Flomyst 125 HFA Inhaler

Corticosteroid used as:

• Nasal spray 50 mcg: allergic rhinitis (seasonal and year-round), nasal polyps (drops)
• Inhaler: regular prevention of asthma (preventer), COPD (with other inhalers)
• Cream/ointment 0.05%/0.005%: eczema, dermatitis and other steroid-responsive skin conditions

Nasal spray (adults and children 12+): 2 sprays in each nostril once daily (preferably morning); up to twice daily if needed; maintenance 1 spray each nostril daily.

Children 4–11 years: 1 spray in each nostril once daily (max twice daily).

Asthma inhaler:

• Adults/12+: 100–500 mcg twice daily depending on severity (max 1,000 mcg twice daily — specialist).
• Children 4–16: 50–100 mcg twice daily (max 200 mcg twice daily).

Cream: apply thinly once or twice daily.

• Nasal and inhaled steroids take several days to reach full effect — use regularly.
• Rinse mouth after inhaler use.

• Allergy to fluticasone
• Skin: untreated skin infections, acne, rosacea, perioral dermatitis; infants under 3 months (cream)
• Not for relief of acute asthma attacks

Nasal: nosebleeds, nasal dryness or irritation, headache, unpleasant taste/smell; rarely nasal septum perforation.

Inhaled: hoarseness, oral thrush, sore throat, cough; pneumonia risk in COPD; long-term high doses — adrenal suppression, reduced growth in children, cataract, glaucoma, osteoporosis.

Cream: burning, skin thinning with prolonged use.

• Do not stop the asthma inhaler suddenly.
• Monitor growth in children on long-term use.
• Vision changes: see an eye doctor.
• Spray away from the nasal septum.

Inhaled and nasal use may be continued in pregnancy and breastfeeding when needed (low systemic absorption).

• Ritonavir, cobicistat (Cushing's syndrome, adrenal suppression — avoid); ketoconazole, itraconazole, clarithromycin (raise levels)

Short-term overuse is unlikely to harm; long-term excess may suppress adrenal function.

Store below 30°C. Inhaler: do not puncture or burn; protect from heat and frost.