Drugs >  Budesonide
Budesonide
Pronunciation
Brand Names
Foreign Brand Names
Therapeutic Categories
What key warnings should I know about before taking this medicine?
Reasons not to take this medicine
What is this medicine used for?
How does it work?
How is it best taken?
What do I do if I miss a dose?
What are the precautions when taking this medicine?
What are the common side effects of this medicine?
What should I monitor?
Reasons to call healthcare provider immediately
How should I store this medicine?
General statements

Pronunciation
(byoo DES oh nide)

Brand Names
Pulmicort Respules™; Pulmicort® Turbuhaler®; Rhinocort®; Rhinocort® Aqua™

Foreign Brand Names
Entocort® (Canada); Pulmicort® (Canada)

Therapeutic Categories
Corticosteroid, Oral Inhaler; Corticosteroid, Nasal

What key warnings should I know about before taking this medicine?

  • When switching from an oral steroid to an inhaled one there can be problems. Symptoms such as weakness, feeling tired, dizziness, nausea, vomiting, inability to think clearly, or low blood sugar may occur. Call healthcare provider right away if any of these occur. If you have a serious accident and are injured, have surgery, or any type of infection, you may need extra doses of oral steroids. These extra steroids will help your body deal with these stresses. Carry a warning card saying that you may need extra steroids at certain times.


Reasons not to take this medicine

  • If you have an allergy to budesonide or any other part of the medicine.
  • If you have an asthma attack or a long asthma attack that requires emergency care.


What is this medicine used for?

  • Oral inhalation:
    • This medicine is used for the treatment of chronic asthma to prevent attacks. It is not helpful during an asthma attack. The biggest benefit may be seen after 2 weeks of the medicine.
  • Nasal:
    • This medicine is used to treat nasal symptoms in patients with allergies. It is not helpful during an allergy attack. The biggest benefit may be seen after 1-2 weeks of regular use.
  • Nebulizer:
    • This medicine is used for children 1 year to 8 years old for the treatment of chronic asthma to prevent attacks. You may see improvement in 2-8 days but the biggest benefit may be seen after 4-6 weeks of use.


How does it work?

  • Oral inhalation:
    • Budesonide prevents and reduces irritation in the airways of the lungs and may relax the muscles of the airways to prevent lung spasms.
  • Nasal:
    • Budesonide prevents and reduces irritation and swelling in the nose.
  • Nebulizer:
    • The nebulizer creates a fine medication mist. The mist is inhaled into your child's lungs. It decreases inflammation there.


How is it best taken?

  • Oral inhalation:
    • Check inhaler use with healthcare provider at each visit. Using the inhaler the right way is very important.
    • Rinse mouth after use.
    • Do not suddenly stop using this medicine if you have been taking it at a high dose for a long time. Medicine should be slowly decreased.
  • Nasal:
    • For the nose only. Use at a similar time every day. Shake well first.
    • Blow your nose before using.
    • Check spray use with healthcare provider at each visit.
  • Nebulizer:
    • Read the instructions that come with medicine.
    • Do not mix other medicines in nebulizer.
    • Rinse mouth after use. Wash face if using a face mask.


What do I do if I miss a dose?

  • Use a missed dose as soon as possible.
  • If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
  • Do not use a double dose or extra doses.
  • Do not stop using with talking with healthcare provider.


What are the precautions when taking this medicine?

  • Avoid exposure to chickenpox and measles.
  • Wear disease medical alert identification if you have asthma, lung disease, or are an allergy sufferer or if you are going to be on this medicine more than 3-4 weeks.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
  • Tell healthcare provider if you are pregnant or plan on getting pregnant.
  • Tell healthcare provider if you are breast-feeding.


What are the common side effects of this medicine?

  • Oral inhaler:
    • Headache. Mild pain medicine may help.
    • Sore throat, stuffy or runny nose, hoarseness.
    • Mouth infection. To prevent, rinse with water after each use.
  • Nasal:
    • Headache. Mild analgesic may help.
    • Nasal irritation, burning, bleeding, and dryness.
  • Nebulizer:
    • Lung infection.
    • Runny, irritated nose.
    • Cough
    • Ear infection.
  • Yeast infection of the mouth and mouth sores. To prevent sores, rinse mouth with water and spit out.


What should I monitor?

  • If a child is using this medicine, monitor growth carefully.
  • Follow up with healthcare provider.


Reasons to call healthcare provider immediately

  • Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat.
  • Any signs or symptoms of infection. This may include a fever greater than 99 degrees for more than 2 days, chills, severe sore throat, ear or sinus pain, cough, increased sputum or change in color, painful urination, mouth sores, wound that will not heal, anal itching or pain.
  • Feeling weak, tired, irritable, trembling, having rapid heartbeats, confusion, sweating, dizzy, especially if you missed a dose or recently stopped this medicine.
  • If exposure to chickenpox has occurred and the child has not had chickenpox or been vaccinated against it.
  • No improvement in condition or feeling worse.


How should I store this medicine?

  • Oral inhalation:
    • Store powder at room temperature in a dry place.
    • Use powder within 2 months after opening foil package.
  • Nasal:
    • Store spray at room temperature. Throw away after 6 months.
  • Nebulizer:
    • Store upright at room temperature Protect from light. Use within 2 weeks once opened.


General statements

  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant).
  • Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).


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