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Side Effects
Check with your doctor as soon as possible if any of the following side effects occur:

- Bloody mucus or unexplained nosebleeds; cough; headache; nausea ; shortness of breath; vomiting

- Diarrhea; dizziness; excessive mucus; fever; general aches and pains; loss of appetite; stomach pain; weakness; runny nose

- White patches inside nose or throat

Cautions
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 ).

Precautions Before Using This Medicine
Make sure you tell your doctor if you have any other medical problems, especially:
- Glaucoma¡XRare cases of glaucoma have been reported following use of nasal corticosteroids, including nasal Fl nase
- Herpes simplex (virus) infection of the eye or
- Infections (viral, bacterial, parasitic, or fungal)¡XNasal corticosteroids may cover up the signs of these infections
- Injury to the nose (recent) or
- Nose surgery (recent) or
- Sores in the nose¡XNasal corticosteroids may prevent proper healing of these conditions
- Tuberculosis (active or history of)¡XNasal co icosteroids may cover up the signs of this infection or cause it to start up again

Precautions Before Using This Medicine
Children¡XThere is no specific information comparing the use of nasal Flonase in children up to 4 years of age with use in other age groups. Corticosteroids taken by mouth or injection have been shown to slow growth in children and cause reduced adrenal gland function. Before nasal Flonase is given to a child, you and the child's doctor should talk about the good this medicine will do as well as th e risks of using it.

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.

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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