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Other medical problems
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

Special warnings about this medication
Avoid items or activities that you know are allergens for you if they make your symptoms worse. Clean areas where dust or pet fur may aggravate your condition. ? Avoid exposing yourself to known sourc es of infection. Stay away from people with chicken pox, measles, or any other type of infection. Your immune system may not be strong enough to fight off an infection while you are using Flonase (flu ticasone nasal ).

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.

Side Effects of This Medicine
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

Other Medicines
The risk of developing Cushing's syndrome and other side effects increases when you take other steroid medications while using flonase. Prednisone and dexamethasone are examples of oral steroid medica tions. Certain other asthma inhalers, skin creams, eyedrops, and eardrops also may contain steroids.

Also be sure to check with your doctor before combining flonase with ketoconazole (Nizora l) or HIV drugs known as protease inhibitors, including Agenerase, Crixivan, Fortovase, Norvir, and Viracept.

Symptoms of overdose may include:
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").


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