Corticosteroid (nasal spray / inhaler) · ATC R01AD08
Fluticasone
Flonase in the US
The international (INN) name. Pharmacists everywhere recognize it, even when the local brand differs (e.g. Flixonase).
Sold for: hay fever.
Flonase nasal spray switched from prescription to OTC in the US in 2014; Flovent for asthma remains prescription-only.
Flixonase nasal spray is prescription-only in the UK. The hay fever spray sold without a prescription is Pirinase (also Nasofan Allergy); fluticasone inhalers for asthma need a prescription.
The Flonase allergy nasal spray is sold without a prescription; fluticasone inhalers for asthma are prescription-only.
Fluticasone nasal spray was switched to prescription-free, pharmacy-only (apothekenpflichtig) status in Germany in 2016; inhalers for asthma remain prescription-only.
Unlike the US, UK, Canada, and Germany, fluticasone nasal spray has not been switched to OTC/pharmacy status in France and remains prescription-only; azelastine and levocabastine nasal sprays are the non-prescription options there instead.
Sold as a free-sale (libre venta) product in Mexican pharmacies.
Flunase nasal spray is sold over the counter for seasonal allergies (hay fever). Allermist (nasal spray) and Flutide (inhaler) are prescription-only. Other over-the-counter steroid nasal sprays use beclomethasone dipropionate (ベクロメタゾンプロピオン酸エステル) instead, for example Nazal αAR (ナザールαAR) and Contac Hana-en Spray (コンタック鼻炎スプレー).
Classified Pharmacy Only, so a pharmacist can dispense it without a doctor’s prescription.
INFARMED has a pharmacy-exclusive-dispensing (Dispensa Exclusiva em Farmácia) protocol for fluticasone nasal spray, and Portuguese pharmacies list it among non-prescription (MNSRM) allergy products, as in the US, UK, Canada and Germany.