Cipla Ltd

Flohale 0.5mg Respule 5X2ml

Asthma/COPD
MRP ₹295.55 (Inclusive of all taxes)
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    Introduction About FLOHALE 0.5MG RESPULE

    FLOHALE 0.5MG RESPULE contains Fluticasone which belongs to the group of medicines called Corticosteroids (glucocorticoids). It is used to manage asthma attacks in people who require regular management. Asthma is a condition in which airways become inflamed, narrow, and swollen and produce extra mucus, making it difficult to breathe. The other symptoms are chest pain, cough and wheezing.

    Before using FLOHALE 0.5MG RESPULE tell your doctor if you have had tuberculosis and were managed for the same. FLOHALE 0.5MG RESPULE should be used with caution in pregnant and breastfeeding women. Contact your doctor before using.

    FLOHALE 0.5MG RESPULE is not recommended for use in children below 4 years of age and should be used with caution in children between 4 to 16 years of age. Your doctor will decide the correct dose and duration of FLOHALE 0.5MG RESPULE for your child and will keep a check of the child’s height and modify the doses as required. Therefore, contact your child’s doctor before using FLOHALE 0.5MG RESPULE for your child.

    The most common side effects of using FLOHALE 0.5MG RESPULE include candidiasis of mouth and tongue, hoarseness of voice, and sore tongue, or throat. Contact your doctor if any of these worsen or doesn’t improve.

    Uses Of FLOHALE 0.5MG RESPULE

    • it is used in management of asthma attacks in people who require regular management

    How FLOHALE 0.5MG RESPULE Works

    FLOHALE 0.5MG RESPULE causes vasoconstriction (constriction of blood vessels) and has an anti-inflammatory activity. It directly decreases the cells that cause inflammation such as eosinophils, monocytes, mast cells, macrophages, and dendritic cells. FLOHALE 0.5MG RESPULE also decreases mucus gland secretions. Therefore, helping in reducing the inflammation and making it easier to breathe.

    How to use FLOHALE 0.5MG RESPULE

    Use FLOHALE 0.5MG RESPULE as advised by your physician. It is for inhalational use only. It is administered by nebulisation using a nebuliser (with a face mask or mouthpiece) which is connected to an air compressor. Your doctor will guide on how to use the nebuliser. Do not exceed the recommended dose of FLOHALE 0.5MG RESPULE. Your doctor will decide the correct dose and duration of FLOHALE 0.5MG RESPULE for you depending upon your age, body weight and disease condition.

    Side Effects Of FLOHALE 0.5MG RESPULE

    Common

    • candidiasis of mouth and throat
    • pneumonia (in patients having Chronic obstructive pulmonary disease)
    • hoarseness of voice
    • bruising
    • sore tongue or throat

    Rare

    • oesophageal candidiasis

    Stop using FLOHALE 0.5MG RESPULE and contact your doctor immediately if you experience any of the following side effects:

    • bronchospasm
    • worsening of breathing or wheezing
    • blurred vision or visual disturbances
    • severe allergic reactions (symptoms include skin rashes, redness, itching, hives, swelling of face, lips, mouth, tongue or throat causing difficulty in breathing, itchy rash, feeling faint and light-headedness)
    • symptoms such as tummy ache, diarrhoea, nausea, headache or drowsiness

    How To Manage Side Effects

    Hoarseness and candidiasis of mouth:

    Brush your teeth, rinse your mouth or gargle using water and spit it out. Tell your doctor if these problems with your mouth or throat worsens or doesn’t improve.

    Warning & Precautions

    Pregnancy

    FLOHALE 0.5MG RESPULE should be used with caution in pregnant women only if the expected benefit to the mother is greater than any possible risk to the foetus. Contact your doctor before using.

    Breastfeeding

    FLOHALE 0.5MG RESPULE should be used with caution in breastfeeding women only if the expected benefit to the mother is greater than any possible risk to the child. Contact your doctor before using.

    Driving and Using Machines

    FLOHALE 0.5MG RESPULE is unlikely to affect your ability to drive and use machines.

    Allergy

    Do not use FLOHALE 0.5MG RESPULE if you are allergic to Fluticasone or any of the other ingredients of this medicine.

    Others

    Before using FLOHALE 0.5MG RESPULE tell your doctor if you have:

    • been managed for tuberculosis

    Use in Paediatrics:

    FLOHALE 0.5MG RESPULE is not recommended for use in children below 4 years of age and should be used with caution in children between 4 to 16 years of age. Your doctor will decide the correct dose and duration of FLOHALE 0.5MG RESPULE for your child and will keep a check of the child’s height and modify the doses as required. Therefore, contact your child’s doctor before using FLOHALE 0.5MG RESPULE for your child.

    Use in Geriatrics:

    FLOHALE 0.5MG RESPULE can be used in elderly patients. Consult with your doctor before using.

    Interactions

    A. Drug-Drug Interactions:

    Before using FLOHALE 0.5MG RESPULE, tell your doctor if you are taking, or have recently taken any of the following medicines:

    • medicines used to manage HIV (Ex. ritonavir, cobicistat)
    • medicine used to manage fungal infections (Ex. ketoconazole)

    Overdosage:

    If you or anyone else accidentally uses too much of FLOHALE 0.5MG RESPULE, consult your doctor immediately or visit the nearby hospital. Symptoms include temporary suppression of adrenal function.

    Synopsis

    Drug :   Fluticasone
    Pharmacological Category :   Corticosteroid
    Therapeutic Indication :   Asthma
    Dosage Forms :   Capsule, Cream, Inhaler, Innospray, Lotion, Nasal Spray, Nasal Drops, Ointment, Respules, Rotacaps, Spray

    More Information

    • Keep FLOHALE 0.5MG RESPULE out of sight and reach of children.
    • Store FLOHALE 0.5MG RESPULE at room temperature below 30°C

    FAQs About FLOHALE 0.5MG RESPULE

    What is FLOHALE 0.5MG RESPULE and why is it prescribed?

    FLOHALE 0.5MG RESPULE contains Fluticasone which belongs to the group of medicines called Corticosteroids (glucocorticoids). It is used to manage asthma attacks in people who require regular management.

    Is FLOHALE 0.5MG RESPULE a steroid?

    Yes, FLOHALE 0.5MG RESPULE is corticosteroid which causes vasoconstriction (constriction of blood vessels) and has an anti-inflammatory activity. It directly decreases the cells that cause inflammation such as eosinophils, monocytes, mast cells, macrophages, and dendritic cells. FLOHALE 0.5MG RESPULE also decreases mucus gland secretions. Therefore, helping in reducing the inflammation and making it easier to breathe.

    What conditions should be informed to the doctor before starting use of FLOHALE 0.5MG RESPULE?

    Before taking FLOHALE 0.5MG RESPULE tell your doctor if you have had been managed for tuberculosis (TB).

    Can I stop using FLOHALE 0.5MG RESPULE on my own if I start to feel better?

    Do not stop using FLOHALE 0.5MG RESPULE until and unless your doctor asks you to. It is important that FLOHALE 0.5MG RESPULE is not stopped suddenly as this could make your asthma worse, make you feel unwell and may cause symptoms such as vomiting, nausea, drowsiness, headache, tiredness, loss of appetite and low blood sugar level and could also cause problems with the body’s hormones.

    What are the things I need to take care while using FLOHALE 0.5MG RESPULE?

    FLOHALE 0.5MG RESPULE is administered by nebulisation using a nebuliser (with a face mask or mouthpiece) which is connected to an air compressor. It produces a mist, do not let the liquid, or the mist produced by the nebuliser, get into your eyes by wearing glasses or goggles to protect them. Use your nebuliser in a well-ventilated room as some of the mist will be released into the air which may be inhaled by others.

    Can FLOHALE 0.5MG RESPULE be used in children?

    FLOHALE 0.5MG RESPULE is not recommended for use in children below 4 years of age and should be used with caution in children between 4 to 16 years of age. Your doctor will decide the correct dose and duration of FLOHALE 0.5MG RESPULE for your child and will keep a check of the child’s height and modify the doses as required. Therefore, contact your child’s doctor before using FLOHALE 0.5MG RESPULE for your child. If you or your child is on high doses of FLOHALE 0.5MG RESPULE and become unwell with symptoms such as tummy ache, sickness, diarrhoea, headache or drowsiness, talk to your doctor as soon as possible.

    References

    1. K.D. Tripathi. Respiratory System Drugs. Essentials of Medical Pharmacology. Eighth Edition. 2019. Page 250.

    2. Beyza Poplata Demirca, Hasret Cagan, Ayca Kiykim, Ulku Arig, Medeni Arpa, Aysin Tulunay, Ahmet Ozen, Elif Karakoc-Aydiner, Safa Baris, I.B. Barlan. Nebulized fluticasone propionate, a viable alternative to systemic route in the management of childhood moderate asthma attack: A double-blind, double-dummy study. Science Direct. September 2015. [Accessed on 30th Oct 2022] https://www.sciencedirect.com/science/article/pii/S0954611115300226

    3. Kailey Remien, Andy Bowman. Fluticasone. NIH National Library of Medicine, National center for biotechnology information. StatPearls. June 2022. [Accessed on 30th Oct 2022] https://www.ncbi.nlm.nih.gov/books/NBK542161/

    4. Ashley Woodcock, Eric D Bateman, William W Busse, Jan Lötvall, Neil G Snowise, Richard Forth, Loretta Jacques, Brett Haumann, Eugene R Bleecker. Efficacy in asthma of once-daily treatment with fluticasone furoate: a randomized, placebo-controlled trial. Biomed Central. December 2011. [Accessed on 30th Oct 2022] https://respiratory-research.biomedcentral.com/articles/10.1186/1465-9921-12-132

    5. Cipla Ltd. Flohale Respules (Fluticasone). [Revised in Sep 2020] [Accessed on 30th Oct 2022] https://www.ciplamed.com/content/flohale-respules

    Useful Diagnostic Tests

    • Percutaneous skin test
    • Allergen-specific immunoglobulin E (IgE) antibody test
    • Chest Xray

    Author Details

    Written By Dr. Priyanka Goel - BDS
    Reviewed For Accuracy By Dr. Rajnikant - MBBS, MD (Physiology)
    Last updated on 09 Nov 2022 | 04:51 PM(IST)
    Lab updated