Reviewed by Virginia Chachati MPharm
(2013, University College London)
GPhC Registration number: 2087654
Information last reviewed 11/02/21
Flixonase comes in two types: Flixonase allergy nasal spray and Flixonase nasules, or nasal drops. Both contain fluticasone propionate, which is an anti-inflammatory medicine and a corticosteroid.
Flixonase nasal spray helps treat hay fever symptoms such as sneezing, nasal blockage and swelling associated with a runny nose. It is also used to treat rhinitis, a condition where your nose is constantly blocked or runny. Flixonase nasule drops help treat nasal polyps and nasal obstruction.
Flixonase contains a medicine known as a corticosteroid. Corticosteroids are naturally produced by your body to help reduce inflammation and aid the healing process. The corticosteroid in Flixonase is fluticasone propionate. It is an anti-inflammatory and reduces nasal blockage, swelling, itchiness and sneezing.
Flixonase nasal spray is used to treat hay fever and rhinitis, whereas Flixonase nasule drops are used for the treatment of nasal polyps and nasal obstruction. Flixonase nasal spray comes in a bottle containing 150 sprays. You use Flixonase nasal spray by pressing the container to release a mist into your nostrils, typically once a day. However, Flixonase nasule drops come as 28 or 84 individual little plastic containers containing the medicine in a liquid form. Once you open a Flixonase nasule drop container, you must immediately apply the liquid to your nostrils and then throw away the container.
Dose |
2 sprays into each nostril, once per day |
Type of Medicine |
Corticosteroid nasal spray |
Mechanism |
Blocks the activation of inflammatory processes in the body |
Available Strengths |
50mcg |
Active Ingredient |
Fluticasone propionate |
Price |
From £18.99 per spray |
Side Effects |
Can include nose bleeds, dry or painful throat, unpleasant taste or smell, eye pain, blurred vision |
The active ingredient in Flixonase nasal spray is fluticasone propionate.
The inactive ingredients in Flixonase nasal spray are cellulose microcrystalline, carmellose sodium, glucose, polysorbate 80, water purified, benzalkonium chloride and phenylethyl alcohol.
The active ingredient in Flixonase nasule drops is fluticasone propionate.
The inactive ingredients in Flixonase nasule drops are polysorbate 20, sorbitan laurate, sodium dihydrogen phosphate dihydrate, disodium phosphate anhydrous, salt (sodium chloride), water for injections.
Flixonase contains fluticasone as its active ingredient along with a number of other inactive ingredients. These ingredients are not known to cause a severe allergic reaction that will result in hives/rash, facial swelling, itchy throat, and trouble breathing. If you experience any of these symptoms please get immediate medical attention. If you have a known hypersensitivity to any of these ingredients, please avoid using this medication.
Flixonase nasal spray is used once a day by adults and children over 12 years old. Every morning, use two sprays in each nostril. For children aged four years old to eleven years old, use one spray in each nostril once a day. Your doctor may increase or decrease the number of Flixonase nasal sprays you need to use to keep your symptoms under control.
Flixonase nasule drops come in individual plastic containers. Adults and children over 16 years old can use this medicine once or twice a day. Typically, you open one plastic container and apply half the liquid in one nostril and the other half in your other nostril. Your doctor may change how often you use Flixonase nasule drops according to your treatment plan.
The first time you use Flixonase, it can take a few days to start working. Your doctor will advise you on how long to use Flixonase. Each bottle of Flixonase nasal spray contains 150 doses. This will last at least thirty days if you use two sprays in each nostril once a day. However, Flixonase nasule drops typically come in a pack of 28 or 84 individual containers. This may last several weeks, depending on your prescription.
While using Flixonase nasal spray, you may experience side effects such as:
While using Flixonase nasule drops, you may experience side effects such as:
Although very rare, when using Flixonase nasal spray or Flixonase nasule drops, you may experience signs of an allergic reaction such as difficulty breathing, a skin rash, feeling light-headed or collapsing and swelling of the face, lips, mouth or tongue. You must seek emergency medical help if you experience any of these allergic reactions.
You must speak to your doctor if you want to use Flixonase. They may prescribe Flixonase nasal spray or Flixonase nasules if you are planning a baby or if you are pregnant, but only if the benefits outweigh the risks.
You must speak to your doctor if you want to use Flixonase while breastfeeding. They will need to discuss with you the benefits and risks of using either Flixonase nasal spray or Flixonase nasule drops.
There are other treatment options available from Dr Felix. These include alternative corticosteroid nasal sprays such as Beconase, Avamys and Nasonex. You could try a combination therapy such as Dymista, which contains a corticosteroid and an antihistamine. Or you can use a nasal spray that does not have a corticosteroid, such as Rhinolast which contains an antihistamine as its active ingredient.
If you do not want to use a nasal spray, there are tablets you can swallow, but they may not have the same effect as a corticosteroid nasal spray. These tablets include Neoclarityn, Loratadine, Cetirizine, Telfast and Fexofenadine.
Discuss the best treatment options for you with your doctor or pharmacist.
Here are five helpful tips you can use to reduce the effects of hay fever:
Flixonase and Flonase both contain the same active ingredient, fluticasone propionate, at the same concentration. They are both nasal sprays. However, they may have different inactive ingredients.
Flixonase nasal spray contains fluticasone propionate, which is a different active ingredient to that in Beconase nasal spray. Beconase nasal spray contains an active ingredient called beclometasone dipropionate. They are both medicines that need to be prescribed by a doctor.
Flixonase nasal spray contains fluticasone propionate, which is a different active ingredient to that in Nasonex nasal spray. Nasonex nasal spray contains an active ingredient called mometasone furoate. They are both medicines that need to be prescribed by a doctor.
You can buy Flixonase from Dr Felix after a short two-minute online consultation. A qualified doctor will check if it’s suitable for you and you will receive Flixonase nasal spray or Flixonase nasule drops in discreet packaging straight to your door. Otherwise, you will need to book an appointment to see a doctor and get a prescription for Flixonase spray or Flixonase drops. The prescription will enable you to buy Flixonase from a pharmacy.
Flixonase nasal spray and Pirinase nasal spray contain the same active ingredient, fluticasone propionate, at the same concentration. However, you can buy Pirinase over the counter at a pharmacy. But you cannot buy Flixonase over the counter; it needs to be prescribed by a doctor. Flixonase nasal spray comes in a bottle containing 150 doses, whereas Pirinase nasal spray contains only 60 doses. Flixonase nasal spray can be prescribed for adults and children over four years old. Flixonase nasule drops can be prescribed for adults and children over 16 years old. In contrast, the use of Pirinase nasal spray is restricted to adults over 18 years old.
You cannot buy Flixonase over the counter from a pharmacy. A doctor must prescribe Flixonase spray or Flixonase nasule drops. However, Pirinase is available over the counter from a pharmacy for adults over 18 years old. Pirinase nasal spray contains fluticasone propionate at the same concentration as Flixonase nasal spray.
Flonase has been discontinued and is no longer made under that brand name. Therefore, Flonase is not available in the UK. Flixonase, Nasonex and Beconase are all suitable alternatives to Flonase.
Headaches are a possible side effect while using Flixonase. However, this should pass after using Flixonase for some time. If you experience intense headaches or a headache that does not go away after drinking plenty of water or using painkillers, please speak to your doctor for alternative medicine to help with your hay fever or rhinitis.
It is unlikely that Flixonase nasal spray or Flixonase nasule drops will cause anxiety when you use it. If you feel anxious after using Flixonase, please speak to your doctor to help you with your symptoms.
It is unlikely that Flixonase nasal spray or Flixonase nasule drops will cause weight gain when you use it. If you feel like you are gaining weight after using Flixonase, please speak to your doctor for further advice.
Flixonase can be used as a decongestant to help clear your sinuses, which may improve the drainage of fluid from your ears. However, you must only use Flixonase for this purpose if a doctor has prescribed it.
It is unlikely Flixonase will keep you awake at night. To avoid this problem, use Flixonase in the morning as recommended by your doctor. If you are having problems sleeping after using Flixonase, please speak to your doctor for advice.
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