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Budesonide (Systemic, Oral Inhalation)

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Notes
Related terms
Uses
Dosing
Safety
Author information

Notes

    Related terms
    • Brand Names: U.S.: Entocort® EC;Pulmicort Flexhaler®;Pulmicort Respules®
    • Brand Names: Canada: Entocort®;Pulmicort® Turbuhaler®

    Uses
    • It is used to treat asthma. It may take 2 to 6 weeks to see the full effect.
    • It is used to treat Crohn's disease. It may take 2 months to see the full effect.
    • Budesonide stops or lowers irritation and swelling.
    • It lowers or stops the body's reaction to the allergen.
    • It lowers the body's harmful response to diseases of the immune system.

    Dosing

    How to take

    • Puffer (inhaler):
    • For breathing in only.
    • Prime puffer (inhaler) before first use by twisting brown grip as far as it will go both ways. Then repeat twisting.
    • Have your puffer (inhaler) use checked with your doctor at each visit. Read and follow facts on how to use the puffer. Make sure you use the puffer the right way.
    • Do not use a spacer with the puffer (inhaler).
    • Rinse out mouth after each use.
    • If you are using a puffer (inhaler), wait 10 minutes before using this drug.
    • Oral capsule:
    • Take in the morning if taking once a day.
    • Take with or without food. Take with food if it causes an upset stomach.
    • Swallow capsule whole. Do not chew, break, or crush.
    • Liquid for breathing in:
    • For breathing in only as a liquid (solution) by a special machine (nebulizer) into the lungs.
    • Follow how to use as you have been told by your doctor or read the package insert.
    • Do not mix other drugs in nebulizer.
    • Shake well before use.
    • Rinse out mouth after each use.
    • Wash face if using a face mask.
    • If you are using a puffer (inhaler), wait 10 minutes before using this drug.

    Missed Dose

    • Take a missed dose as soon as you think about it.
    • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
    • Do not take 2 doses at the same time or extra doses.
    • Do not change the dose or stop this drug. Talk with the doctor.

    Storage

    • Oral capsule:
    • Store at room temperature.
    • Protect from heat.
    • Protect powder from water. Do not store in a bathroom or kitchen.
    • Puffer (inhaler):
    • Store at room temperature. Throw away after date shown on the puffer (inhaler).
    • Protect from water. Do not store in a bathroom or kitchen.
    • Liquid for breathing in:
    • Store upright at room temperature. Throw away any part not used after 2 weeks.
    • Protect from light.

    Safety



    Warnings

    • When changing from an oral steroid to a breathed in one, there may be problems. Signs such as weakness, feeling tired, dizziness, upset stomach, throwing up, not thinking clearly, or low blood sugar may happen. Call your doctor right away if you have any of these signs. If you have a bad crash and are harmed, 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 there may be times when you may need extra steroids.
    • Sometimes drugs are not safe when you take them with certain other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your doctor about all the drugs you take.

    Avoid

    • If you have an allergy to budesonide or any other part of this drug.
    • If you are allergic to milk, talk with the doctor.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you are having a breathing attack.

    Precautions

    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • If you have been taking this drug for many weeks, talk with your doctor before stopping. You may want to slowly stop this drug.
    • Wear disease medical alert ID (identification).
    • Talk with your doctor before getting any vaccines. Use with this drug may either raise the chance of an infection or make the vaccine not work as well.
    • Do not run out of this drug.
    • Do not use this drug to treat an asthma attack.
    • Do not take antacids within 2 hours of this drug.
    • Avoid being near anyone with chickenpox or measles.
    • If you have high blood sugar (diabetes), talk with your doctor. This drug may raise blood sugar.
    • If you have glaucoma or cataracts, talk with your doctor.
    • If you have high blood pressure, talk with your doctor.
    • If you are being treated for any infection, talk with your doctor.
    • If you have kidney disease, talk with your doctor.
    • If you have liver disease, talk with your doctor.
    • If you have soft, brittle bones (osteoporosis), talk with your doctor.
    • If you have seizures, talk with your doctor.
    • If you have stomach ulcers, talk with your doctor.
    • If you have thyroid disease, talk with your doctor.
    • If you have TB (tuberculosis), talk with your doctor.
    • If you have a weak heart, talk with your doctor.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • Tell dentists, surgeons, and other doctors that you use this drug.
    • Avoid grapefruit and grapefruit juice.
    • Avoid beer, wine, or mixed drinks.
    • Tell your doctor if you are pregnant or plan on getting pregnant.
    • Tell your doctor if you are breast-feeding.

    Side Effects

    • Puffer (inhaler):
    • Headache.
    • Nose stuffiness.
    • Mouth sores. To avoid mouth sores, rinse the mouth with water and then spit water out.
    • Lung infection.
    • Oral capsule:
    • Chance of getting an infection. Wash hands often. Stay away from people with infections, colds, or flu.
    • Headache.
    • Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
    • Pimples (acne).
    • Mood changes.
    • Liquid for breathing in:
    • Lung infection.
    • Nose stuffiness.
    • Cough.
    • Ear infection.
    • Mouth sores. To avoid mouth sores, rinse the mouth with water and then spit water out.
    • Unsafe allergic effects may rarely happen.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Signs of infection. These include a fever of 100.5°F (38°C) or higher, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, wound that will not heal, or anal itching or pain.
    • Feeling very tired, weak, or touchy; trembling; having a fast heartbeat, confusion, sweating, or dizziness if you missed a dose or recently stopped this drug.
    • Trouble breathing.
    • A big weight gain.
    • Very upset stomach or throwing up.
    • Bad nose irritation.
    • Very bad mouth irritation.
    • Very bad muscle pain or weakness.
    • Sudden change in eyesight.
    • If you have been exposed to chickenpox and have not had chickenpox or had a chickenpox vaccine.
    • Any rash.
    • Side effect or health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2013 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (www.naturalstandard.com)


    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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