Can Fluticasone cause chest tightness?

Hello,

Welcome to icliniq.com.

Flonase (Fluticasone) is an intranasal steroid spray that has very little systemic absorption. It will help relieve allergy symptoms and will not cause wheezing. In fact, for wheezing, you may need another steroid, like an inhalant steroid, using an inhaler or Rotavap (rotary evaporator). Budesonide or Seroflo (Salmeterol 25 mcg and Fluticasone propionate 250 mcg) and Salbutamol are such inhalers.

Are the other medicines you are taking, namely Cymbalta (Duloxetine) and Suboxone (Buprenorphine), prescribed by the same doctor? Usually, antidepressants are not combined with the deaddiction drug. Do you experience any other symptoms? Since when are you taking the two drugs together? Is the wheezing only after starting the Flonase? Or, along with hay fever, did you get wheezing as well?

I hope this helps.

Please revert so I can assist you further.

Thank you.

Hi,

Welcome back to cliniq.com.

Flonase should not cause wheezing. Fluticasone, the active ingredient, is a corticosteroid; we also give the same for wheezing. Seroflo inhaler has Salmeterol (similar to Albuterol but long-acting) and Fluticasone. Continue using Albuterol (Salbutamol). If it is not getting better, we may need a Seroflo inhaler (Salmeterol 25 mcg and Fluticasone propionate 250 mcg) in addition to Albuterol. Albuterol is a short-acting beta agonist. Seroflo is a long-acting agonist with a corticosteroid (Fluticasone). The steroid removes inflammation and hypersensitivity. Have you checked if the stoppage of Flonase relieves you from wheezing?

I hope this helps.

Please revert so I can assist you further.

Thank you.

Hi.

Welcome back to icliniq.com.

Wheezing is one of the symptoms of bronchitis. Bronchitis can be due to smoking and associated inflammation. How many cigarettes do you smoke, and what cigarettes do you use? Nicotine can cause severe bronchoconstriction, which may be worsened by hay fever and seasonal issues.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Hi,

Welcome back to icliniq.com.

Asthma and allergy are components of airway hyperreactivity. Some people develop asthma later in life. I feel it is due to the allergy only. Hay fever only. You wrote down the nasal symptoms of allergy earlier. The lower respiratory tract produces mucus or a cough or constriction. Constriction of small airways of the lower tract causes wheeze.

When you go out, wear a mask and always carry an inhaler. Stay away from smoke, dust, and pollution. Avoid spicy and cold foods. Stop smoking till you get better. Do not stop Flonase. You can take a Mucolyte (Bromhexine HCl) tablet to remove mucus and Acetylcysteine 600 mg or Ambroxol 30 mg you may take to bring out the mucus. If there is no mucus and you still feel like cellaring throat, you may take Dextromethorphan (Alex) lozenges and Pantoprazole 40 mg. Alex (Phenylephrine, Chlorpheniramine maleate and Dextromethorphan hydrobromide) whenever you feel the urge. Pantoprazole twice daily before meals. Reflux symptoms can aggravate your respiratory conditions and allergies.

I hope this helps.

Please revert so I can assist you further.

Thank you.