Treatment of EoE with Swallowed Flovent® (Fluticasone)

Reviewed by Christine B. Cho, MD

Your doctor has recommended Flovent® (fluticasone) to treat your EoE (eosinophilic esophagitis). Flovent comes as a metered-dose inhaler. Flovent is an inhaled steroid. An inhaled steroid prevents and reduces swelling. Instead of inhaling the spray from the metered-dose inhaler. you will swallow the spray. The spray is swallowed so it will coat the esophagus. This technique is different from the inhaled method used for asthma. You will NOT use a spacer with this medication.


Please follow these directions when using Flovent:

  1. Remove the cap from the inhaler.

  2. Hold the inhaler with the mouthpiece at the bottom.

  3. Shake the inhaler. This mixes the medicine properly.

  4. Put the mouthpiece in your mouth, and close your lips around the mouthpiece.

  5. Hold your breath; press the inhaler; and swallow.

  6. Do NOT breathe in until the medicine is swallowed.

  7. Repeat these steps if you are instructed to take two puffs of the fluticasone.

  8. Replace the cap on the inhaler.

  9. Do not eat or drink anything for 30 minutes after taking the medicine. You may rinse your mouth and spit out the water or brush your teeth after you swallow the medicine, but do not swallow the water.

Continue taking this medicine until your doctor tells you it is no longer necessary. Ask your health care provider if you have any questions.

In general, this medicine is well tolerated. The main side effects can include a hoarse voice or sore throat. Some people develop a yeast infection (candida) of the mouth (thrush) or esophagus. If you notice white spots on your tongue or in your mouth, call your doctor. This can be treated with a short course of antibiotics.

Rinsing your mouth and spitting out the water will also help prevent thrush.

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