Reported Reactions

Drugs › Corticosteroid

Brand name · Fluticasone propionate

Flonase: adverse event reports filed with FDA

9,393 reports list it as a suspect or interacting product, 2004–2026. Class: Corticosteroid. Also reported as Flonase Spray, Flonase Nasal Spray, Flonase /00908302/.

9,393
reports as suspect product
0.1% of all reports · about 418 a year
142
reports, 12 months to June 2026
153 in the 12 months before
14.1%
marked serious by the reporter
77.7% across the class
1.2%
record death among outcomes, as reported
117 reports · not verified by FDA

Between January 2004 and June 2026, 9,393 adverse event reports received by FDA list the brand name Flonase (fluticasone propionate) as a suspect or interacting product. Reports that mention it only as a concomitant medication (42,983) are left out of every figure here.

In the 12 months to June 2026, 142 reports listed it, close to the 153 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 418 reports a year and 0.1% of the 20,646,523 reports in the database, and 1.2% of the reports for the corticosteroid class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug ineffective (22.4%), epistaxis (11.6%) and headache (6.7%). A report can list several reactions, so shares add to more than 100%; 856 different terms appear across these reports. Drug ineffective is recorded in 22.4% of these reports, a larger share than in the median corticosteroid drug (13.4%).

14.1% of the reports are marked serious by the reporter (77.7% across the class); 1.2% record death among the outcomes and 3.6% record hospitalisation, as reported. 91.7% of the reports came from consumers, and the largest patient age group is 45 to 64 (14.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

02346Jul 2021: 35Aug 2021: 46Sep 2021: 45Oct 2021: 18Nov 2021: 12Dec 2021: 112022Jan 2022: 15Feb 2022: 23Mar 2022: 28Apr 2022: 17May 2022: 21Jun 2022: 3Jul 2022: 10Aug 2022: 26Sep 2022: 42Oct 2022: 24Nov 2022: 16Dec 2022: 32023Jan 2023: 8Feb 2023: 11Mar 2023: 9Apr 2023: 13May 2023: 17Jun 2023: 7Jul 2023: 9Aug 2023: 7Sep 2023: 4Oct 2023: 7Nov 2023: 9Dec 2023: 112024Jan 2024: 11Feb 2024: 10Mar 2024: 21Apr 2024: 18May 2024: 17Jun 2024: 14Jul 2024: 11Aug 2024: 10Sep 2024: 16Oct 2024: 18Nov 2024: 13Dec 2024: 92025Jan 2025: 10Feb 2025: 15Mar 2025: 9Apr 2025: 10May 2025: 16Jun 2025: 16Jul 2025: 13Aug 2025: 16Sep 2025: 9Oct 2025: 13Nov 2025: 14Dec 2025: 122026Jan 2026: 8Feb 2026: 7Mar 2026: 11Apr 2026: 11May 2026: 20Jun 2026: 8

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

08571,7132004: 36620042005: 4882006: 4172007: 26320072008: 1762009: 1382010: 16720102011: 1132012: 1242013: 11520132014: 2712015: 1,7132016: 1,58820162017: 8342018: 5442019: 51720192020: 3412021: 4922022: 22820222023: 1122024: 1682025: 15320252026: 65

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Flonase reports recording the termmedian drug in corticosteroid

  1. Drug ineffectivethe medicine did not work as expected22.4%2,104
  2. Epistaxisnosebleed11.6%1,088
  3. Headachehead pain6.7%631
  4. Dyspnoeashortness of breath3.8%356
  5. Off label useused for a purpose or in a way not on the label3.5%333
  6. Anosmialoss of smell3.4%321
  7. Coughcough2.9%276
  8. Product use in unapproved indicationused for a purpose not on the label2.8%265
  9. Hypersensitivityan allergic-type reaction2.8%262
  10. Dizzinesslight-headedness or unsteadiness2.7%252
  11. Condition aggravatedthe condition being treated got worse2.6%247
  12. Malaisegeneral feeling of being unwell2.3%216
  13. Nasal congestiona blocked nose2.3%213
  14. Product quality issuea problem with the product itself2.2%209
  15. Rhinorrhoeaa runny nose2.2%209
  16. Product use issuea problem in how the product was used2.2%204
  17. Ageusialoss of taste2.2%202
  18. Drug hypersensitivityan allergic-type reaction to a medicine2.1%198
  19. Nauseafeeling sick2%191
  20. Painpain, site not specified1.9%174
  21. Sinusitissinus infection1.8%168
  22. Anxietyanxiety1.8%165
  23. Insomniadifficulty sleeping1.7%164
  24. Asthmaasthma1.7%161
  25. Drug administration errora mistake in giving the medicine1.7%158
  26. Rashskin rash1.7%155
  27. Wrong technique in product usage processthe product was used in the wrong way1.6%154

Top 30 of 856 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 74 drugs in the corticosteroid class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death1.2%117
Life-threatening0.6%54
Hospitalisation (initial or prolonged)3.6%342
Disability1.2%113
Congenital anomaly0.2%17
Other serious11.2%1,055
Not serious85.9%8,065

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 808,789 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.2%15
2 to 111.1%108
12 to 170.6%57
18 to 447.1%666
45 to 6414.8%1,391
65 to 747.9%742
75 and over7.5%701
Age not given60.8%5,713

Patient sex

Female55.5%5,214
Male27.9%2,619
Not given16.6%1,560

Who reported

Physician2.3%216
Pharmacist0.7%63
Other health professional3.6%339
Lawyer0.1%7
Consumer or non-health professional91.7%8,613
Not given1.7%155

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 93.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypersensitivity1,64917.6%
Multiple allergies2482.6%
Nasal congestion2422.6%
Sinus disorder1651.8%
Ill-defined disorder1181.3%
Seasonal allergy1121.2%

The indication field is filled in by the reporter and is often blank; shares are of all 9,393 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Flonase reports
Zyrtec3113.3%
Singulair2312.5%
Albuterol2262.4%
Albuterol sulfate2032.2%
Advair Hfa1922%
Aspirin1821.9%
Allegra1711.8%
Prednisone1581.7%
Claritin1481.6%
Flovent1441.5%

Other products listed in reports where Flonase is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureFlonaseCorticosteroidAll reports
Reports as suspect product9,393808,78920,646,523
Share of that pool—1.2%0.1%
Reports, latest 12 months142—1,332,454
Marked serious14.1%77.7%57.4%
Death recorded among outcomes, per 1,000 reports1214691
Hospitalisation recorded, per 1,000 reports36336213
Consumer-filed share91.7%29.1%45.8%
Top term, share of reportsDrug ineffective 22.4%median 13.4%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the corticosteroid class

DrugName typeReportsLatest 12 monthsMarked serious
Prednisonegeneric183,86715,61491.4%
Dexamethasonegeneric129,6779,21695.1%
Prednisolonegeneric87,8066,62497.6%
Methylprednisolonegeneric49,5374,43095.2%
Symbicortbrand39,1191,17750.6%
Breo Elliptabrand22,22062831.7%
Hydrocortisonegeneric21,2632,38689.5%
Advair Diskusbrand20,51812029%
Advair Hfabrand19,62258954.9%
Budesonidegeneric14,7141,08382.2%
Desoximetasonegeneric12,2091,52599.2%
Floventbrand10,77217142.1%
Methylprednisolone sodium succinategeneric10,7721,63097.8%
Solu-medrolgeneric10,28843288.8%
Ciprobrand9,79110857.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Flonase reports

How many adverse event reports has FDA received for Flonase?

9,393 reports list Flonase as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 142 of them arrived in the latest 12 months. Another 42,983 list it only as a concomitant medication.

What reactions are recorded in Flonase reports?

drug ineffective (22.4%), epistaxis (11.6%), headache (6.7%), dyspnoea (3.8%) and off label use (3.5%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Flonase was responsible.

How serious are the reports?

14.1% are marked serious by the reporter. Among the outcomes recorded, 1.2% of reports include death and 3.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (91.7%), other health professional (3.6%) and physician (2.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Flonase rising?

142 reports in the 12 months to June 2026, close to the 153 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Flonase was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Flonase?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Flonase as a suspect or interacting product; reports listing it only as a concomitant medication (42,983) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.