Why is this medication prescribed?

Pulmicort Respules is a brand name for budesonide, which is a corticosteroid medication used to treat asthma. It is prescribed to control and prevent symptoms such as wheezing and shortness of breath caused by asthma. Budesonide works by reducing inflammation in the airways, which helps to improve breathing.

How should this medicine be used?

The medication is typically prescribed for long-term asthma management, and it is not intended for the relief of acute asthma attacks. It is important to use Pulmicort Respules regularly, even if you feel well, as it helps to maintain asthma control over time. Here are general guidelines on how to use Pulmicort Respules:

• Dosage: The dosage of Pulmicort Respules varies depending on the severity of your asthma and your individual response to the medication. Your healthcare provider will determine the appropriate dosage for you.
• Administration: Pulmicort Respules is intended for inhalation using a nebulizer, a device that converts the medication into a fine mist that you can breathe in. The nebulizer should be used under the guidance of your healthcare provider or as directed in the patient information leaflet.
• Frequency: The medication is usually taken once or twice a day, as prescribed by your healthcare provider. It’s important to follow the prescribed schedule consistently.
• Rinse your mouth: After each use, it’s recommended to rinse your mouth with water to help minimize the risk of developing oral thrush, a fungal infection.
• Follow instructions: Always follow the specific instructions provided by your healthcare provider or pharmacist. Do not exceed the prescribed dosage unless advised by your healthcare professional.
• Keep using regularly: Pulmicort Respules is a maintenance medication, and its effectiveness depends on regular use. Even if you feel better, do not stop using it without consulting your healthcare provider.

It’s crucial to discuss any concerns or questions about your medication with your healthcare provider, as they can provide personalized advice based on your medical history and condition.

Other uses for this medicine

Sometimes, medications are used “off-label” for conditions other than the one they were initially approved for. However, any off-label use should be discussed thoroughly with your healthcare provider.

What special precautions should I follow?

As for special precautions, here are some important considerations when using Pulmicort Respules:

• Inform your healthcare provider: Provide a comprehensive medical history to your healthcare provider, including any allergies, previous reactions to medications, and existing medical conditions.
• Pregnancy and breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, inform your healthcare provider. The risks and benefits of using Pulmicort Respules during pregnancy or breastfeeding should be carefully considered.
• Systemic effects: Although Pulmicort Respules is an inhaled corticosteroid, it is possible for some of the medication to be absorbed into the bloodstream. Prolonged and high-dose use may lead to systemic effects, so your healthcare provider will monitor and adjust the dosage accordingly.
• Infections: Corticosteroids, including budesonide, can suppress the immune system. Inform your healthcare provider if you develop any signs of infection, such as fever, cough, or other symptoms.
• Bone health: Long-term use of corticosteroids may affect bone health. Your healthcare provider may monitor your bone density and provide guidance on maintaining bone health.
• Adrenal function: Prolonged use of corticosteroids can affect adrenal gland function. Your healthcare provider may monitor your adrenal function, especially during periods of stress or when adjusting the dosage.
• Rinse mouth after use: As mentioned earlier, rinsing your mouth with water after each use can help minimize the risk of developing oral thrush, a fungal infection.
• Interactions with other medications: Inform your healthcare provider about all the medications, including over-the-counter drugs and supplements, that you are taking. Some medications may interact with Pulmicort Respules.

Always follow your healthcare provider’s instructions and attend regular check-ups to monitor your response to the medication and address any potential concerns. If you experience any unusual or severe side effects, contact your healthcare provider promptly.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with Pulmicort Respules. However, maintaining a healthy and well-balanced diet can contribute to overall well-being, including respiratory health.

What should I do if I forget a dose?

If you forget to take a dose of Pulmicort Respules, take it as soon as you remember. However, if it is 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.

What side effects can this medication cause?

Pulmicort Respules (budesonide) is generally well-tolerated, but like any medication, it can cause side effects. Not everyone will experience these side effects, and their severity can vary. Common side effects are usually mild and may include:

• Nasal congestion or irritation: This can occur if some of the medication is swallowed rather than inhaled.
• Sore throat: Gargling or rinsing your mouth after using Pulmicort Respules may help reduce the risk of a sore throat.
• Coughing: Some people may experience coughing, which is usually mild and temporary.

These mild side effects are often related to the local effects of the medication in the throat and mouth and tend to improve with continued use.

However, in some cases, corticosteroids like budesonide can lead to more serious side effects, especially with long-term or high-dose use. It’s important to contact your healthcare provider if you experience any of the following:

• Signs of infection: Corticosteroids may suppress the immune system, increasing the risk of infections. Notify your healthcare provider if you develop symptoms such as fever, persistent sore throat, or any signs of infection.
• Oral thrush: This is a fungal infection in the mouth that may occur if the medication is not rinsed from the mouth after use. Rinsing your mouth after each use can help prevent this.
• Changes in vision: In rare cases, corticosteroids may lead to glaucoma or cataracts. Contact your healthcare provider if you experience changes in vision.
• Adrenal suppression: Prolonged use of corticosteroids may affect adrenal gland function. Signs of adrenal suppression include fatigue, weakness, weight loss, and low blood pressure.
• Allergic reactions: Seek immediate medical attention if you experience symptoms of a serious allergic reaction, such as rash, itching/swelling, severe dizziness, or difficulty breathing.

It’s important to note that the benefits of using Pulmicort Respules in controlling asthma symptoms generally outweigh the potential risks of side effects. Your healthcare provider will monitor your response to the medication and adjust the dosage as needed. Always consult your healthcare provider if you have any concerns or experience unexpected side effects.

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

Storage and Disposal of Pulmicort Respules:

• Storage: Store Pulmicort Respules at room temperature, away from light and moisture. Avoid freezing. Keep the medication out of reach of children and pets.
• Expiration Date: Check the expiration date on the packaging, and do not use the medication if it has expired.
• Protect from Light: Keep the Pulmicort Respules in the foil pouch until ready for use. Protect from light and moisture.
• Disposal: Dispose of used vials and any unused medication as directed by your healthcare provider or pharmacist. Do not flush medications down the toilet unless instructed to do so. Follow local regulations for proper disposal.

In case of emergency/overdose

In case of an emergency or accidental overdose, contact your local poison control center (1-800-222-1222 in the United States) or seek emergency medical attention immediately. Symptoms of an overdose may include:

• Severe headache
• Weakness
• Fatigue
• Nausea or vomiting
• Increased thirst or urination

It’s important to take the medication as prescribed by your healthcare provider to avoid the risk of overdose. If you suspect an overdose or experience severe side effects, seek prompt medical attention.

What other information should I know?

• Regular Follow-ups: Attend regular follow-up appointments with your healthcare provider to monitor your asthma and adjust the treatment plan if needed.
• Inform Healthcare Providers: Inform all healthcare providers, including dentists and specialists, that you are using Pulmicort Respules. They should be aware of your complete medication list.
• Avoid Smoking: If you smoke, quitting is essential for better asthma control. Smoking can worsen respiratory symptoms and reduce the effectiveness of asthma medications.
• Educate Yourself: Learn how to use the nebulizer device properly and understand the correct technique for inhaling the medication. If you have any questions, consult your healthcare provider or pharmacist.
• Carry an Asthma Action Plan: Have an asthma action plan in place, which outlines the steps to take in case of worsening symptoms or an asthma attack. Share this plan with family members, caregivers, and others close to you.

Always follow your healthcare provider’s instructions, and if you have any questions or concerns about Pulmicort Respules, don’t hesitate to reach out to your healthcare provider or pharmacist for guidance. They can provide information specific to your individual health needs.