Flovent HFA – Fluticasone Propionate Inhalation Aerosol
Hello and welcome my name is robert yang and today i will be going over flovent hfa the generic is fotikazone propionic as you can see flovine comes in three different strengths 44 110 and 220 microgram there are 120 meter actuation each of these there are two parts of this presentation the first part is the patient education and the second part is the prescriber
Information before understanding what flovine is let’s talk about asthma what is asthma this is a long-term and chronic disease of the airways of the lungs it is characterized by airway constriction and inflammation which causes narrowing of the airways this can result in symptoms such as wheezing and shortness of breath some main causes of asthma are airborne
Allergens such as pollens dust mites mold spores pet dander or particles of cockroach waste respiratory infections such as common cold and even physical activity can trigger asthma so now that we know what asthma is let’s talk about flowvent what is flowvent hfa this is a prescription-inhaled corticosteroid medicine used for long-term treatment of asthma in
Four years and older this helps to decrease the inflammation in the lungs and prevent symptoms before they start however this does not relieve sudden breathing problems such as asthma this is showing the picture of the flovent hfa so the metal canister contains the medication the plastic actuator is what holds the canister and then the counter shows how much
Medication is left the mouthpiece is where you place your mouth and the caps keeps any foreign objects from getting inside the medication so now that you know how the floating looks like let’s talk about how do you take it if you’re using it for the first time or have not used it for seven days or longer you must prime it this means spraying the medication into
The air four times away for you this is to ensure that you actually receive the full amount before use make sure you shake the inhaler well for five seconds immediately before use take the cap off the mouthpiece make sure you inspect the mouthpiece or the presence of any foreign objects make sure the canister is fully and firmly inserted into the actuator go
Ahead and take a deep breath breathe out fully through your mouth then place your mouth on the mouthpiece holding the inhaler in the mouthpiece downward position and closing your lips so now your mouth should be on the mouthpiece go ahead and breathe in and fully depress the top of the metal canister with your finger after the puff is delivered release the finger
From the canister and remove the inhaler from your mouth hold your breath for 10 seconds or for as long as you can if inhaling more than one puff then wait about 30 seconds to do the next one make sure you rinse your mouth with water and do not swallow you have to do this every time you inhale this is very important because it will prevent infections in your mouth
Once you are done go ahead and replace the cap on the mouthpiece after each use you’re probably wondering what are the side effects of this medication so these are the some of the common less common also rare side effects that needs medical attention so the most common one is the white patches and the mouth and throat the less common one bone pain diarrhea earache
Fever and the rare one are blindness blur vision eye pain bone fracture chest tightness excess facial hair and woman in comparison these do not need medical attention the more common one are cough pains or general feeling of illness greenish yellow mucus in the nose less common include mouth irritation muscle soreness sprain or strain sneezing and then the rare
One are aggression agitation and bruising what happens if you miss a dose if you miss a dose take it as soon as possible if it is almost time for your next dose skip the mist dose and go back to your regular dosing schedule however do not double dose how should you store this medication keep out of reach of children do not keep outdated medicine keep the medicine
In the foil pouch until ready to use store at room temperature away from heat and cold do not freeze it and do not keep it inside a car where it can be exposed to extreme temperature store it with the mouthpiece downward so this next part i’m going to be going over the prescriber information so the pharmacologic category is corticosteroid and helen and then for
The pricing interesting fact is that 44 microgram per gram is 23.16 the 110 microgram is 27.38 and then the 220 microgram is 42.53 for the recommended dosage patients aged 12 years and older the starting dose is 88 microgram bid 12 hours apart the maximum recommended dosage is 880 microgram bid patients age 4 to 11 years old is 88 microgram bid 12 hours apart
Let’s look at the mechanism action this is a synthetic trial fluorinated corticosteroid with anti-inflammatory activity this exhibit a binding affinity for glucocorticoid receptor it utilizes a fluorocarbon thyroid ester linkage at the 17 carbon position the anti-inflammatory actions of the corticosteroids contribute to the efficacy of an asthma pharmacokinetics
So it may take one to two weeks for the onset of action it is absorbed systemically primarily via the lungs the volume distribution is 4.2 liters per kilogram and then it is more than 99 protein binding it is metabolized hepatically uh by the sip 384 into the 17 beta carboxylic acid and then for the oral inhalation the bioavailability is 13.9 percent half-life
Elimination is 11.2 hours the time of peak is 0.5 to 1 hour and then it is excreted by feces also by urine feces is the parent drug and metabolites and then for the urine it is less than five percent metabolites medical safety issues satellite look like issues flowvent maybe confuse the flonase for the international issues flovin may be confused with phlogen or
Phlogen this is the brand name for naproxen in mexico contraindications include hypersensitivity to fluticason or any component of the formulation which may lead to anaphylaxis even though documentation of allergenic cross-reactivity for corticosteroid is limited due to the similarities in the chemical structure and or pharmacologic action cross sensitivity cannot
Be ruled out for the reproductive and pregnancy consideration patients who are planning to become pregnant should discontinue the corticosteroid inhalation the reason why is because fotica stone can be detected in the blood following maternal use these are some of the drug interactions which include but is not limited to substrate of c3a4 desmopressin loxapine
And also tobacco although there may be a lot of drug interactions all these drugs are systemic except for tobacco so i will not be too worried about these interactions so here is my references thank you and i hope you learned something today take care
Transcribed from video
Flovent HFA – Fluticasone Propionate Inhalation Aerosol By Riverside Rx Services