Q. I used Flonase for one year to ease nasal congestion caused by allergies. I am 37 and have just learned I have cataracts in both eyes.
The optometrist was as surprised as I was that I would have cataracts at this age, particularly because I am in really good health. I saw a commercial for Veramyst and it says cataracts are a possible side effect. I’m angry because I was never warned that Flonase might cause this problem.

A. Both Veramyst and Flonase nasal sprays contain the corticosteroid ingredient fluticasone. Cataracts have been reported as side effects of this type of medicine.
A surprising range of other medications are linked to cataracts. They include inhaled steroids (both nasal sprays and asthma medicine like Advair, Flovent, Pulmicort and Symbicort), the osteoporosis drug Actonel (risedronate), the blood pressure pill Cozaar (losartan) and the asthma inhaler Spiriva (tiotropium).
Most physicians and patients are unaware that cholesterol-lowering drugs such as Crestor, Lipitor and simvastatin may also be linked to an increased risk of cataracts. There is no warning in the official prescribing information, but an article in the British journal BMJ (May 20, 2010) suggests that this is an important side effect.

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  1. HJB
    Reply

    I have used Flonase for years. I am sixy, a retired emergency room physician. I knew cocticosteroids increase the incidence of cataracts especially flourinated ones. I researched the topic before I started using them and found no warnings. Then my eye doctor told me I had small cataracts, but I didn’t need surgery yet. I went to him because I am usually a fine shot at skeet. I noticed my glasses weren’t helping and I missed a lot of targets. As a stop-gap treatment he rechecked my eyes and changed my prescription a bit. If this doesn’t work I might just get the surgery; I have horrible allergies and can’t breath through my nose without Flonase. Flonase wouldn’t cause cataracts in lens implants because they are plastic.

  2. ellen
    Reply

    I started taking Crestor November 2010. I developed cataracts in both eyes and had surgeries in May 2011. My primary physician and my opthamologist both disagreed that Crestor could have caused it. I was 58 at the time. I have been researching it and I believe the cataracts were due to the Crestor.
    PEOPLE’S PHARMACY RESPONSE:
    There is now evidence to suggest that statins do indeed increase the risk for cataracts.

  3. Chuck R
    Reply

    I have been prescribed Flonase but never have used it much, which is good, given this possible problem with cataracts. However, I have been using Lipitor for about 10 years now. About 2 years ago I was told that I have a cataract starting in my left eye; however, I am 64 and I imagine that cataracts starting at my age are not uncommon. Also, I am told that there is a possibility of glaucoma starting in my right eye. Have Lipitor or other drugs been linked to glaucoma?
    PEOPLE’S PHARMACY RESPONSE: PRELIMINARY RESEARCH SUGGESTS STATINS MAY LOWER THE RISK OF GLAUCOMA: http://www.ncbi.nlm.nih.gov/pubmed/15197056

  4. Sara S.
    Reply

    I am a 55 yr. old, active female who has suffered from allergies and asthma since I was sixteen. I have taken many topical steroid medications for lungs and nose. It was only after I started using Flonase and, especially, generic Fluticasone in place of saline nasal irrigation that I developed early onset cataracts. I wear bi-focals but I have noticed that my vision has decreased; I need much more light to read and cannot see distances with my glasses the way I used to.
    My eye doctor said it was unusual and that I should have my eyes checked annually. I plan to inform both my allergist and eye doctor and stop using fluticasone.

  5. patricia
    Reply

    After reading that cataracts could be a side-effect of Crestor, I asked two of my physicians and both seemed stunned and said they never heard of that side-effect… I believe that my sudden onset of cataracts are directly related to the Crestor…

  6. Debi
    Reply

    It turns out the symbicort was affecting my vision and giving me terrible leg cramps so I had to stop using it anyway… Just wanted to let everyone know… thanks for all the comments… Debi

  7. Greg Pharmacy Student
    Reply

    CRC,
    Yes this is correct. Steroids in nasal sprays and in Debi’s Symbicort have minimal effects on the whole body. Please check with your physician or your eye doctor about how often you should have your eyes checked.
    I believe that the article above is a little misleading in not quantifying the extent and the incidence of cataracts from nasal steroids.
    In fact most information available for patients about side-effects is useless because it does not state even in simple terms if the side-effect happens in 1 in 100 people or 1 in 10 or greater.
    PEOPLE’S PHARMACY RESPONSE: IT WOULD BE GREAT TO HAVE THAT INFORMATION. IT IS UNLIKELY THAT CATARACTS OCCUR IN EVEN 1 IN 100 PEOPLE USING FLONASE OR SIMILAR NASAL STEROIDS. THEY ARE PROBABLY LESS COMMON THAN THAT, BUT WE DON’T KNOW THE NUMBERS. HERE IS WHAT THE OFFICIAL PRESCRIBING INFORMATION SAYS: the following events have been identified during postapproval use of intranasal fluticasone propionate in clinical practice. Because they are reported voluntarily from a population of unknown size, estimates of frequency cannot be made.

  8. Debi
    Reply

    I take Symbicort, Actonel, and Spiriva, and used to use Flonase. I had the startings of cataracts about 5 years ago. I’m 55 and female. I have COPD and have to use these medicines. I wonder how often I should get my eyes checked for progression of the cataracts.
    My eyes are already bad and I’ve been wearing glasses since I was 11 years old. I needed them before that. It just figures that I finally found medications that work and now they cause more problems.

  9. Greg Pharmacy Student
    Reply

    Although these medications have been shown to cause cataracts, so has UV light. The easiest and most helpful solution to preventing cataracts is wearing SUNGLASSES.

  10. crc
    Reply

    It is my understanding from my doctor that, while this is a possible side-effect, the flonase/veramyst products contain an artificial steroid that has a much lower instance of cataracts than the oral steroids of years ago and that developing cataracts from these would be rare and would require taking the drug consistently for many years. Is this correct?

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