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Fluticasone
SACAA Part 67 assessment
Acceptable with conditions / grounding period
Active ingredient(s)
Inhaled bronchodilators and corticosteroids (Salbutamol, Salmeterol, Formoterol, Tiotropium, Fluticasone, Budesonide)
Inhaled respiratory therapy
Typical grounding period: 8 hours
Measured from the last dose, and only once completely side-effect free.
Guidance notes
Inhaled glucocorticoids and leukotriene receptor antagonists are acceptable. Short- and long-acting beta agonists must be taken 8 hours or more before flying, although a reliever may be used in an unusual in-flight asthma attack to allow safe completion of the flight. The only acceptable combinations are salmeterol with fluticasone, and budesonide with formoterol. Asthma control itself must be demonstrated to the DAME.
Category rules that also apply
Topical preparations — 10% body surface area rule
Topical preparations are treated as acceptable only while applied to no more than 10% of body surface area (roughly one arm, or the palm-size rule ×10). Above that, systemic absorption becomes significant and the preparation is assessed as if taken systemically — including topical corticosteroids, NSAID gels and antihistamine creams. Broken or inflamed skin increases absorption further.
Known SA brand names
Our DAME partners
Dr Berlize du Plessis
Senior DAME · MS213
Kenridge, Cape Town
Dr Brandon Head
Senior DAME · MS229
Sunninghill, Sandton
Dr Ernest Schutz
Senior DAME · MS028
Germiston
Dr Mariska van Tonder
Senior DAME · MS222
Somerset West
Dr Richard Albrecht
Senior DAME · MS074
Strubensvalley, Roodepoort
Dr. Schalk Reyneke
Senior DAME · MS123
Honeydew, Roodepoort
Possible acceptable alternatives (same therapeutic group)
Alternatives are informational only. The underlying medical condition must also be assessed by a DAME — a condition can ground you even when the medicine is acceptable.