There are no available data on the presence of fluticasone propionate in human milk, the effects on the breastfed child, or the effects on milk production. Other corticosteroids have been detected in human milk. However, fluticasone propionate concentrations in plasma after inhaled therapeutic doses are low and therefore concentrations in human breast milk are likely to be correspondingly low [see Clinical Pharmacology ()] . The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for FLOVENT DISKUS and any potential adverse effects on the breastfed child from FLOVENT DISKUS or from the underlying maternal condition.
Flonase® is just one of several nasal spray options available in prescription form. These should be distinguished from many over-the-counter nasal spray decongestants that are not safe for long-term use, and that are sometimes abused. There is far less likelihood of this abuse with nasal corticosteroids, though clearly people need to adhere to directions for careful administration of this medicine. The bottles are created so that the same amount of spray is released each time, provided the pumping mechanism is clean, which ensures equal dosing amounts.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website ( http:///c4Rm4p ) for more information if you do not have access to a take-back program.