FLUTICASONE
Formspray
Two spray actuations into each nostril once daily (110 mcg/day total if using the fluticasone furoate 27.5 mcg/spray product, or 200 mcg/day total if using the fluticasone propionate 50 mcg/spray product). - As directed
(Children 4-12 years: one spray per nostril once daily, preferably in the morning (27.5 mcg fluticasone furoate, max 55 mcg/day) or 50 mcg fluticasone propionate per spray (max 100 mcg/day); some cases need twice daily, to a maximum of two sprays per nostril.)
| 4 to 12 years: | One spray per nostril once daily, preferably in the morning - 27.5 mcg fluticasone furoate (maximum 55 mcg a day), or 50 mcg fluticasone propionate per spray (maximum 100 mcg a day). Some cases need twice daily, to a maximum of two sprays per nostril. |
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Egyptian National Drug Formulary - respiratory-2026.pdf, Fluticasone monograph (chapter PDF p77)
Most non-traumatic, bilateral 'nose symptoms' seen in general practice are due to allergic or perennial rhinitis, which is the formulary's actual indication for this nasal spray; it treats the likely cause, not the symptom code itself.
- Given as a nasal spray, not swallowed: the dose is two actuations per nostril.
- This dose treats nasal symptoms caused by allergic/perennial rhinitis, not nasal trauma, tumour, or infection - a nasal steroid spray will not help those and should not delay referral.
- A tense, painful septal swelling after trauma (possible septal haematoma) needs urgent surgical drainage, not a nasal spray.
- Persistent one-sided nasal symptoms with bleeding need referral to exclude a nasal tumour before treating symptomatically.
- Local irritation, dryness, and epistaxis are common; avoid in untreated local nasal infection.
- Use the lowest effective dose; prolonged high-dose use in adolescents carries a growth-suppression risk.
| Egyptian brand | Manufacturer | Indicative price |
|---|---|---|
| RHINORELIEF NASAL SUSP. 50 MCG/METERED SPRAY DOSE | ARAB DRUG COMPANY (ADCO) | 32.00 EGP |
| TICANASE 0.05% NASAL SPRAY 12 GM | EUROPEAN EGYPTIAN PHARM. IND. | 70.00 EGP |
| FLIX NASAL SPRAY 50 MCG/METERED SPRAY DOSE | EVA PHARMA | 76.00 EGP |
| FLIXONASE 50 MCG/METERED NASAL SPRAY 120 DOSE | GLAXO SMITHKLINE | 133.00 EGP |
| FLOHALE HFA 250MCG/DOSE AEROSOL 120 DOSES | CIPLA LTD. - INDIA > STAR INTERNATIONAL COMPANY | 95.00 EGP |