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Precautions while Using this Medicine

When you are being treated with dexamethasone, and after you stop treatment with it, do not have any immunizations (vaccinations) without your doctor's approval. Dexamethasone may lower your body's re sistance and there is a chance you may get the infection the immunization is meant to prevent. In addition, other persons living in your household should not take or have recently taken oral polio vac cine since there is a chance they could pass the polio virus on to you. Also, avoid other persons who have taken oral polio vaccine. Don't get close to them, and do not stay in the same room with them for very long. If you cannot take these precautions, you should consider wearing a protective face mask that covers the nose and mouth.

Special warnings about this medication

Flovent Rotadisk inhalation powder is also taken orally. Assemble the Rotadisk Diskhaler according to package instructions. To use, exhale, then place the Diskhaler mouthpiece between your teeth (with out biting down) and close your lips firmly around it. (Be careful to avoid covering the small air holes on either side of the mouthpiece.) Breathe in through your mouth as deeply as you can, then hol d your breath while you remove the Diskhaler. Continue to hold your breath as long as you comfortably can, up to a maximum of 10 seconds.

What special precautions should I follow?

The presence of other medical problems may affect the use of Flonase. Make sure you tell your doctor if you have any other medical problems, especially:
- Amebiasis¡XNasal Flonase may make this c ndition worse
- Asthma¡XNasal Flonase may make this condition worse
- Diabetes mellitus (sugar diabetes)¡XUse of dexamethasone may decrease carbohydrate tolerance, worsening blood glucose co rol and warranting an increase in insulin dosage
- Glaucoma¡XLong-term use of nasal Flonase may worsen glaucoma by increasing the pressure within the eye
- Herpes simplex (virus) infection o the eye or
- Infections (virus, bacteria, or fungus)¡XNasal Flonase may cover up the signs of these conditions

Precautions Before Using This Medicine

Children¡XThere is no specific information comparing the use of nasal Flonase in children up to 4 years of age with use in other age groups. Corticosteroids taken by mouth or injection have been shown to slow growth in children and cause reduced adrenal gland function. Before nasal Flonase is given to a child, you and the child's doctor should talk about the good this medicine will do as well as th e risks of using it.

How to Use

Flonase is taken in the nostrils. For best effect, take the prescribed doses at regular intervals. First, blow your nose. Then shake the spray bottle gently, prime the pump 6 times if it hasn't been u sed during the past week, tilt your head back, press one nostril closed, and insert the tip of the bottle a short way into the other nostril. Spray once, pull the tip of the bottle away from your nose , and inhale deeply through the treated nostril. Repeat with the other nostril.

Flovent inhalation aerosol is taken orally. Shake the canister before each use. Take a deep breath and exhale. Then, as you begin to inhale, put your lips around the mouthpiece and depress the canister. Rinse your mouth with water after each use of the inhaler.

Overdose

Blindness; blurred vision; bone fractures; excess facial hair growth in females; fullness of face, neck, and trunk; high blood pressure; impotence in males ; increased thirst or urination; lac k of menstrual periods; muscle wasting; weakness


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