Fluticasone nasal spray — what it does and how to use it

If allergies or a constantly blocked nose are draining you, fluticasone nasal spray is one of the medicines people reach for. It’s a steroid sprayed into the nose to reduce inflammation that causes sneezing, runny nose, and congestion. Many users notice steady improvement after several days, though it can take up to two weeks for full benefit.

How to use fluticasone nasal spray

Start by reading the label — brands and bottles differ. General steps that help most people work well:

- Prime the spray if the bottle is new (follow the manufacturer’s steps).

- Gently blow your nose to clear the nostrils.

- Tilt your head forward slightly. Insert the nozzle just inside one nostril and point it slightly away from the center septum (the wall between nostrils).

- Breathe in gently through the nose while pressing the pump once. Don’t sniff hard; a gentle inhalation helps the medicine settle in the nose.

- Repeat for the other nostril if directed. Wipe the nozzle and replace the cap. Use at the same time each day for best results.

Typical adult dosing is one or two sprays per nostril once daily for over-the-counter options. Children have lower doses; follow the product instructions or your doctor’s advice. If you miss a dose, use it when you remember unless it’s nearly time for the next dose — don’t double up.

Side effects and safety tips

Common side effects are local and usually mild: nasal dryness, mild irritation, sneezing right after spraying, or occasional nosebleeds. If you get persistent or heavy nosebleeds, stop using the spray and see a healthcare provider.

Systemic steroid effects (like adrenal suppression) are rare with nasal fluticasone because blood levels are low. Still, tell your doctor if you take strong CYP3A4 inhibitors (for example, certain HIV meds or antifungals), since interactions can raise steroid levels.

Talk to your provider before using fluticasone if you recently had nasal surgery, have a nasal injury, have an active nasal infection, or if you’re pregnant or breastfeeding. Also mention glaucoma or cataracts in your medical history.

Store the spray at room temperature, keep the cap on, and follow expiry dates. If symptoms don’t improve after about two weeks of regular use, or if symptoms get worse, check in with your doctor. Quick tip: combining a nasal steroid with an oral antihistamine sometimes helps seasonal allergy peaks, but ask first.

Fluticasone nasal spray works well for many people when used correctly. If you have questions about dosing or potential interactions with other drugs you take, your pharmacist or doctor can give advice tailored to you.