Why is this medication prescribed?

Budesonide is used to prevent difficulty breathing, chest tightness, wheezing, and coughing caused by asthma. Budesonide powder for oral inhalation (Pulmicort Flexhaler) is used in adults and children 6 years of age and older. Budesonide suspension (liquid) for oral inhalation (Pulmicort Respules) is used in children 12 months to 8 years of age. Budesonide belongs to a class of medications called corticosteroids. It works by decreasing swelling and irritation in the airways to allow for easier breathing.

How should this medicine be used?

Here’s how it’s usually used:

• Follow Your Doctor’s Instructions: Always use budesonide oral inhalation exactly as prescribed by your doctor. Do not change the dose or frequency without consulting them first.
• Preparation: Before using the inhaler for the first time, or if it hasn’t been used for a while, it’s important to prime it. This usually involves shaking the inhaler and spraying it into the air a few times. Check the specific instructions that come with your inhaler.
• Administration: Breathe out fully, then place the mouthpiece of the inhaler in your mouth and close your lips around it. Press down on the inhaler to release the medication while simultaneously inhaling deeply and slowly. Try to hold your breath for about 10 seconds before exhaling slowly.
• Rinse Mouth: After using the inhaler, it’s important to rinse your mouth with water to help prevent the risk of developing oral thrush, a fungal infection.
• Cleaning: Regularly clean the inhaler device as per the manufacturer’s instructions to ensure it remains free of dust and other contaminants.
• Consistency: Use budesonide oral inhalation regularly, even if you’re not experiencing symptoms. It works best when used consistently over time.
• Monitor: Keep track of how often you need to use the inhaler and any changes in your symptoms. Report any concerns or changes to your doctor.

Remember, this is just a general guide. Always follow the specific instructions provided by your doctor or pharmacist, as they may vary depending on your individual circumstances and the type of inhaler you’re using.

Other uses for this medicine

Apart from allergic rhinitis and nasal polyps, budesonide nasal spray may also be prescribed for other conditions involving inflammation of the nasal passages, such as non-allergic rhinitis and sinusitis. However, its use for these conditions would be determined by your healthcare provider based on your specific medical history and symptoms.

What special precautions should I follow?

As for special precautions:

• Inform Your Healthcare Provider: Before starting budesonide oral inhalation, inform your doctor about any other medications you are taking, including over-the-counter drugs, vitamins, and herbal supplements. This is important because certain medications may interact with budesonide, potentially affecting its effectiveness or increasing the risk of side effects.
• Allergies: If you have a known allergy to budesonide or any other corticosteroids, inform your doctor. Also, inform them about any other allergies you have, including allergies to foods, preservatives, or dyes.
• Medical History: Provide your doctor with a comprehensive medical history, including any previous or current medical conditions such as infections, tuberculosis, osteoporosis, liver disease, or diabetes. Budesonide may worsen certain conditions, so it’s essential to discuss your medical history with your doctor.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of using budesonide oral inhalation with your doctor. While budesonide is generally considered safe during pregnancy and breastfeeding when used at recommended doses, your doctor will weigh the benefits against any potential risks to you and your baby.
• Children and the Elderly: Budesonide oral inhalation is generally safe for use in children and older adults when used as directed. However, dosage adjustments may be necessary based on age and individual health status. Always follow your doctor’s recommendations regarding dosage and administration.
• Regular Monitoring: Your doctor may periodically monitor your lung function and other vital signs while you are using budesonide oral inhalation to ensure it is working effectively and to detect any potential side effects early.
• Avoid Abrupt Discontinuation: Do not stop using budesonide oral inhalation suddenly without consulting your doctor, as this may cause withdrawal symptoms or a worsening of your condition. Your doctor may gradually reduce your dose to safely discontinue the medication if needed.
• Medical Alert: Wear a medical alert bracelet or carry a medical alert card to inform healthcare providers that you are using budesonide oral inhalation in case of emergencies.

Always follow your doctor’s instructions and advice regarding the use of budesonide oral inhalation and any special precautions to take. If you have any questions or concerns, don’t hesitate to discuss them with your healthcare provider.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with budesonide oral inhalation. However, it’s essential to maintain a balanced diet and stay hydrated to support overall health and well-being.

What should I do if I forget a dose?

• Take it as Soon as Possible: If you miss a dose, take it as soon as you remember. However, if it’s almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.
• Follow Regular Schedule: Resume your regular dosing schedule after taking the missed dose. Do not adjust the dosage or frequency of use without consulting your doctor.
• Consult Your Doctor: If you frequently forget doses or have difficulty adhering to your medication schedule, discuss this with your doctor. They may provide strategies or reminders to help you stay on track with your treatment plan.

What side effects can this medication cause?

Budesonide Oral Inhalation, like any medication, can cause side effects, although not everyone experiences them. Common side effects may include:

• Throat Irritation: Budesonide inhalation may cause throat irritation or a hoarse voice. Gargling with water after each use can help minimize this side effect.
• Cough: Some individuals may experience a cough, particularly when starting treatment with budesonide inhalation. This typically improves with continued use.
• Oral Thrush: There is a risk of developing oral thrush, a fungal infection in the mouth, particularly if the inhaler is not used correctly or the mouth is not rinsed after each use.
• Headache: Headaches can occur as a side effect of budesonide inhalation but are usually mild and transient.
• Nasal Congestion or Nosebleeds: Some individuals may experience nasal congestion or occasional nosebleeds.
• Increased Risk of Infections: Corticosteroids like budesonide can suppress the immune system, increasing the risk of respiratory infections such as pneumonia or bronchitis, particularly with long-term use at high doses.
• Adrenal Suppression: Prolonged use of high doses of corticosteroids like budesonide may suppress the function of the adrenal glands, which produce important hormones. This typically occurs with long-term use or at high doses.
• Bone Density Loss: Long-term use of corticosteroids may lead to a loss of bone density, increasing the risk of osteoporosis and fractures, especially in older adults.
• Glaucoma and Cataracts: Prolonged use of corticosteroids can increase the risk of developing glaucoma or cataracts, particularly if the medication comes into contact with the eyes.
• Allergic Reactions: In rare cases, budesonide inhalation may cause allergic reactions such as rash, itching, swelling, or difficulty breathing. Seek medical attention immediately if you experience any signs of an allergic reaction.

It’s important to discuss any concerns or side effects with your doctor. They can provide guidance on managing side effects and may adjust your treatment plan if necessary. Additionally, report any new or worsening symptoms to your healthcare provider promptly.

What should I know about storage and disposal of this medication?

Storage and disposal instructions for Budesonide Oral Inhalation:

• Storage: Store budesonide oral inhalation at room temperature away from moisture, heat, and light. Keep the inhaler device tightly closed when not in use. Avoid storing it in the bathroom or other areas with high humidity, as moisture can affect the medication’s effectiveness.
• Disposal: Dispose of expired or unused budesonide inhalers according to local regulations. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Instead, consult your pharmacist or local waste disposal company for proper disposal methods.

In case of emergency/overdose

• Seek Medical Help: If you suspect an overdose or experience severe symptoms such as difficulty breathing, chest pain, rapid heartbeat, or loss of consciousness, seek immediate medical attention. Contact emergency services or go to the nearest emergency room.
• Poison Control: If you suspect an overdose but are unsure of the severity of the situation, you can also contact your local poison control center or national poison helpline for guidance on what to do next.

What other information should I know?

• Regular Use: Budesonide oral inhalation should be used regularly as prescribed by your doctor, even if you are not experiencing symptoms. Do not stop using the medication abruptly without consulting your healthcare provider, as this can lead to worsening of your condition.
• Monitoring: Your doctor may periodically monitor your lung function and overall health while you are using budesonide oral inhalation to assess its effectiveness and detect any potential side effects or complications.
• Keep Appointments: Attend all scheduled medical appointments, including follow-up visits with your doctor. These appointments allow your doctor to evaluate your response to treatment and make any necessary adjustments to your medication regimen.
• Educate Yourself: Learn how to use the inhaler device correctly to ensure you are getting the full dose of medication. Ask your doctor or pharmacist for demonstrations or instructions if needed.
• Communication: Inform your doctor about any new or worsening symptoms, changes in your medical history, or concerns you may have about budesonide oral inhalation. Open communication with your healthcare provider is essential for effective management of your respiratory condition.

By following these guidelines and staying informed about your medication, you can safely and effectively manage your respiratory condition with budesonide oral inhalation.