Product image of Nakafri (Fluticasone Propionate) supplied by GNH India

Nakafri

Active Ingredient:
Fluticasone Propionate
Origin:
EU

Nakafri (Fluticasone Propionate)

Fluticasone Propionate, the active ingredient in Nakafri, is a corticosteroid presented as a nasal spray for nasal use. It treats allergic rhinitis, seasonal allergic rhinitis and nasal polyps in adults and children.

GNH India supplies Nakafri as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Genetic Spa

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Indications & Clinical Uses

Nakafri, a nasal corticosteroid, acts on inflammatory processes of the nasal mucosa to relieve symptoms of allergic conditions.

  • Allergic rhinitis: reduces nasal congestion, sneezing, itching and rhinorrhea.
  • Seasonal allergic rhinitis: alleviates seasonal symptom flare‑ups and improves nasal airflow.
  • Nasal polyps: helps shrink polyps and improves breathing through the nose.

How It Works

  • Fluticasone propionate binds to intracellular glucocorticoid receptors in nasal epithelial cells, modulating gene transcription to suppress pro‑inflammatory cytokines, chemokines, and adhesion molecules. This results in reduced vascular permeability, edema, and inflammatory cell infiltration within the nasal mucosa, providing local anti‑inflammatory effects without significant systemic exposure.

Side Effects

Common side effects are usually mild and limited to the site of administration.

Common Side Effects

  • Nasal irritation or burning sensation.
  • Epistaxis (nosebleeds).
  • Headache.
  • Throat irritation or dryness.
  • Cough.
  • Altered taste or bitter taste.

Serious or Rare Side Effects

  • Adrenal suppression with prolonged high‑dose use.
  • Cataracts or glaucoma.
  • Severe allergic reaction (anaphylaxis).
  • Fungal infection of the nasal mucosa.
  • Nasal septum perforation.
  • Systemic corticosteroid effects such as hyperglycemia.

Precautions & Warnings

Before using Nakafri, consider the following safety measures.

  • Assess for active nasal infection: avoid use if bacterial or fungal infection is present.
  • Hypersensitivity: discontinue if signs of allergic reaction occur.
  • Glaucoma or cataract history: monitor intra‑ocular pressure regularly.
  • Systemic corticosteroid exposure: use lowest effective dose to limit systemic absorption.
  • Concomitant intranasal steroids: avoid combining with other nasal corticosteroids.
  • Store at room temperature: keep in original container, protect from moisture and heat.

Avoid Interactions

Fluticasone propionate may interact with other medicines that affect its metabolism or increase corticosteroid load.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole) may raise systemic exposure.
  • Concurrent use of other intranasal corticosteroids increases risk of systemic effects.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., erythromycin) may modestly increase levels.
  • Ritonavir or other protease inhibitors can elevate exposure.
  • Immunosuppressants (e.g., cyclosporine) may require monitoring for additive immunosuppression.

Frequently Asked Questions

Nakafri is indicated for the management of allergic rhinitis, seasonal allergic rhinitis, and nasal polyps. It helps relieve nasal congestion, sneezing, itching, and improves airflow by reducing inflammation in the nasal passages.

Fluticasone propionate in Nakafri binds to glucocorticoid receptors in nasal mucosal cells, altering gene expression to suppress inflammatory mediators. This reduces swelling, mucus production, and immune cell activity, providing localized anti‑inflammatory effects.

The prescribed dose of Nakafri is determined by the treating clinician based on the patient’s age, severity of symptoms, and response to therapy. Patients should follow the specific instructions provided by their healthcare professional.

Safety data for Nakafri in pregnancy and lactation are limited. Healthcare providers should weigh the potential benefits against possible risks and consider alternative therapies if appropriate. Women should discuss use with their obstetrician or physician.

To request Nakafri, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Nakafri contains fluticasone propionate, a potent glucocorticoid with high local activity and low systemic absorption, similar to other intranasal steroids such as mometasone or budesonide. Choice among them often depends on formulation preferences, dosing frequency, and individual patient response.

Nakafri should be stored at room temperature, below 25 °C, in its original packaging. Keep the spray bottle tightly closed, protect it from moisture and direct sunlight, and avoid freezing.

Nakafri is a nasal spray applied directly into each nostril. The patient should gently blow the nose, tilt the head slightly forward, insert the nozzle, and spray the prescribed number of actuations while breathing in gently. Detailed instructions are provided with the product.

Serious but rare risks include adrenal suppression, cataracts or glaucoma, severe allergic reactions such as anaphylaxis, fungal infections of the nasal mucosa, and perforation of the nasal septum. Patients should report any unusual symptoms to their healthcare provider promptly.

Nakafri is contraindicated in individuals with known hypersensitivity to fluticasone propionate or any component of the formulation. It should also be avoided in patients with active untreated nasal infections or those already using another intranasal corticosteroid without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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