Flixotide is one of the main treatment options available for asthma and other breathing conditions today. It's a form of inhaler, which includes medication in a powder or liquid form, intended to help you deliver a drug straight to your lungs and airways when you breathe in. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

Instruction costs (includes consult & service fee)
Service – Instruction costs (includes consult & service fee)

Flixotide is a form of inhaler available in both Accuhaler and Evohaler format. These substances include the anti-inflammatory steroid medicine Fluticasone, which help to reduce any inflammation or mucus in the lungs that might be making it hard for someone to breathe. This preventative treatment needs to be used every day for a patient to see results. 

What is Flixotide? 

Flixotide is one of the main treatment options available for asthma and other breathing conditions today. It's a form of inhaler, which includes medication in a powder or liquid form, intended to help you deliver a drug straight to your lungs and airways when you breathe in. The good thing about inhalers like Flixotide is that the medication doesn't get into your blood stream in high doses, which reduces your risk of side effects.  

Steroids like the active ingredient Fluticasone in Flixotide work by reducing the levels of inflammation in your airways, making it easier to breathe. When the inflammation and mucus in your lungs and airways are gone, then you're less likely to experience symptoms like wheezing, coughing, and general discomfort.  Your breathing should begin to improve and symptoms like wheezing and coughing will begin to reduce between four and seven days after you start using Flixotide. It is important to keep using this medication regularly, even if you aren't experiencing common asthma symptoms. If you stop using this medicine quickly, you could risk your symptoms coming back.  

When is Flixotide used? 

Flixotide is a form of preventative inhaler. You need to use it every day to reduce the risk of experiencing symptoms of asthma. Doctors often prescribe this medication alongside another remedial inhaler that you can use in emergency situations. Flixotide is available in both accuhaler and evohaler form. These solutions both contain the active ingredient fluticasone propionate. This is a form of corticosteroid - a kind of hormone that is produced by the adrenal glands in the human body. Flixotide provides the lungs and airways with a man-made version of a natural corticosteroid hormone to reduce the inflammation in the lungs and other conditions that may make it difficult for people with asthma to breathe. Flixotide is intended specifically for people who suffer from asthma. It is not recommended for treating people who experience trouble breathing as a result of anxiety or a panic attack. For an anxiety attack, you would need to take a medication that works at widening the airways, not preventing the symptoms of asthma.  

How do you use Flixotide? 

If is important that you know how to use your inhaler before you leave your doctor's office. Most doctors and nurses will be able to give you a demonstration of how to use an inhaler if you've never used one before. Crucially, Flixotide comes in two main forms.  

The first form is an evohaler, this is a metered dose inhaler that delivers your medicine as a fine mist, when you use this inhaler you'll need to breathe in and press down on the inhaler at the same time. The second type of Flixotide that you could purchase is the accuhaler. This is a form of dry powder inhaler. Accuhalers come with blisters of medication pre-loaded into the device. To take a dose, you'll have to slide a lever on your inhaler to open a blister pack. Sliding the dose allows you to prepare the inhaler. After that, you can exhale and place your lips around the inhaler. Breathe in steadily and deeply to get the medication into your lungs.  

Your doctor will provide more details on how to use each type of inhaler. Usually, the type of device you are given will depend on how comfortable you feel using either option. If you have any worries, then you can examine the patient leaflet included with your medication or talk to your pharmacist. When using Flixotide, make sure that you rinse your mouth with water or brush your teeth every time you take a dose of medication. This will help to reduce your risk of developing an oral thrush infection. Thrush infections are common when you're using inhaled corticosteroids. It helps to use Flixotide at the same time every day, as this reduces your risk of missing a dose. If you do miss a dose of this medication, take it as soon as you remember. If it is almost time for your next dose, leave the missed dose out and carry on as normal. Do not take a double dose of Flixotide.  

What dosages are available? 

Flixotide is currently available in a wide range of different strengths. Your doctor will prescribe your dose based on your medical history and condition. Common doses include 50mcg, 100mcg, 125mcg, 250mcg and 500mcg. The most common dose for Flixotide, unless prescribed otherwise by your doctor, is one dose taken twice per day. You will not be able to take the 250 mcg and 500 mcg dose if you are younger than 18. Do not deviate from the dosage given by your doctor.  

What are the side effects of Flixotide? 

Most people will be able to take Flixotide without experiencing any negative outcomes. However, different people can respond to medication in unique ways. It's important to make sure that you tell your doctor if you experience any negative side effects when taking Flixotide if they do not go away by themselves. The most common side effect for Flixotide is oral thrush, which is a kind of infection that takes place within the mouth. It's possible to reduce your risk of having this infection by brushing your teeth or rinsing your mouth immediately after using Flixotide. Other common side effects may include hoarse voice, increased risk of bruising, and a cough after using the medication.  

You may notice an unpleasant taste in your mouth when using Flixotide. Although corticosteroids can have many more side effects when taken in tablet form, the side effects associated with these kinds of medications are much more limited when they're inhaled. This is because a very small portion of the medication gets into your bloodstream.  

However, when taken for extended periods of time, corticosteroids in any form do have the potential to increase your risk of conditions like glaucoma, cataracts, osteoporosis and Cushing's syndrome. Tell your doctor if you notice any changes in your behavior or mood, slowed growth in children, or evidence of changing or blurred vision. Flixotide may cause an allergic reaction. Seek emergency medical attention if you feel suddenly breathless or dizzy after taking Flixotide. Seek help if you notice any swelling around the tongue, lips and throat too.  

When shouldn't you use Flixotide? 

There are many different kinds of treatment available for people with asthma. Your doctor will need to examine your medical history and symptoms carefully to determine if Flixotide is the best treatment option for you. In some cases, Flixotide can still be used by people with certain conditions if extra care is taken. Before you begin using Flixotide, make sure that your doctor know if: 

  • You are pregnant or trying for a baby: you will need to ensure that it is safe for you to use this medication during pregnancy 
  • You're breast-feeding: most of the time, Flixotide will not be dangerous to use during breast-feeding, but your doctor may want to take extra precautions 
  • You have an infection in your mouth, eyes or chest 
  • You have ever had TB (Pulmonary Tuberculosis) 
  • You have ever had an allergic reaction to corticosteroids.  

Does Flixotide interact with any other medications? 

Sometimes, medications can have an increased risk of side effects if they are paired with other substances. This is true of all kinds of medicine, including inhaled substances like Flixotide. It is important to tell your doctor which medications and products you are already using before you begin taking this drug. This includes any supplements or herbal medications you are using, as well as over the counter and prescription substances.  

Check with your doctor before you begin taking any new medications when you're already using Flixotide to make sure that the new combination is safe. It's important to get approval from your doctor to take Flixotide if you are already taking other medications that contain corticosteroids as an active ingredient. This may include certain nasal sprays to prevent hayfever and creams intended to treat eczema.  

There's a good chance that your risk of side effects will increase significantly if you're using more than one corticosteroid at the same time. Your doctor may need to monitor you more carefully to check that you're not suffering from any dangerous symptoms. Some medications like ritonavir, telaprevir, and ketoconazole can also change the way that your body processes Flixotide. This could mean that you end up with higher amounts of fluticasone in your blood, increasing your risk of corticosteroid side effects.  

Where can you buy Flixotide? 

Flixotide and other asthma medications are available to purchase from most registered pharmacies in the EU, either online or offline. Contact us if you would like us to arrange for this medication to be available for you to collect from a local pharmacy.  

Can you get Flixotide without a prescription?  

You will need a prescription to get Flixotide. Your doctor will need to ensure that this medication is safe and suitable for you by conducting a consultation. We can arrange for a consultation with a registered health professional on your behalf. 



Drugs.com 2019, online, FLIXOTIDE EVOHALER 125 MICROGRAM [Accessed on the 27th of August 2019], Available at: https://www.drugs.com/uk/flixotide-evohaler-125-microgram-leaflet.html

Medicines.org.uk, EMC, 2019, online, Flixotide 50 micrograms Evohaler, [Accessed on the 27th of August 2019], Available at: https://www.medicines.org.uk/emc/product/3824/smpc

Mims.co.uk, 2019, online, Flixotide Accuhaler,  [Accessed on the 27th of August 2019], Available at: https://www.mims.co.uk/drugs/respiratory-system/asthma-copd/flixotide-accuhaler

Assessed by:

Dr Imran Malik, General practitioner
Registration number: GMC: 4741365

Dr Imran Malik studied undergraduate medicine at King's College University in Central London and clinical studies at the prestigious King's College Hospital. He graduated with a MBBS degree in 2000 and went on to gain postgraduate memberships with the Royal Society of Medicine and also General Practice in 2006.