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That's a recommendation for OTC use. If you seem to need it for more than 6 months out of the year you should be evaluated by a physician and considered for a prescription. Doing so should save you money in the long run if you have decent insurance (in the US)

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The total daily dose recommended on the package insert is 200 micrograms. Is this really enough to cause adrenal suppression?

>Flonase can lead to a condition called rhinitis medicamentosa, or rebound congestion.

It varies from person to person of course, and how well their body is able to handle the drug metabolism.

For childeren, prolonged intake of 100 to 200 ug daily may indeed increase the risk, while for adults the dosis might be up to 500 ug.

Of course people with already existing adrenal gland problems would handle it worse compared to normal people and they would see the side effects much faster.

Fluticastone propionate (Flonase) has low systemic bioavailability when administered as a nasal spray.

I don’t doubt you’re right about the nasal side effects of overuse, but I doubt anyone has gotten adrenal insufficiency from Flonase.

Yeah it’s definitely very unlikely, but definitely something to consider and to mention.

Plus OP just asked a question and I gave them the most logical answer, whether anyone actually got it is something I don’t know.

So then why mention it? Adrenal insufficiency isn’t listed as a side effect of Flonase use, mentioning this may cause readers to avoid using the drug altogether (out of fear) when they could actually benefit from using it.

I don’t understand what you mean. Corticosteroids can cause adrenal insufficiency in the long term. Overdosage of Flonase can cause it.

People should be wary of what they intake and should seek professional help on whether they should be taking such medication for such prolonged time. OP was curious and I gave him the answer.

However they interpret my answer is up to them.

Edit: also if you search it on google you’ll see that the is indeed happened before from taking too much of Flonase.

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There is no evidence that long term use of nasal sprays cause significant systemic side effects. Some people do take Flonase for the rest of their lives...

The most mild reason is you may be wasting money on something no longer required.

A concern is it can be masking more serious underlying conditions or the reason you are using is has gotten worse, which should be evaluated.

For instance, Flonase can relieve some issues caused by nasal polyps (little bits of skin growing where they shouldn't be). A better long term option may be surgically removing those. Your family doctor will inspect and compare their number and size to previous observations.

It's always good to check if the reason using are using those long term medications has changed.