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question about flonase and irrigation

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Old 01-08-2005, 12:31 PM   #1
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Join Date: Feb 2003
Location: Jacksonville, AL USA
Posts: 997
siren1024 HB User
question about flonase and irrigation

Should I irrigate before or after I use my flonase? Does it matter? I've been using salt water only. The peroxide mixture is way too irritating to my sinuses, plus I'm pregnant, and worry a bit about accidentally ingesting too much.

Also what dosage of flonase are you on? Can it be safely used twice a day (short term)? If so, I'll call my OB and find out if it's okay for me. If noone can use it twice a day, I won't even bother trying to call. I'm having alot of trouble because of the weather here. Pregnancy has alway wreaked havoc on my sinuses, too. The temp is up and down, we have the heat on one day and the air the next. This morning I was blowing after I irrigated and had chunks of bloody jelly like mucous. Yuck. I didn't sleep well last night because of all the pressure.

Anyway, any advice would be appreciated?
Married 09/28/2002
DS born 07/05/2003
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Old 01-08-2005, 01:53 PM   #2
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sneezydiva HB User
Re: question about flonase and irrigation

You should irrigate before the Flonase. You want to remove as much mucus as you can so the Flonase actually reaches your nasal tissue rather than just sit on top of the mucus. My new ENT said I should wait at least 30 minutes after irrigating before using the Flonase. She also said I should wait at least 30 minutes after using Flonase before using any type of saline nosespray. This is so the Flonase doesn't get washed away.

Currently, my prescribed dose of Flonase is 2 sprays in each nostril twice per day. There was a study that showed that using 8 times the normal dosage amount did not cause an increase in blood cortisol levels, so twice a day is considered safe, especially short term. Of course, with the pregnacy, you will want to double check with your OB.

Last edited by sneezydiva; 01-08-2005 at 01:54 PM.

Old 01-10-2005, 04:48 PM   #3
Join Date: Dec 2003
Posts: 314
reader1 HB User
Re: question about flonase and irrigation

I can't agree more with what Sneezy Diva said - irrigate 20-30 minutes before flonase and check with your OB-GYN about increasing your dose. My ENT changed me to rhinocort because he said I could take 3 or 4 sprays per n ostril twice a day when I'm really bad safely.

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