Answer
Systemic absorption of fluticasone propionate from Flixonase Aqueous Nasal Spray is negligible because low aqueous solubility limits direct nasal absorption, most of the dose is swallowed, and poor gastrointestinal absorption plus pre-systemic metabolism limit oral systemic exposure to less than 1%.
Sources for this answer
- Flixonase Aqueous Nasal SprayGlaxoSmithKline UK · emc · SmPC §5.2 Pharmacokinetic properties · Version 24Document updated
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