Skip to product information
1 of 1

  • Images are for illustration purposes only

Flixonase Nasal Spray

Flixonase Nasal Spray

  • 1. Ozempic®️-equivalent therapy now available for weight management
  • 2. Average weight loss of 17%, with 1 in 3 patients achieving over 20%
  • 3. May help reduce osteoarthritis-related pain
  • 4. Wegovy®️ is not expected to impact the effectiveness of oral contraceptives
  • 5. Supports cardiovascular risk reduction
  • 6. Over 22 million patients treated with semaglutide-based therapies since 2018

Price Checker

Regular price £17.99
Sale price £17.99
Sale Sold out
  • Lowest price guarantee
  • Includes FREE private prescription
View full details

 

What Is Flixonase Nasal Spray and How Does It Help?

 

Flixonase nasal spray is a corticosteroid nasal spray containing fluticasone propionate 50 micrograms per actuation. It is used to treat and prevent the symptoms of allergic rhinitis — a condition that affects millions of people in the UK every year. Whether your symptoms are triggered by seasonal pollen or year-round allergens like dust mites and pet dander, Flixonase targets the root cause of nasal inflammation rather than simply masking the discomfort. If you are looking for reliable allergy and hay fever relief, this is one of the most widely used and clinically established options available over the counter.

Allergic rhinitis affects roughly one in five people in the UK at some point in their lives. Symptoms can range from a persistently runny or blocked nose to sneezing fits, facial pressure, and an itchy throat. Left unmanaged, these symptoms can significantly disrupt sleep, concentration, and daily life. Flixonase is available without a prescription for adults and children aged 4 and over, making it accessible and straightforward to use.

 

How Does Flixonase Nasal Spray Work in the Nose?

 

Fluticasone propionate belongs to a class of medicines called corticosteroids. When sprayed into the nostrils, it acts locally on the nasal mucosa — the lining of the nose — to reduce inflammation caused by allergen exposure. Unlike oral antihistamines, which work systemically throughout the body, Flixonase delivers its effect directly where it is needed, which means very little of the active ingredient is absorbed into the bloodstream.

  • Allergens such as pollen or dust mite particles enter the nasal passages and trigger an immune response.
  • Inflammatory cells release chemicals including histamine and leukotrienes, causing swelling, mucus production, and irritation.
  • Fluticasone propionate inhibits this inflammatory cascade by binding to glucocorticoid receptors in nasal tissue.
  • This reduces swelling of the nasal lining, decreases mucus secretion, and relieves sneezing, congestion, and itching.
  • The effect builds over several days of regular use, so consistent daily application is important for best results.

 

Who Is Flixonase Nasal Spray Suitable For?

 

Flixonase is suitable for a wide range of people dealing with nasal allergy symptoms. It can be used for both seasonal allergic rhinitis (such as hay fever caused by grass or tree pollen) and perennial allergic rhinitis (triggered by year-round allergens). It is appropriate for adults and children aged 4 years and over, though children should always use it under adult supervision.

  • Adults and teenagers with seasonal hay fever symptoms
  • Adults with perennial allergic rhinitis triggered by dust mites, mould, or animal dander
  • Children aged 4 to 11 years (one spray per nostril once daily, under adult supervision)
  • People who have not found adequate relief from antihistamine tablets alone

 

How Does Flixonase Compare to Other Nasal Sprays?

 

Feature Flixonase Nasal Spray Beconase Nasal Spray
Active ingredient Fluticasone propionate 50mcg Beclometasone dipropionate 50mcg
Drug class Corticosteroid Corticosteroid
Suitable age 4 years and over 6 years and over
Dosing frequency Once daily Twice daily
OTC availability Yes Yes

 

How Should Flixonase Nasal Spray Be Stored?

 

Store Flixonase nasal spray below 30°C and keep it upright. Do not freeze the bottle or expose it to direct sunlight for prolonged periods. Keep it out of the reach and sight of children. Once opened, the bottle should be used within the period stated on the packaging — typically within 2 months of first use. If you are also managing eye-related allergy symptoms alongside nasal symptoms, you may find our eye care range a useful complement to your treatment.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Flixonase Nasal Spray specifications
Treatment category Allergic rhinitis, hay fever
Active ingredient Fluticasone propionate 50 micrograms per actuation
Mechanism of action Corticosteroid — reduces nasal mucosal inflammation
Drug class Intranasal corticosteroid
Preparation Aqueous nasal spray suspension
Route of administration Intranasal
Pack sizes 150 dose bottle
Strengths 50 micrograms per actuation
UK classification Pharmacy (P) medicine
Suitable for Adults and children aged 4 years and over
Effective Seasonal and perennial allergic rhinitis

Specifications of Flixonase Nasal Spray

 

What Is Flixonase Nasal Spray and What Is It Used For?

 

Flixonase nasal spray contains fluticasone propionate, a synthetic corticosteroid that reduces inflammation in the nasal passages. It is used to treat and prevent the symptoms of allergic rhinitis — both seasonal (such as hay fever) and perennial (year-round). Symptoms it helps to relieve include nasal congestion, sneezing, a runny or itchy nose, and postnasal drip. It is classified as a Pharmacy (P) medicine in the UK, meaning it is available without a prescription but should be purchased from a registered pharmacy. You can explore our full range of ear, nose, and throat treatments if you are managing related symptoms alongside allergic rhinitis.

 

What Do You Need to Know Before Using Flixonase Nasal Spray?

 

Before using Flixonase, it is important to check whether it is appropriate for you. Do not use this spray if any of the following apply:

  • You are allergic to fluticasone propionate or any other ingredient in the formulation
  • Your child is under 4 years of age
  • You have a current nasal infection that has not been treated
  • You have recently had nasal surgery or a nasal injury — wait until healing is complete
  • You have tuberculosis (active or latent) or another untreated systemic infection

Speak to your doctor or pharmacist before using Flixonase if you have glaucoma, cataracts, or a history of raised intraocular pressure, as prolonged corticosteroid use may affect eye pressure. Also inform your prescriber if you are pregnant or breastfeeding.

The following medicines may interact with fluticasone propionate:

  • Ritonavir and other HIV protease inhibitors — may significantly increase fluticasone blood levels
  • Ketoconazole and other strong CYP3A4 inhibitors — may increase systemic corticosteroid exposure
  • Other corticosteroid medicines (inhaled, oral, or topical) — combined use increases the risk of systemic side effects

 

How Should You Use Flixonase Nasal Spray Correctly?

 

Always use Flixonase exactly as directed on the label or as advised by your pharmacist. The spray should be used regularly — even when you feel well — to maintain its anti-inflammatory effect. Do not exceed the recommended dose.

  1. Blow your nose gently to clear the nasal passages before use.
  2. Shake the bottle gently and remove the dust cap.
  3. If using for the first time, prime the pump by pressing it firmly several times until a fine mist appears.
  4. Tilt your head slightly forward and close one nostril with a finger.
  5. Insert the nozzle into the open nostril, pointing it slightly away from the nasal septum.
  6. Press the pump once while breathing in gently through your nose.
  7. Breathe out through your mouth and repeat in the other nostril.
  8. Replace the dust cap after use and wipe the nozzle clean with a tissue.
Indication Age Group Dose Frequency
Allergic rhinitis (treatment) Adults and children 12+ 2 sprays per nostril Once daily
Allergic rhinitis (maintenance) Adults and children 12+ 1 spray per nostril Once daily
Allergic rhinitis Children aged 4–11 1 spray per nostril Once daily (under adult supervision)

 

What Are the Possible Side Effects of Flixonase Nasal Spray?

 

Like all medicines, Flixonase can cause side effects, although not everyone experiences them. Most side effects are localised to the nose and are mild in nature.

Common side effects (may affect up to 1 in 10 people):

  • Nosebleeds (epistaxis)
  • Nasal dryness or irritation
  • Unpleasant taste or smell
  • Headache

Less common side effects (may affect up to 1 in 100 people):

  • Nasal ulceration or crusting
  • Perforation of the nasal septum (rare, particularly with long-term use)
  • Raised intraocular pressure or glaucoma (with prolonged use)
  • Hypersensitivity reactions including rash, facial swelling, or difficulty breathing — seek immediate medical attention if these occur
  • Systemic corticosteroid effects such as adrenal suppression (very rare at recommended doses)

If you experience a severe or persistent nosebleed, vision changes, or any signs of an allergic reaction, stop using the spray and contact your GP or call 111 immediately.

 

How Should You Store Flixonase Nasal Spray?

 

Correct storage helps maintain the quality and effectiveness of the spray throughout its shelf life. Follow these storage instructions:

  • Store below 30°C — do not refrigerate or freeze
  • Keep the bottle upright at all times
  • Keep away from direct sunlight and heat sources
  • Keep out of the reach and sight of children
  • Do not use after the expiry date printed on the label
  • Discard the bottle 2 months after first opening, even if doses remain
  • Do not dispose of medicines via wastewater or household waste — return unused medicine to your pharmacy

If you are managing multiple allergy symptoms and need additional support, our cold and flu range includes products that may help with overlapping nasal and respiratory symptoms during winter months.

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy Flixonase nasal spray online in the UK?

You can buy Flixonase nasal spray online from Cured Pharmacy, a GPhC-registered online pharmacy operating in the UK. It is available as an over-the-counter Pharmacy (P) medicine for adults and children aged 4 and over. Simply add it to your basket and complete a brief health check before checkout to ensure it is suitable for you. You can also browse our wider allergy and hay fever range for complementary treatments.

How does Flixonase nasal spray work in the body?

Flixonase contains fluticasone propionate, a corticosteroid that acts locally on the nasal lining to reduce inflammation caused by allergens such as pollen, dust mites, and pet dander. It works by blocking the release of inflammatory chemicals — including histamine and leukotrienes — that cause swelling, congestion, and irritation. Because it acts directly in the nose rather than systemically, very little of the active ingredient enters the bloodstream at recommended doses.

How do I use Flixonase nasal spray step by step?

Start by blowing your nose gently, then shake the bottle and prime the pump if it is your first use. Tilt your head slightly forward, insert the nozzle into one nostril pointing slightly away from the nasal septum, and press the pump once while breathing in gently through your nose. Repeat in the other nostril, then breathe out through your mouth and wipe the nozzle clean before replacing the cap.

What is the correct dose of Flixonase nasal spray for adults?

The standard starting dose for adults and children aged 12 and over is two sprays into each nostril once daily, giving a total daily dose of 200 micrograms of fluticasone propionate. Once your symptoms are well controlled, your pharmacist may advise reducing to one spray per nostril once daily as a maintenance dose. Always follow the instructions on the label or as directed by your pharmacist.

How long does Flixonase nasal spray take to work?

Some improvement in symptoms may be noticed within 3 to 4 hours of the first dose, but the full anti-inflammatory effect typically develops after several days of consistent daily use. For hay fever, it is most effective when started a few days before the pollen season begins rather than waiting for symptoms to appear. Do not stop using it just because you feel better — regular use is key to maintaining relief.

What are the common side effects of Flixonase nasal spray?

The most frequently reported side effects include nosebleeds, nasal dryness or irritation, an unpleasant taste or smell, and headache. These are generally mild and often improve as your nose adjusts to the spray over the first few days of use. If you experience a nosebleed that does not stop, or any signs of a serious allergic reaction such as facial swelling or difficulty breathing, stop using the spray and seek medical advice promptly.

Can children use Flixonase nasal spray safely?

Yes, Flixonase nasal spray can be used by children aged 4 years and over, but it must always be used under adult supervision. Children aged 4 to 11 should use one spray into each nostril once daily — not two sprays like adults. It is not recommended for children under 4 years of age, and if your child's symptoms do not improve within 7 days, you should consult a GP.

What happens if I miss a dose of Flixonase nasal spray?

If you forget to use Flixonase at your usual time, use it as soon as you remember — unless it is nearly time for your next dose, in which case simply skip the missed dose and carry on as normal. Do not use a double dose to make up for a forgotten one. Missing the occasional dose is unlikely to cause a significant problem, but consistent daily use gives the best results.

Who should not use Flixonase nasal spray?

Flixonase should not be used by children under 4 years of age, or by anyone with a known allergy to fluticasone propionate or any other ingredient in the spray. People with an active, untreated nasal infection, or those who have recently had nasal surgery, should also avoid using it until they have recovered. Always speak to your pharmacist or GP if you are unsure whether Flixonase is appropriate for you.

Can I use Flixonase nasal spray during pregnancy?

If you are pregnant or planning to become pregnant, you should speak to your doctor or pharmacist before using Flixonase nasal spray. While intranasal corticosteroids are generally considered to have low systemic absorption, the decision to use any medicine during pregnancy should always be made with professional guidance. Your GP can advise on the safest options for managing allergic rhinitis during pregnancy.

Does Flixonase nasal spray interact with other medicines?

Flixonase can interact with certain medicines, most notably ritonavir (used to treat HIV) and strong CYP3A4 inhibitors such as ketoconazole, which can increase the amount of fluticasone absorbed into the bloodstream and raise the risk of systemic corticosteroid side effects. Using Flixonase alongside other corticosteroid medicines — whether inhaled, oral, or topical — may also increase this risk. Always tell your pharmacist about all medicines you are taking before starting Flixonase.

What are the alternatives to Flixonase nasal spray?

Other corticosteroid nasal sprays available in the UK include Beconase (beclometasone dipropionate) and Nasacort (triamcinolone acetonide), both of which are available over the counter. Antihistamine nasal sprays such as azelastine are another option, particularly for people who prefer not to use corticosteroids. For a broader look at available options, visit our ear, nose, and throat collection to compare treatments.

How long can you use Flixonase nasal spray for?

For seasonal allergic rhinitis such as hay fever, Flixonase is typically used throughout the relevant pollen season, which may last several weeks or months. For perennial allergic rhinitis, longer-term use may be appropriate, but you should review this with your GP or pharmacist periodically. If you have been using Flixonase for more than 3 months without a review, it is worth checking in with a healthcare professional to ensure it is still the right treatment for you.

Is Flixonase nasal spray a steroid spray?

Yes, Flixonase is a corticosteroid (steroid) nasal spray. However, the type of steroid used — fluticasone propionate — is a synthetic corticosteroid designed to act locally in the nasal passages with minimal absorption into the rest of the body at recommended doses. This makes it very different from oral or injected steroids, and the risk of systemic side effects at the doses used in nasal sprays is very low when used as directed.

What are the latest findings on fluticasone nasal sprays for hay fever?

Intranasal corticosteroids like fluticasone propionate remain the most clinically effective first-line treatment for moderate-to-severe allergic rhinitis according to current NHS and NICE guidance. They are consistently shown to outperform oral antihistamines for nasal congestion in particular, and are recommended for use before the pollen season begins in people with predictable seasonal symptoms. Guidelines continue to support their use in both adults and children aged 4 and over as a safe and well-tolerated option.

How Should You Use Flixonase Nasal Spray?

Using Flixonase correctly makes a real difference to how well it works. The spray needs to reach the nasal lining to reduce inflammation effectively, so technique matters. Follow these steps each time you use it:

Try not to sniff hard immediately after spraying, as this can carry the medicine away from the nasal lining before it has a chance to work.

What Is the Correct Dose of Flixonase Nasal Spray?

The dose you need depends on your age and whether you are starting treatment or maintaining control of your symptoms. Always follow the dosage instructions on the label or as advised by your pharmacist. Do not use more than the recommended number of sprays per day.

Each actuation delivers 50 micrograms of fluticasone propionate. The maximum daily dose for adults is 4 sprays (200 micrograms total). Do not exceed this.

When Is the Best Time to Use Flixonase Nasal Spray?

Most people find it easiest to use Flixonase in the morning, ideally at the same time each day. Using it consistently at the same time helps maintain a steady anti-inflammatory effect throughout the day, which is particularly useful during high pollen periods. If you are using it for hay fever, starting treatment a few days before the pollen season begins — rather than waiting for symptoms to flare — gives the medicine time to build up its protective effect in the nasal lining.

How Long Can You Use Flixonase Nasal Spray For?

For seasonal allergic rhinitis, Flixonase is typically used throughout the relevant pollen season, which may last several weeks. For perennial (year-round) allergic rhinitis, longer-term use may be appropriate, but this should be reviewed regularly with your GP or pharmacist. If your symptoms have not improved after 7 days of use, or if they worsen at any point, stop using the spray and seek medical advice. Children using Flixonase should be reviewed by a GP if treatment is needed for more than a few weeks.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

How Should You Use Flixonase Nasal Spray?

Using Flixonase correctly makes a real difference to how well it works. The spray needs to reach the nasal lining to reduce inflammation effectively, so technique matters. Follow these steps each time you use it:

Try not to sniff hard immediately after spraying, as this can carry the medicine away from the nasal lining before it has a chance to work.

What Is the Correct Dose of Flixonase Nasal Spray?

The dose you need depends on your age and whether you are starting treatment or maintaining control of your symptoms. Always follow the dosage instructions on the label or as advised by your pharmacist. Do not use more than the recommended number of sprays per day.

Each actuation delivers 50 micrograms of fluticasone propionate. The maximum daily dose for adults is 4 sprays (200 micrograms total). Do not exceed this.

When Is the Best Time to Use Flixonase Nasal Spray?

Most people find it easiest to use Flixonase in the morning, ideally at the same time each day. Using it consistently at the same time helps maintain a steady anti-inflammatory effect throughout the day, which is particularly useful during high pollen periods. If you are using it for hay fever, starting treatment a few days before the pollen season begins — rather than waiting for symptoms to flare — gives the medicine time to build up its protective effect in the nasal lining.

How Long Can You Use Flixonase Nasal Spray For?

For seasonal allergic rhinitis, Flixonase is typically used throughout the relevant pollen season, which may last several weeks. For perennial (year-round) allergic rhinitis, longer-term use may be appropriate, but this should be reviewed regularly with your GP or pharmacist. If your symptoms have not improved after 7 days of use, or if they worsen at any point, stop using the spray and seek medical advice. Children using Flixonase should be reviewed by a GP if treatment is needed for more than a few weeks.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

Customer Reviews

Based on 1 review
100%
(1)
0%
(0)
0%
(0)
0%
(0)
0%
(0)
A
Anonymous

Brilliant works wonders

Understanding Potential Side Effects

Like all medicines, Flixonase Nasal Spray can have side effects, although not everyone will experience them. Most people tolerate this treatment well, with side effects typically being mild and localised to the nose and throat area. If you're managing multiple health conditions, you might also benefit from exploring other treatments in our ear nose throat collection.

The most commonly reported side effects include nasal irritation, dryness, and occasional nosebleeds, particularly during the first few weeks of treatment. These effects often diminish as your nasal tissues adjust to the medication.

You may experience any of the following side effects:

  • Nasal dryness or irritation
  • Minor nosebleeds or blood-tinged mucus
  • Unpleasant taste or smell
  • Headache
  • Sneezing immediately after use
  • Throat irritation or dryness
  • Nasal burning or stinging sensation
  • Cough
  • Dizziness
  • Skin rash or hives (rare)
  • Eye irritation or increased tearing
  • Fatigue or drowsiness

If you experience these or any other side effects, speak to your doctor or pharmacist right away. For more information about reporting side effects please see the MHRA Yellow Card Scheme.

Frequently Asked Question


Flixonase is a corticosteroid nasal spray used to treat symptoms of allergic rhinitis, such as a blocked or runny nose, sneezing, and itching caused by hay fever or other allergies.


Some people notice relief within 12 hours, but full effect may take several days of regular use.


Yes, for the best results, use it daily as prescribed by your doctor. Avoid exceeding the recommended dose.


Common side effects include mild nasal irritation, dryness, sneezing, and occasional nosebleeds. Serious side effects are rare but should be reported to your pharmacist.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

We’re a safe and
regulated UK service

Registered Pharmacy Badge

Lowest Price Guarantee

We're convinced you won't find your treatment cheaper, but if you do we'll refund the difference.

Find out more

100% discreet packaging

We're convinced you won't find your treatment cheaper, but if you do we'll refund the difference.

Find out more

Agent

Need help?
Talk to our friendly experts now

How our service works

Service Setup

Service setup

Discreet Packaging

Discreet packaging

Express Delivery

Express delivery

What is Flixonase Nasal Spray used for?


Flixonase is a corticosteroid nasal spray used to treat symptoms of allergic rhinitis, such as a blocked or runny nose, sneezing, and itching caused by hay fever or other allergies.

How long does it take to work?


Some people notice relief within 12 hours, but full effect may take several days of regular use.

Can I use Flixonase every day?


Yes, for the best results, use it daily as prescribed by your doctor. Avoid exceeding the recommended dose.

Are there any side effects?


Common side effects include mild nasal irritation, dryness, sneezing, and occasional nosebleeds. Serious side effects are rare but should be reported to your pharmacist.