Question 1

What is Xhance?

Accepted Answer

Xhance contains the active ingredient fluticasone propionate, which belongs to a class of drugs known as corticosteroids. These medications work by blocking the release of natural substances in the body that trigger an inflammatory response.

By reducing this response, the medication helps to decrease swelling and irritation in the affected tissues.

Question 2

What is Xhance used for?

Accepted Answer

Xhance is used to treat nasal polyps .

Question 3

How does Xhance work?

Accepted Answer

Mechanism of Action

Xhance contains fluticasone propionate, which belongs to a class of medications known as corticosteroids. These drugs work by mimicking the effects of natural hormones in the body to decrease inflammation. When applied to the lining of the nose, the medication helps block the release of various natural substances that trigger inflammatory responses.

Reducing Swelling

By targeting inflammation directly in the nasal tissues, Xhance helps to:

Shrink nasal polyps.

Decrease swelling in the nasal passages.

Relieve symptoms such as nasal congestion, sinus pressure, and a runny nose.

Exhalation Delivery System

Unlike standard nasal sprays, Xhance uses a specialized delivery method. When a person blows into the device's mouthpiece while activating the spray, the breath helps propel the medication deeper and higher into the nasal cavities and sinus regions. This mechanism is designed to deliver the medicine to the specific areas where nasal polyps and chronic inflammation typically occur.

Question 4

What are the active ingredients in Xhance?

Accepted Answer

The active ingredient in Xhance is fluticasone .

Question 5

What are the side effects of Xhance?

Accepted Answer

Common side effects of Xhance may include:

nosebleeds

nasal discomfort

headache

Always consult with a healthcare professional about potential side effects.

Question 6

What drug class is Xhance?

Accepted Answer

Xhance belongs to the intranasal corticosteroid drug class.

Question 7

What is the dosage of Xhance and how do I take it?

Accepted Answer

How to Use Xhance

Xhance is administered into the nose using an Exhalation Delivery System. This device is designed to deliver the medication deep into the nasal passages by using the breath from your mouth to help move the medicine.

Before using the device for the first time, or if it has not been used for several days, it must be primed by spraying it into the air away from your face. Always shake the bottle well before each use.

To use the device:

Insert the nosepiece into one nostril.

Place the mouthpiece into your mouth and create a seal with your lips.

Take a deep breath and blow steadily into the mouthpiece while pressing the bottle to release the spray.

Repeat the process for the other nostril as directed.

General Dosing Information

This medication is typically used twice daily, once in the morning and once in the evening. It is important to use it regularly to achieve the full benefit, as it may take several weeks of consistent use before symptoms improve significantly.

Missed Dose

If you miss a dose, use it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not use extra medicine to make up for a missed dose.

Question 8

Is Xhance safe during pregnancy and breastfeeding?

Accepted Answer

Pregnancy

There are no adequate and well-controlled studies of Xhance in pregnant women. In animal studies, corticosteroids like fluticasone propionate have been shown to cause birth defects when administered systemically at low doses. However, when used as a nasal spray, very little of the medication is absorbed into the bloodstream compared to oral or injected forms.

If you are pregnant or planning to become pregnant, discuss the use of Xhance with your doctor to evaluate the potential risks and benefits for your specific situation.

Breastfeeding

It is not known whether fluticasone propionate is excreted in human breast milk. Because other corticosteroids are known to pass into breast milk, caution is advised when Xhance is used by someone who is breastfeeding.

Speak with a healthcare provider to determine the best course of action while nursing, as they can help weigh the benefits of the medication against any potential risks to the infant.

Question 9

What forms and strengths does Xhance come in?

Accepted Answer

Dosage Forms

Xhance is provided as a nasal spray. It features a unique delivery mechanism known as an exhalation delivery system, which consists of a nosepiece and a mouthpiece. This system is designed to use the force of the user's breath to help direct the medication into the nasal cavity.

Nasal Spray: A liquid medication delivered through a metered-dose pump.

Question 10

What is the FDA approval status of Xhance?

Accepted Answer

FDA Approval History

The U.S. Food and Drug Administration (FDA) first approved Xhance (fluticasone propionate) in September 2017. It was initially approved for the treatment of nasal polyps in patients 18 years of age and older.

Expanded Indications

In March 2024, the FDA expanded the approved use of Xhance to include the treatment of chronic rhinosinusitis without nasal polyps in adults. This approval made it the first medication specifically indicated for the treatment of chronic rhinosinusitis without nasal polyps.

Regulatory Status

Xhance is classified as a prescription medication. It is not a controlled substance and does not currently require a Risk Evaluation and Mitigation Strategy (REMS) or carry a boxed warning. The medication is delivered using a proprietary exhalation delivery system (EDS) intended to reach the upper and posterior regions of the nasal cavity.

Question 11

What should I know about Xhance and cost?

Accepted Answer

Factors Affecting Cost

Several factors can influence the final price of Xhance, including:

Insurance Coverage: Your out-of-pocket cost is largely determined by your insurance plan's formulary, which ranks drugs into different cost tiers.

Pharmacy Selection: Prices can vary between retail pharmacies, and some mail-order pharmacies may offer different rates for a multi-month supply.

Manufacturer Programs: The manufacturer may offer savings cards or coupons for patients with commercial insurance to help lower copayments.

Generic Availability

Xhance is a brand-name medication. While the active ingredient, fluticasone propionate, is available in many inexpensive generic nasal sprays, those products do not use the same specialized exhalation delivery system. Currently, there is no generic version of fluticasone propionate that uses the Xhance delivery device.

Financial Assistance

For individuals without insurance or those whose insurance does not cover the medication, patient assistance programs may be available. These programs typically have specific income and residency requirements to qualify for reduced-cost or free medication.

Xhance

Medication Quick Facts

📋Overview

What It's Used For

How It Works

Side Effects

Warnings & Precautions

Dosage & How to Take

Pregnancy & Breastfeeding

Forms & Strengths

FDA / Regulatory Status

Price Information

FAQ

Found an Error?