Corticosteroid nasal spray for the relief of the symptoms of allergic rhinitis, non-allergic rhinitis, and nasal polyposis

Flonase is a topical corticorsteroid with anti-inflammatory effect

Hypersensitivity to fluticasone

Neurological: Headache, lightheadedness
ENT: Irritation and burning of the nasal mucosa, nasal ulceration, epistaxis, (rarely) septal perforation, unpleasant taste and smell, sneezing, sore throat
Respiratory: None
Gastro: Nausea

Caution with ketoconazole

2 sprays each nostril once daily, or two sprays divided twice daily
If possible reduce to one spray per nostril once daily for maintenance

Therapeutic effect may not be seen until 12 hours to several days