Published Sep 3, 2011
sogreenrn
47 Posts
can someone explain why we give both fluticasone aerosol and nasal spray?
supervisorhatchet
45 Posts
without knowing what the nasal spray is...it is hard to say...However, there are different classes of inhaled medication...
flonase is an anti inflammatory = reduces swelling
then there are steroid sprays, antihistamine strays, and even sprays for thyroid troubles...so it really depends on the medication
often a combination of meds gives the patient the best result
dissent
39 Posts
I think the OP is asking why someone would prescribe flovent and flonase to the same patient
AnonRNC
297 Posts
If you are referring to flovent (inhaled corticosteroid) and flonase (intranasal corticosgteroid), I'm your Poster Child.
I have significant asthma that requires inhaled corticosteroids (to avoid using albuterol "too much" - more than 2 puffs 3-4 times per week).
I also have significant allergies with nasal symptoms such as congestion (which I describe as my nose swelling shut from the inside) and sneezing (uncontrollably, not just annoyingly).
Each med treats a different area.
Kunzieo
199 Posts
Yep, what AnonRNC said.
If it helps- think of Fluticasone as a TOPICAL corticosteroid-
it only helps the area you directly place it on (like topical hydrocortisone- you just place it on the areas that itch, not on unaffected skin.)
So in order for it to help the nose (usually for allergy symptoms) it has to be placed directly into the nose.
In order for it to help the lungs (usually as amaintainance inhaler for asthma) is has to be applied directly into the lungs.
for the lucky pt with both nasal and pulmonary symptoms, they get to use both!