Facts about FluMist

As local stores of flu shots dwindle, FluMist, a version of the flu vaccine that can be sprayed in the nose, has become increasingly popular.

Like the flu shot, most people need only one spray each year to prevent influenza, but unlike the shot, they can forgo the needle. Is it the vaccine for you?

Who should use FluMist?

FluMist is currently recommended for healthy children and adults ages 5 to 49. People with immune problems are discouraged from using FluMist because, unlike the flu shot, FluMist contains live, though weakened, flu virus. There is a slight chance of getting the flu from FluMist, so family members or housemates of people with weakened immune systems are also discouraged from the mist vaccine. If you fall in one of these categories, it's a better idea to get the flu shot, because the shot does not contain the live virus.

If you have any of the following conditions you should talk to your doctor before using FluMist:

  • a breathing or respiratory disorder such as asthma
  • heart problems or a blood disorder
  • diabetes or another metabolic disorder
  • kidney problems
  • a weakened immune system (or live in the same house as someone with immune problems)

As with any new medication, you should also talk to your doctor if you take any prescription or over-the-counter medicines, including vitamins, minerals and herbal products, to see if there could be interaction problems. For example, FluMist should not be given to childen or teens taking aspirin because it increases the risk of Reye's syndrome, a rare but often fatal aspirin-related disorder. Other nasal or anti-viral medications should usually not be used at the same time as FluMist.

Where and when to get FluMist

FluMist is only available in doctor's offices, hospitals or clinics, so you will need to make an appointment with your health care provider to receive the vaccine.

The best time to get the spray is in October or November, but because the flu season typically peaks between January and March, vaccination in December or even later can be beneficial. People at high risk for flu and its complications and their housemates, and health care workers should be vaccinated in September or October.

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