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Budesonide Nasal Spray

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Why is this medication prescribed?

Itchy, runny, or stuffy nose brought on by hay fever or other allergens can be treated with budesonide nasal spray (caused by an allergy to pollen, mold, dust, or pets). Sneezing, stuffy, runny, or itchy nose are examples of common cold symptoms that shouldn’t be treated with budesonide nasal spray. The corticosteroid medication class includes budesonide nasal spray. It functions by preventing the release of some naturally occurring chemicals that produce allergic symptoms.

How should this medicine be used?

Both on prescription and without, budesonide is available as a liquid solution that is sprayed into the nose. Each nostril receives one daily spray of budesonide nasal spray. If you’re an adult, you’ll start off with a greater dose of budesonide nasal spray and then lower it as soon as your symptoms become better. When administering budesonide nasal spray to a child, you should start the treatment with a lesser dose and then gradually raise it if the child’s symptoms do not get better. As soon as the child’s symptoms go better, reduce the dose. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. As indicated, take budesonide as prescribed. Use it only as directed by your doctor, neither more nor less often.

Children under the age of 12 should have adult assistance when using budesonide nasal spray. This drug should not be administered to children under the age of six.

Only the nose may be used to administer budesonide nasal spray. Avoid spraying the nasal spray into your eyes or mouth, and avoid swallowing it.

Budesonide nasal spray should only be used by one individual per bottle. Budesonide nasal spray shouldn’t be shared because it could spread bacteria.

The nasal spray budesonide does not treat hay fever or allergies; it just manages their symptoms. It may take up to 2 weeks before you get the full benefits of budesonide, however your symptoms may start to get better within 1 to 2 days of your initial use. It is preferable to take budesonide on a regular basis. Except if your doctor has instructed you to only take it when necessary, take budesonide on a regular schedule. If your symptoms persist or worsen after using budesonide nasal spray every day for two weeks, consult your doctor right away.

A specific number of sprays are intended to be delivered by the budesonide nasal spray. It’s possible that the remaining sprays in the bottle don’t contain the right amount of medication after the designated number of them have been used. Even if the container still has some liquid in it, you should keep note of how many sprays you have used and discard the bottle once you have used the designated amount of sprays.

The printed instructions that come with the budesonide nasal spray should be read before you use it for the first time. Take these actions:

  • Before each usage, give the bottle a light shake.
  • Take off the dust cap.
  • You must prime the pump by following steps 4 to 5 below if you are using it for the first time or if you haven’t used it for two or more days in a row. If you have previously used the pump and have not missed two consecutive days of medicine, move on to step 6.
  • The bottom of the bottle should sit on your thumb while you hold the pump, with the applicator lying between your forefinger and middle finger. Your face should be away from the applicator.
  • Press and release the pump eight times if this is your first time using it. If you have previously used the pump but not within the last two days, press down on the pump once, then let go to create a fine mist. If it has been more than 14 days since you last used the pump, rinse the applicator tip and prime with two or more sprays until a fine spray appears.
  • Until your nostrils are clear, blow your nose.
  • With your finger, firmly seal one nostril.
  • To carefully insert the nasal applicator tip into your other nostril, tilt your head slightly forward. Keep the bottle upright at all times.
  • Hold the pump so that the bottom rests on your thumb and the applicator is positioned between your forefinger and middle finger.
  • Start inhaling through your nose.
  • Use your fingers and middle finger to press down hard on the applicator and let out a spray while inhaling.
  • Leaning your head back will allow you to gently inhale through your nose and exhale through your mouth.
  • Repeat steps 6 through 12 if your doctor instructed you to use additional sprays in that nostril.
  • From steps 6 to 13, repeat in the opposite nostril.
  • After using the nasal spray, wait 15 minutes before blowing your nose again.
  • After cleaning the applicator with a fresh tissue, place the dust cover over it.

For a copy of the manufacturer’s information for the patient, ask your pharmacist or doctor.

Other uses for this medicine

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before using budesonide nasal spray,

  • If you have an allergy to budesonide, any other drugs, or any of the ingredients in budesonide nasal spray, let your doctor and pharmacist know right away. A list of the ingredients can be found on the package label.
  • Inform your doctor and pharmacist about all prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products that you are now taking or intend to use. Any of the following medications should be mentioned: clarithromycin (Biaxin, Prevpac); HIV protease inhibitors such as atazanavir (Reyataz, in Evotaz); indinavir (Crixivan); nelfinavir (Viracept); ritonavir (Norvir, in Kaletra, in Technivie); or saquinavir (Invirase); itraconazole (Ketek). Additionally, let your doctor and pharmacist know if you’re taking steroid drugs for asthma, allergies, or a rash, such as dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
  • If your nose has recently undergone surgery, if it has been hurt in any way, or if it has sores, let your doctor know. Tell your doctor if you have or have ever had liver disease, any kind of infection, a herpes infection of the eye (an infection that results in a sore on the eyelid or eye surface), cataracts (clouding of the lens of the eye), glaucoma (an eye disease), asthma (sudden episodes of wheezing, shortness of breath, and trouble breathing). If you have chicken pox, measles, tuberculosis (TB; a form of lung illness), or if you have come into contact with someone who does, let your doctor know.
  • If you are breastfeeding a child or intend to become pregnant, let your doctor know. Call your doctor if you become pregnant while taking budesonide.

What should I do if I forget a dose?

The missed dose should be taken as soon as you remember. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Side effects are possible with budesonide nasal spray. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Nasal dryness, stinging, burning, or irritation
  • Tiredness
  • Weakness
  • Vomiting
  • Nausea
  • Muscle or joint pain
  • Nosebleeds

Some side effects can be serious. If you experience any of the following symptoms, stop using budesonide nasal spray and call your doctor immediately or get emergency medical treatment:

  • Vision issues
  • Fever, chills, sore throat, cough, and other infection-related symptoms
  • Noise coming from the nostril, whistling
  • Hives
  • Rash
  • Itching
  • Swelling of the lower legs, hands, feet, ankles, or face, neck, tongue, lips, eyes, or mouth
  • Hoarseness
  • Wheezing
  • Chest constriction
  • Breathing or swallowing challenges
  • White spots in the mouth, nose, or throat

You should be aware that this drug may result in youngsters growing more slowly. If your kid needs to take this medication for longer than two months each year, consult your child’s doctor.

Other negative effects from budesonide nasal spray are possible. If you experience any strange issues while taking this drug, call your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

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

Keep this medication tightly closed in the original container and out of the reach of children. Store it away from light, excessive heat, and moisture at room temperature (not in the bathroom). Avoid freezing.

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medicines website at for additional information.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

What other information should I know?

The applicator for your nasal spray should occasionally be cleaned. In order to remove the applicator from the container, you must first remove the dust cap. Put the dust cap and applicator back on the bottle after washing them in warm water, rinsing them in cold water, and allowing them to dry at room temperature.

Wash the spray tip in warm water, rinse it with cold water, and then dry it if it is blocked. To get the obstruction out, avoid using pins or other pointed things.

If you have any inquiries regarding budesonide nasal spray, ask your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Rhinocort® Aqua Nasal Spray
  • Rhinocort® Allergy Spray
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