Veramyst and Melanoma

[johnny999]

I was diagnosed with a Stage 1a, Clark Level 2 (0.40mm) melanoma in Sept. '07. I had a WLE performed which came back negative for malignancy. There were no other treatments or procedures to go through; and based on the primary characteristics of the tumor, my oncologist told me he was 95 - 98% sure I would not have any problems from this.

I recently heard about this allergy nasal spray called Veramyst and called my physician for a perscription. They told me they could not perscribe because of my melanoma diagnosis. Because this medication is a steroid they do not perscribe to patients with melanoma and I would need permission from my oncologist.

I don't understand how this nasal spray could have any effect on my melanoma diagnosis.

[Fernando Roque, MD]

Hi.  Where was your melanoma located? Was it near your nose? I checked the official prescribing information for Veramyst (fluticasone nasal spray) and it does not specifically state that this drug is contraindicated for those with melanoma or any other cancer.  However, for those with recent nasal surgery, this drug should be avoided as it delays wound healing and increases the risk of fungal (Candida) infection.  If your melanoma surgery was near your nasal area, this may be one reason why your doctor refused to prescribe the drug to you.  The literature also suggests caution in using this drug with people whose immune systems are depressed as fluticasone may worsen the immunosuppression. Patients with advanced stage cancer usually have compromised immune systems, but I'm not sure if someone with an early stage, localized melanoma would be immunosuppressed.

[johnny999]

My melanoma was on my trunk, lower right side (oblique area).