This section provides information on the proper use of a number of products that contain fluticasone.  It may not be specific to Xhance. Please read with care.
This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
This medicine is for use only in the nose. Do not get any of it in your eyes or on your skin. If it does get on these areas, rinse it off right away.
To use the fluticasone propionate and Veramyst® nasal spray:
When you use the fluticasone nasal spray for the first time, you must prime the spray. Press down fully the top of the pump 6 times or until a fine spray comes out. Prime the spray if it has not been used for more than 7 days (fluticasone propionate) or 30 days (Veramyst®) or if the cap has been left off the bottle for 5 days or longer. Shake the medicine well before each use.
Gently blow your nose before using the spray. Tilt your head back slightly and insert the tip of the nose piece into your nostril.
Close the opposite nostril with a finger. Release 1 spray and at the same time, breathe in gently through the nostril.
Hold your breath for a few seconds then breathe out slowly through your mouth.
Spray the opposite nostril using the same steps.
Do not blow your nose or tip your head back after using the spray.
Wipe the tip of the outside of the nose piece with a clean, dry tissue or cloth and put the cap back on.
Throw this medicine away after you use 120 sprays.
To use the Xhance™ nasal spray:
Prime the new spray before using it for the first time. To prime, gently shake the bottle then spray 7 times into the air away from the face, or until some medicine comes out. If you have not used this medicine for 7 days or longer, prime it again by shaking and spraying 2 times into the air, away from the face. Shake the medicine well before each use.
Insert the tip of the cone-shaped nosepiece deep into the nose to create a seal between the nosepiece and the nostril.
Place the mouthpiece inside your mouth and blow on it. While blowing, push the bottle up to actuate the spray pump.
Continue to blow through your mouth until the medicine is released, but do not inhale or exhale through the nose.
Repeat in the other nostril for a full dose.
You may need to use this medicine for a few days before you start to feel better.
Dosing
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
For nasal polyps:
For nasal dosage form (spray):
Xhance™:
Adults—At first, 1 spray (93 micrograms [mcg]) fluticasone in each nostril two times a day. Some patients may need 2 sprays in each nostril two times a day. Your doctor may adjust your dose as needed.
Children—Use and dose must be determined by your doctor.
For symptoms of hay fever:
For nasal dosage form (spray):
Fluticasone propionate:
Adults—At first, 2 sprays in each nostril once a day. Some patients may need 1 spray in each nostril two times a day (morning and evening). Your doctor may adjust your dose as needed.
Children 4 years of age and older—At first, 1 spray in each nostril once a day. Some patients may need 200 mcg or 2 sprays in each nostril once a day.
Children younger than 4 years of age—Use is not recommended.
Veramyst®:
Adults and children 12 years of age and older—At first, 2 sprays in each nostril once a day. Your doctor may decrease your dose to 55 mcg or 1 spray in each nostril once a day.
Children 2 to 11 years of age—At first, 1 spray in each nostril once a day. Your child's doctor may need to increase the dose up to 2 sprays in each nostril once a day depending on your child's condition.
Children younger than 2 years of age—Use and dose must be determined by your doctor.
Missed dose
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Storage
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Throw this medicine away after you have used 120 sprays.
 Detailed Xhance dosage information
