This page was prepared by Lynn Kash, RN, Internet Nursing Guide
Pennsylvania Nurses,Emergency Department
http://www.emergencyroomnursing.com/

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Flunisolide Oral Inhalation, When should I be careful taking it, DrugDigest.org:"If you are switching (or have recently switched) from an oral corticosteroid such as betamethasone, dexamethasone, methylprednisolone, prednisolone, or prednisone to flunisolide inhalation and have an injury, infection, or severe asthma attack, use a full dose (even if you have been gradually decreasing your dose) of the oral corticosteroid and call your doctor for additional instructions. Carry an identification card that indicates that you may need to take supplementary doses (write down the full dose you took before gradually decreasing it) of the corticosteroid during periods of stress (injuries, infections, and severe asthma attacks). Ask your pharmacist or doctor how to obtain this card. List your name, medical problems, drugs and dosages, and doctor's name and telephone number on the card."
Expresscripts.com
Burstyn, Lance
521 Alton Rd #208, Miami Beach, FL 33140, US
http://www.drugdigest.org/

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Flunisolide, Directions, Drugstore.com:"Follow the directions for using this medicine provided by your doctor. This medicine is to be used in the nose. This medicine may come with an instruction leaflet. Ask your doctor, nurse, or pharmacist any questions that you may have before using this medicine. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, use it as soon as possible. If it is much more than 1 hour since your last dose, skip the missed dose and go back to your regular dosing schedule."
DrugStore.com
407 Heron Drive, Swedesboro, NJ 08085-9810
1-800-378-4786
http://www.drugstore.com/

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AeroBid, Special warnings about this medication, HealthSquare.com:"Your asthma should be reasonably stable before treatment with AeroBid Inhaler is started. AeroBid should be started in combination with your usual dose of an oral steroid medication. After approximately 1 week, your doctor will start to withdraw gradually the oral steroid by reducing the daily or alternate daily dose. A slow rate of reduction is very important, as some people have experienced withdrawal symptoms such as joint and/or muscular pain, fatigue, and depression. Tell your doctor if you lose weight or feel light-headed. You may need to take more oral corticosteroid temporarily.

This medication is not useful when you need rapid relief of asthma symptoms.

Transferring from steroid tablet therapy to AeroBid Inhaler may produce allergic conditions that were previously controlled by the steroid tablet therapy. These include rhinitis (inflammation of the mucous membrane of the nose), conjunctivitis (pinkeye), and eczema."
New Media Systems, LLC
Jefferson Square Building 621 Shrewsbury Avenue Shrewsbury, NJ 07702
Phone (732) 212-9191 Fax (732) 212-1260
http://www.healthsquare.com/

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Flunisolide Nasal Spray, Side Effects, MedicineNet.com:"The most common side effects following nasal inhalation of flunisolide are nasal irritation and itching, increased cough, nausea or vomiting, sore throat , nasal congestion, sneezing, nasal burning, bloody nasal discharge, and nasal dryness. Other adverse effects reported with intranasal flunisolide include headache, dizziness , watery eyes, and abdominal bloating. All of these effects are either mild or uncommon."
MedicineNet, Inc.
903 Calle Amanecer, Suite 300 San Clemente, CA 92673
Telephone: 949.940.6500 Fax: 949.940.1094, smartservice@medicinenet.com
http://www.medicinenet.com/

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Flunisolide Oral Inhalation, Important Warning, MEDLINEplus:"If you are switching (or have recently switched) from an oral corticosteroid such as betamethasone, dexamethasone, methylprednisolone, prednisolone, or prednisone to flunisolide inhalation and have an injury, infection, or severe asthma attack, use a full dose (even if you have been gradually decreasing your dose) of the oral corticosteroid and call your doctor for additional instructions.Carry an identification card that indicates that you may need to take supplementary doses (write down the full dose you took before gradually decreasing it) of the corticosteroid during periods of stress (injuries, infections, and severe asthma attacks). Ask your pharmacist or doctor how to obtain this card. List your name, medical problems, drugs and dosages, and doctor's name and telephone number on the card."
Office of Communications and Public Liaison
National Library of Medicine
8600 Rockville Pike Bethesda, Maryland 20894
Phone: (301) 496-6308 Fax: (301) 496-4450 email: publicinfo@nlm.nih.gov
http://www.nlm.nih.gov/medlineplus/

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Flunisolide, Indications, RxList.com:"AEROBID (flunisolide) Inhaler is indicated in the maintenance treatment of asthma as prophylactic therapy. AEROBID is also indicated for asthma patients who require systemic corticosteroid administration, where adding AEROBID may reduce or eliminate the need for the systemic corticosteroids.

AEROBID Inhaler is NOT indicated for the relief of acute bronchospasm."
RxList - The Internet Drug Index: Searchable drug database. RxList LLC
500 3rd Street Suite 530
San Francisco, CA 94107
707-747-0985 fax: 708 575 8638
info@rxlist.com
http://www.rxlist.com/

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RHINALAR®, Action And Clinical Pharmacology, RxMed.com:"Flunisolide has demonstrated marked anti-inflammatory and antiallergic efficacy in classical animal test systems. It is a corticosteroid which is several hundred times more potent in animal anti-inflammatory assays than the cortisol standard. Clinical studies with flunisolide have shown a topical activity on the nasal mucous membrane with minimal associated systemic activity at the low spray doses administered. The improvement of symptoms is based on its direct local effect rather than on indirect effect through systemic absorption."
RxMed Inc.
1450, Kingston Rd, Suite 6B
Pickering, ONTARIO L1V1C1 CA
905-831-8240,
http://www.rxmed.com/b.main/b2.pharmaceutical/b2.prescribe.html

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Flunisolide inhalation, How should I use flunisolide inhalation, Web MD Health:"Use flunisolide inhalation exactly as directed by your doctor. Read the information insert included with your inhaler. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

If you are also using a bronchodilator such as albuterol (Proventil, Ventolin), pirbuterol (Maxair), bitolterol (Tornalate), or another, use the bronchodilator first, then use your flunisolide inhaler. Using the medications in this order will allow more flunisolide to reach your lungs.

Shake the inhaler several times and uncap the mouthpiece. Breathe out fully. For best results, hold the inhaler 1 to 2 inches in front of your open mouth or attach a spacer to the inhaler and place the spacer in your mouth, above your tongue and past your teeth. Take a deep, slow breath as you push down on the canister. Hold your breath for 10 seconds, then exhale slowly. If you place your inhaler directly into your mouth, you may not receive the correct amount of medicine because it will be propelled onto the back of your tongue and / or throat. If you do use your inhaler directly in your mouth, be sure that it is above your tongue and past your teeth."
WebMD
1175 Peachtree Road, NE, Suite 2400, Atlanta, GA 30361.
212-624-3700service@webmd.net
http://my.webmd.com/content/drugs/

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Flunisolide, Range and Frequency, WholeHealthMd.com:"Oral inhalation-- Adults: 2 inhalations of 250 micrograms (mcg) each twice a day, morning and evening. Maximum dose is 4 inhalations twice a day. Children: Do not exceed 2 inhalations twice a day. Nasal spray-- Adults and teenagers 15 and older: 2 sprays of 25 mcg in each nostril twice a day. Maximum dose is 8 sprays in each nostril a day. Children ages 6 to 14: One spray of 25 mcg in each nostril 3 times a day, or 2 sprays in each nostril twice a day. Maximum dose is 4 sprays in each nostril a day."
WholeHealthMD LLC
11150 Sunset Hills Road, Suite 210, Reston, VA 20190.
http://www.wholehealthmd.com/

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