Fluticasone in the UK — what you need to know

Fluticasone is one of the most commonly used steroid medicines for allergic rhinitis, asthma and some skin problems. In the UK you’ll meet it as a nasal spray, an inhaler and a cream. Brands you’ll see include Flixonase (fluticasone propionate) and Avamys (fluticasone furoate) for noses, and Flovent for inhaler treatment.

How fluticasone works and when to use it

Fluticasone reduces inflammation. For hay fever or persistent sneezing, a daily nasal spray calms the lining of the nose so symptoms ease over a few days. For asthma, inhaled fluticasone lowers airway inflammation and helps prevent attacks when used regularly. Topical fluticasone creams are for inflammatory skin conditions, but follow your doctor’s instructions closely.

Most nasal sprays are aimed at long-term control, not instant relief. If you need quick action for a blocked nose, a decongestant may help short term, but don’t use those long term without advice.

How to use fluticasone safely

For nasal sprays: blow your nose, tilt your head slightly, insert the nozzle and spray while breathing in gently. Don’t spray directly on the septum — aim to the side. Use the smallest effective dose and keep regular use on bad days rather than doubling up.

For inhalers: prime the device if new, use a spacer if you can, and rinse your mouth after each use to cut the risk of thrush. With inhaled steroids, consistency matters — they prevent attacks when used daily, but won’t stop an immediate wheeze. If your symptoms don’t improve after a couple of weeks, check with your clinician.

Common side effects are mild: throat irritation, hoarseness, nosebleeds with sprays, and occasional mouth thrush with inhalers. Serious effects are rare at recommended doses, but long-term high doses can affect bones or growth in children. Always follow the prescribed dose and keep regular reviews if you’re on steroid inhalers long term.

Pregnant or breastfeeding? Talk to your GP or midwife. In many cases doctors prefer you to stay on inhaled or nasal fluticasone because uncontrolled asthma or severe allergies can be riskier than the medication.

Where to buy in the UK & cost tips

You can buy many nasal fluticasone sprays over the counter at UK pharmacies. Inhalers and stronger formulations usually need a prescription. Buy from licensed pharmacies only and check pack labels for active ingredient and expiry date. If cost is a concern, ask your pharmacist about generic fluticasone options or NHS prescription charges and exemptions—prescription rules differ across England, Scotland, Wales and Northern Ireland.

If you’re ordering online, make sure the seller is registered with the MHRA or a UK-licensed pharmacy. Avoid unknown foreign sites offering huge discounts—safety matters when it’s medication.

Got questions about doses or side effects? Your GP or pharmacist can give quick, practical advice tailored to your situation.