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For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.
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PAD Profile : Fluticasone propionate (Nasal) - Allergic rhinitis
Keywords :
Hay fever, hayfever, nasal sprays, allergy, seasonal allergic rhinitis, pollen allergy, intranasal corticosteroids, INCS
Brand Names Include :
Flixonase, Nasofan
Traffic Light Status
Status 1 of 1.
Status :
Green (see narrative)
Important
Formulations :
- Nasal spray
Important Information :
Beclometasone is the preferred intranasal steroid for allergic rhinitis. If fluticasone is required, prescribe as fluticasone furoate in Primary Care (less costly option). Prices may vary in secondary care. NOTE: ASPH recommend fluticasone furoate in paediatrics due to smaller nozzle size.
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Comments :
No comments returned.
Documents :
Guidelines
The following guidelines are available for this indication.
Other Drugs
- Fluticasone furoate
- Cetirizine hydrochloride
- Loratadine
- Triamcinolone acetonide
- Beclometasone dipropionate
- Azelastine hydrochloride
- Desloratadine
- Levocetirizine
- Budesonide
- Mometasone furoate
- Ipratropium bromide
- Bilastine
- Mizolastine
- Acrivastine
- Fexofenadine hydrochloride
- Rupatadine fumarate
- House dust mites allergen extract
- White Birch pollen allergen extract
- Mometasone furoate/olopatadine hydrochloride
- Chlorphenamine maleate
- Ketotifen fumarate
- Promethazine hydrochloride
Other Indications
Additional Documents
Type
Document
Review Date
Committee Recommendations
Date
Committee Name
Narrative
05 April 2023
Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)
Fluticasone is considered to be a 3rd line agent for nasal allergic rhinitis - see local guidelines below.
If fluticasone is necessary, prescribe as Avamys (fluticasone furoate 27.5mcg/dose).
Avamys is approxiamtely 40% less expensive than generic scripts for fluticasone propionate or branded Flixonase.
Associated BNF Codes
12. Ear, Nose and Oropharynx
12.02.01. Drugs used in nasal allergy