk of developing Cushing's syndrome (see "Special warnings about this medication").

Special warnings about this medication
People taking steroid medications run an increased risk of infections such as chickenpox and measles, and when an infection develops, it's more likely to be serious. If you've never had these diseases and have not been vaccinated against them, avoid anyone who may have them. If by chance you're exposed, contact your doctor immediately.

In rare cases, flonase can also cause a fungal infec tion in the nose and throat. And steroid treatment can also make an existing infection worse. Be sure the doctor is aware of any infections you may have, including TB and viral infections of the eye.

Drug 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

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

Precautions while Using this Medicine
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.

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:
- Injury to the nose (recent) or
- No se surgery (recent) or
- Sores in the nose¡XNasal Flonase may prevent proper healing of these conditions
- Liver disease
- Tuberculosis (active or history of)
- Underactive thyroi
- Weak heart or
- Recent heart attack¡XUse of dexamethasone may worsen these conditions


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