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Medically Approved

Fluticasone nasal spray dosage: A detailed guide

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Doctors prescribe fluticasone nasal spray to help manage the symptoms of nonallergic rhinitis in adults and certain children. You take it by spraying it into your nostrils once per day.
Medically reviewed by Melissa Badowski, PharmD, MPH, FCCP
Updated on

This article describes fluticasone nasal spray’s dosages and strengths and gives details on how to take it. You’ll also find information on cost savings and coupon options for fluticasone. If you want to know more about fluticasone nasal spray, see this overview article. It covers details about the drug’s uses and side effects, ways to save on cost, and more.

Fluticasone nasal spray is a generic medication. It’s not available in a prescription brand-name version. However, it’s available over the counter (OTC) as the brand-name drug Flonase Allergy Relief and as other store brand products.

Fluticasone also comes in topical forms (applied to the skin) and other forms that are inhaled, but those forms are used for other conditions and aren’t described in this article. To learn more about those forms, talk with your doctor.

Form and strength of fluticasone

Fluticasone nasal spray comes as follows:

  • Form: nasal spray
  • Strength: 50 micrograms (mcg) per spray

Dosage of fluticasone

This article describes the recommended dosages for fluticasone nasal spray. The drugmaker provides these dosages.

If your doctor prescribes this medication, you should follow the dosage they prescribe. Your doctor will determine the dosage that best meets your needs. Do not change your dosage of fluticasone nasal spray without your doctor’s recommendation.

Usual recommended dosage of fluticasone in adults

Usually, doctors start by prescribing the recommended dosage of fluticasone nasal spray. If needed, they’ll adjust it over time until the right dosage is reached. Ultimately, your doctor will prescribe the smallest dosage of fluticasone nasal spray that gives the desired outcome.

The table below shows the total daily recommended dose of fluticasone nasal spray for the treatment of symptoms of nonallergic rhinitis. The total dose of fluticasone within the sprays is in micrograms (mcg).

ConditionRecommended doseFrequency
symptoms of nonallergic rhinitis2 sprays per nostril (200 mcg) once per day

Dosage of fluticasone in children

Fluticasone nasal spray is approved for use in children ages 4 years and older to manage symptoms of nonallergic rhinitis. The dosage is 1 spray per nostril once per day, which is 100 micrograms (mcg) per day.

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Dosage adjustments for fluticasone

Your doctor will prescribe a dosage of fluticasone nasal spray based on several factors. These include:

  • your age
  • other medications you take
  • other health conditions you may have
  • how you respond to the medication

Before you start taking fluticasone nasal spray, talk to your doctor about your health history and any medications you take.

Depending on how your body responds to fluticasone nasal spray after the first few days, your doctor may increase or decrease the number of sprays per nostril they prescribe.

Missed dose of fluticasone

Talk with your doctor or pharmacist right away if you realize you forgot to take a dose of fluticasone nasal spray. They may advise you to take the missed dose. Or they may advise you to skip it and take your next dose as scheduled.

For tips on how to plan your doses of fluticasone nasal spray and avoid missing a dose, read this article. You could also try:

  • downloading a reminder app on your phone
  • setting an alarm
  • putting a note where you’ll see it, such as on your calendar, bathroom mirror, or bedside table

Frequently asked questions

Below are answers to some commonly asked questions about fluticasone nasal spray and its dosage.

Can I use fluticasone three times per day?

No, it’s not recommended to use fluticasone three times per day. Usually, fluticasone nasal spray is used once per day. However, in some cases, your doctor may recommend dividing your dosage into 2 doses per day.

The recommended dosage of fluticasone nasal spray for adults is 2 sprays per nostril once per day. This is equal to 200 micrograms (mcg) of fluticasone, which is the maximum total daily dose.

Taking more than the recommended dosage can increase your risk of side effects. To learn more about the side effects of fluticasone, see this overview article.

Talk with your doctor if your symptoms do not improve, or you experience side effects while using fluticasone nasal spray.

Is fluticasone used long term?

Doctors typically do not prescribe fluticasone nasal spray as a long-term treatment. Instead, it’s usually recommended for short-term use. In some cases, doctors may prescribe fluticasone nasal spray for several months or longer.

If you have questions about how long you should use fluticasone nasal spray, talk with your doctor. Continue to take fluticasone nasal spray until your doctor recommends to stop the treatment.

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How fluticasone is used

You’ll spray fluticasone nasal spray into your nostrils once per day after gently shaking the container. In some cases, your doctor may recommend dividing the dosage into two doses per day.

The first time you use it, or if you haven’t used it for 1 or more weeks, you’ll need to prime the container by shaking the contents well and then spraying 6 sprays into the air away from your face.

For detailed instructions on how to use your fluticasone nasal spray, see the drug’s prescribing information. Be sure to talk with your doctor or pharmacist if you’re having difficulty taking your medication. They can offer recommendations about taking it.

Your doctor may advise that you use fluticasone nasal spray around the same time each day. This helps keep a consistent amount of the drug in your body. And that can help the drug work more effectively.

At least once per week, clean your fluticasone nasal spray applicator and cap under warm water. Then let it dry at room temperature.

Fluticasone coupon

Visit this page to access Optum Perks coupons and get price estimates for fluticasone when you use the coupons. These coupons can provide significant savings on your prescription costs.

Note: Optum Perks coupons cannot be used with insurance copays or benefits.

Overdose of fluticasone

It’s important that you do not use more fluticasone nasal spray than your doctor prescribes. Doing so can lead to harmful effects.

What to do if you use too much fluticasone

If you think you’ve used too much fluticasone, call your doctor or pharmacist right away. Or you could call 800-222-1222 to speak with someone at America’s Poison Centers. You can also use its online resource. If you have severe symptoms, call 911 or a local emergency number immediately. You can also go to the closest emergency room.

What to ask your doctor

This article describes the usual recommended dosages for fluticasone nasal spray. If your doctor prescribes this medication, they’ll determine the dosage that’s best for you.

Do not change your dosage of fluticasone nasal spray without your doctor’s recommendation. You should use fluticasone nasal spray exactly as your doctor prescribes it. Let your doctor know if you have concerns or questions about your treatment plan.

Here’s a list of some possible questions you may want to ask your doctor:

  • Will you change my fluticasone nasal spray dosage if I take certain other medications along with it?
  • How does the dose of OTC fluticasone nasal spray compare with that of prescription fluticasone nasal spray?
  • Will you change my fluticasone nasal spray dosage if I have certain side effects from the medication?

Disclaimer: Optum Perks has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

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