200 micrograms\/dose\u00a0inhaled powder
budesonide<\/p>\n\n\n\n
The active substance in Novopulmon Novolizer, budesonide, is a\u00a0glucocorticoid\u00a0(\u00a0corticosteroid\u00a0) intended for\u00a0inhalation.<\/p>\n\n\n\n
Novopulmon Novolizer is used for the long-term treatment of\u00a0chronic\u00a0asthma.<\/p>\n\n\n\n
NOTE:<\/strong><\/p>\n\n\n\n Novopulmon Novolizer should\u00a0not<\/em>\u00a0be used for the treatment of sudden attacks of shortness of breath (acute asthma attack or\u00a0status asthmaticus\u00a0(very frequent asthma attacks and\/or asthma attacks lasting several days)).<\/p>\n\n\n\n Talk to your doctor or pharmacist before using Novopulmon Novolizer.<\/p>\n\n\n\n Contact a doctor if you experience blurred vision or other visual disturbances.<\/p>\n\n\n\n Take special care with Novopulmon Novolizer<\/strong><\/p>\n\n\n\n It is not advisable to treat sudden shortness of breath or persistent, sharp contraction of the trachea ( status asthmaticus ) with budesonide. To remedy your acute symptoms, your doctor will advise you to use a fast-acting bronchodilator inhalation medicine.<\/p>\n\n\n\n If you have severe liver disease, the breakdown of budesonide may be impaired. This in turn can lead to elevated levels of budesonide in the blood.<\/p>\n\n\n\n All inhaled\u00a0glucocorticoids\u00a0can cause\u00a0side effects, especially if high\u00a0doses\u00a0are used for a long time.\u00a0However, these\u00a0side effects\u00a0are much less likely with inhalation therapy than with the use of glucocorticoid tablets.\u00a0Possible\u00a0side effects\u00a0include impaired adrenal function, Cushing’s syndrome, Cushing’s-like symptoms (a hormonal disorder caused by high levels of\u00a0cortisol\u00a0in the blood with obesity, ‘moon face’, thinning of the skin, high\u00a0blood pressure, etc.), osteoporosis, growth disorders in children and adolescents and eye diseases. (gray and\u00a0green cataracts), and more rarely a range of psychological or behavioral disorders including\u00a0psychomotor\u00a0hyperactivity (restlessness with increased activity), sleep disorders, anxiety, depression, or aggression (especially in children).\u00a0Therefore, you must use the lowest possible\u00a0dose\u00a0needed to keep your\u00a0asthma\u00a0under control.<\/p>\n\n\n\n If stressful or acute situations (eg severe\u00a0infections, injuries, or operations) occur during the first months after the transition from tablets to inhalation therapy, treatment with tablets or\u00a0intravenous\u00a0drip may need to be resumed.\u00a0The same applies to patients who have already been treated for a long time with high\u00a0doses\u00a0of inhaled\u00a0glucocorticoids.\u00a0These patients may also have adrenal insufficiency and may need treatment with\u00a0glucocorticoids\u00a0in tablet form or as an\u00a0intravenous\u00a0drip during periods of stress and\/or before a scheduled surgery.<\/p>\n\n\n\n After the transition to inhalation therapy, symptoms may occur that have been prevented during the previous treatment with\u00a0glucocorticoids\u00a0in tablet form or\u00a0intravenous\u00a0drip, e.g.\u00a0allergic rhinitis, an allergic rash, or rheumatic symptoms.\u00a0These symptoms should be treated with appropriate medication.\u00a0Some patients may experience general malaise for some time after switching to inhalation therapy, even if lung function is unchanged or even improved.\u00a0In these cases, consult a doctor.\u00a0The doctor will assess whether your treatment can continue unchanged or whether you should end the treatment, e.g.\u00a0if you have symptoms of insufficient adrenal function.<\/p>\n\n\n\n Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription.<\/p>\n\n\n\n Some medicines may increase the effect of Novopulmon Novolizer and your doctor may want to monitor you closely if you are taking these medicines (eg some HIV medicines: nelfinavir, ritonavir, cobicistat, and medicines to treat fungal diseases:\u00a0ketoconazole, itraconazole). Elevated\u00a0plasma\u00a0concentrations and increased efficacy of\u00a0corticosteroids\u00a0(which is a steroid hormone) have been observed in women treated concomitantly with\u00a0estrogen\u00a0(another steroid hormone) or steroid-containing contraceptives but no effect has been observed with budesonide and concomitant use with combined low-dose oral contraceptives.<\/p>\n\n\n\n Because adrenal function may be impaired, ACTH stimulation tests performed to check pituitary function may give incorrect results (low values).<\/p>\n\n\n\n If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n Pregnancy<\/em><\/p>\n\n\n\n Most results from post-marketing studies and information worldwide have not been able to demonstrate an increased risk of\u00a0side effects\u00a0for the fetus and the newborn baby when using inhaled budesonide during pregnancy.\u00a0Both the fetus and the mother need to maintain\u00a0adequate\u00a0asthma treatment during pregnancy.\u00a0Like other medicines given during pregnancy, the benefits of budesonide to the mother should be weighed against the risks to the fetus.<\/p>\n\n\n\n Breast-feeding<\/em><\/p>\n\n\n\n Budesonide passes into breast milk.\u00a0However, no effects on the breast-fed infant are expected at\u00a0doses\u00a0used during treatment.\u00a0Maintenance treatment with inhaled budesonide (200 or 400 micrograms twice daily) in breastfeeding women with\u00a0asthma\u00a0shows negligible amounts of budesonide in the breast-fed infant.<\/p>\n\n\n\n Novopulmon Novolizer can therefore be used during breastfeeding.<\/p>\n\n\n\n Budesonide does not influence the ability to drive and use machines.<\/p>\n\n\n\n Novopulmon Novolizer contains milk sugar (\u00a0lactose\u00a0), 10.7 mg lactose monohydrate\/dose\u00a0given.\u00a0The lactose content of a\u00a0dose\u00a0usually does not cause any problems in patients with lactose intolerance.\u00a0Talk to your doctor if you are worried about not being able to tolerate\u00a0lactose.\u00a0Milk sugar (\u00a0lactose\u00a0) contains small amounts of milk protein.<\/p>\n\n\n\n Always use this medicine exactly as your doctor has told you. Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n Patients who have not previously been treated with glucocorticoids and patients who have previously used inhaled steroids<\/em><\/p>\n\n\n\n Unless your doctor prescribes otherwise, this dosage is recommended for:<\/p>\n\n\n\n Adults (and older) and children \/ young people over 12 years:<\/em><\/p>\n\n\n\n Children aged 6-12 years:<\/em><\/p>\n\n\n\n If you use 1 dose daily, it is recommended that you take this dose in the evening.<\/p>\n\n\n\n Children under 6 years:<\/em><\/p>\n\n\n\n Novopulmon Novolizer is not recommended for use in children below 6 years due to insufficient data on safety and efficacy.<\/p>\n\n\n\n Help your child use the Novolizer inhaler correctly.<\/p>\n\n\n\n Children<\/strong><\/p>\n\n\n\n Regular monitoring of growth in children receiving long-term treatment with high-dose\u00a0inhaled glucocorticoids is recommended.<\/p>\n\n\n\n Older<\/strong><\/p>\n\n\n\n Usually, no special dose adjustment is needed.\u00a0In general, the lowest effective\u00a0dose\u00a0for adequate asthma control should be used.<\/p>\n\n\n\n If the symptoms worsen (which you notice, for example, persistent shortness of breath and increased need for other bronchodilators), you should see a doctor as soon as possible.\u00a0If you have so far taken one\u00a0inhalation\u00a0a day, in this case you may need two\u00a0inhalations\u00a0daily (in the morning\u00a0and<\/em>\u00a0the evening).\u00a0Your doctor will decide if your usual\u00a0dose\u00a0of Novopulmon Novolizer needs to be increased.<\/p>\n\n\n\n If you have the impression that the effect of Novopulmon Novolizer is too weak or too strong, tell your doctor or pharmacist.<\/p>\n\n\n\n For the treatment of acute asthma symptoms, always take short-acting bronchodilators (beta-2-\u00a0agonist, eg\u00a0salbutamol\u00a0) with you.<\/p>\n\n\n\n Your doctor may adjust your asthma treatment as you switch from using another inhaled budesonide to Novopulmon Novolizer.<\/p>\n\n\n\n Method of administration<\/strong><\/p>\n\n\n\n For\u00a0inhalation.<\/p>\n\n\n\n Perform inhalation according to the instructions in the instructions for use.<\/p>\n\n\n\n Important information about the use<\/strong><\/p>\n\n\n\n To reduce the risk of fungal infections in the oral cavity and throat as well as hoarseness, it is recommended that you perform\u00a0inhalation\u00a0one\u00a0before a meal<\/em>\u00a0and\/or that you rinse your mouth with water or brush your teeth after each\u00a0inhalation.<\/p>\n\n\n\n Duration of treatment<\/strong><\/p>\n\n\n\n Novopulmon Novolizer is intended for long-term treatment. You should use the medicine regularly as prescribed also during periods when you have no symptoms at all.<\/p>\n\n\n\n If you have not used glucocorticoids before<\/em> or have been temporarily treated with glucocorticoids for only a short period, regular use of Novopulmon Novolizer as directed will lead to improved breathing after approximately 10 days. However, large accumulations of mucus and inflammatory processes can prevent the passage of airways to such an extent that budesonide can not exert its full effect on the lungs. In these cases, treatment should initially be supplemented with cortisone drugs (systemic glucocorticoids ) in tablet form. After a while, the tablet dose should be gradually reduced while the inhalation treatment is continued.<\/p>\n\n\n\n If you have been taking cortisone for a long time<\/em>, switch to Novopulmon Novolizer at a time when your symptoms are under control.\u00a0Usually, the function is then impaired in the\u00a0adrenal cortex,\u00a0and intake of cortisone tablets (\u00a0systemic\u00a0intake of\u00a0glucocorticoid\u00a0) should therefore be gradually reduced and must not be stopped abruptly.\u00a0At the beginning of the transition period, Novopulmon Novolizer should be given as a supplement for approximately 10 days.\u00a0Depending on how you react to the treatment, then the daily\u00a0dose\u00a0of one of the cortisone tablets can be gradually reduced in intervals of one to two weeks.<\/p>\n\n\n\n You must take a\u00a0dose\u00a0as stated on the label on the package or as your doctor has informed you.\u00a0Do not increase or decrease the\u00a0dose\u00a0without consulting a doctor.<\/p>\n\n\n\n If you have ingested too much medicine or if e.g.\u00a0If a child has ingested the medicine by mistake, contact a doctor, hospital for risk assessment and advice.<\/p>\n\n\n\n Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n Do not stop taking Novopulmon Novolizer without talking to your doctor beforehand, as sudden discontinuation of the medication may make the disease worse.<\/p>\n\n\n\n If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n The main side effects<\/strong><\/p>\n\n\n\n Mucosal irritation (throat irritation) with accompanying swallowing difficulties, hoarseness, and cough may be common.<\/p>\n\n\n\n Treatment with inhaled budesonide may cause fungal infections of the mouth and throat.\u00a0Experience has shown that this fungal infection occurs less frequently if\u00a0inhaled\u00a0before a meal and\/or if the mouth is rinsed or the teeth are brushed after\u00a0inhalation.\u00a0In most cases, this condition responds to local antifungal treatment without the need to discontinue treatment with Novopulmon Novolizer.<\/p>\n\n\n\n As is the case with other inhalation treatments, in rare cases of tracheal spasm (paradoxical\u00a0bronchospasm\u00a0) may occur.\u00a0This is characterized by a transient worsening of shortness of breath and an immediate increase in wheezing after\u00a0dosing.\u00a0Only in this case should you discontinue treatment with Novopulmon Novolizer on your own and contact your doctor immediately.<\/p>\n\n\n\n Inhalation\u00a0of high\u00a0doses\u00a0for a long time can increase the tendency for\u00a0infection.\u00a0The ability to adapt to stress can be impaired.<\/p>\n\n\n\n Other side effects ar<\/strong><\/p>\n\n\n\n Uncommon (may affect up to 1 in 100 people): Rare (may affect up to 1 in 1,000 people):<\/p>\n\n\n\n Allergic reactions (hypersensitivity) and swelling of the face, eyes, lips, mouth, and throat (\u00a0angioneurotic edema\u00a0),\u00a0anaphylactic reaction, impaired adrenal insufficiency (adrenal suppression);\u00a0stunted growth in children and adolescents, restlessness, anxiety, abnormal behavior, feeling of being very hurried and\/or irritable (these\u00a0side effects\u00a0are more likely to occur in children);\u00a0skin reactions, i.a.\u00a0hives,\u00a0eczema, dermatitis (\u00a0dermatitis\u00a0),\u00a0pruritus,\u00a0redness\u00a0of the blood vessels due to blood\u00a0vessels\u00a0(\u00a0erythema\u00a0), bruising, alteration of voice and hoarseness (in children).<\/p>\n\n\n\n Very rare (may affect up to 1 in 10,000 people):<\/p>\n\n\n\n Osteoporosis<\/p>\n\n\n\n Has been reported (occurs in the unknown number of users):<\/p>\n\n\n\n Sleep problems, aggression, a strong drive to be physically active with concomitant mental anxiety (\u00a0psychomotor\u00a0hyperactivity);\u00a0glaucoma.\u00a0Lactose monohydrate\u00a0contains small amounts of milk protein and can therefore cause allergic reactions.<\/p>\n\n\n\n Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n Do not use this medicine after the expiry date which is stated on the label, carton, and cassette container.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n Storage instructions<\/strong><\/p>\n\n\n\n Store the cassette in its original packaging. No special temperature instructions.<\/p>\n\n\n\n Storage during use: Close the Novolizer inhaler tightly. Moisture sensitive.<\/p>\n\n\n\n Information regarding the shelf life of opened packaging<\/strong><\/p>\n\n\n\n Replace the cartridge six months after opening.<\/p>\n\n\n\n Do not use the powder inhaler for more than 1 year.<\/p>\n\n\n\n Note: The Novolizer inhaler has been shown to work for at least 2,000 separate\u00a0doses.\u00a0Therefore, a maximum of 10 cassettes with 200\u00a0doses\u00a0each and\/or 20 cassettes with 100\u00a0doses\u00a0each can be used for the inhaler before it is replaced (within one year).<\/p>\n\n\n\n Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.<\/p>\n\n\n\n Novopulmon Novolizer,\u00a0inhalation powder, contains white powder (1.09 g or 2.18 g) in a cassette with 100 or 200 delivered\u00a0doses\u00a0packaged in a container sealed with aluminum foil and a Novolizer powder inhaler.<\/p>\n\n\n\n All components are made of plastic material.<\/p>\n\n\n\n Pack sizes:<\/strong><\/p>\n\n\n\n Original packaging:<\/em><\/p>\n\n\n\n 1 cartridge with 100\/200 doses and 1 Novolizer powder inhaler.<\/p>\n\n\n\n 2 cassettes with 200 doses each and 1 Novolizer powder inhaler.<\/p>\n\n\n\n Refill packaging:<\/em><\/p>\n\n\n\n 1 cassette with 200 dos is.<\/p>\n\n\n\n 2 cassettes with 200\u00a0doses\u00a0each.<\/p>\n\n\n\n Not all pack sizes may be marketed.<\/p>\n\n\n\n Meda AB<\/p>\n\n\n\n Box 906<\/p>\n\n\n\n 170 09 Solna<\/p>\n\n\n\n Tel. 08- 630 19 00<\/p>\n\n\n\n Email: info@meda.se<\/p>\n\n\n\n Manufacturer:<\/strong><\/p>\n\n\n\n McDermott Laboratories T \/ A Mylan Dublin<\/p>\n\n\n\n Respiratory<\/p>\n\n\n\n Unit 25 Baldoyle Industrial Estate<\/p>\n\n\n\n Grange Road, Baldoyle<\/p>\n\n\n\n Dublin 13<\/p>\n\n\n\n Ireland<\/p>\n","protected":false},"excerpt":{"rendered":" The active substance in Novopulmon Novolizer, budesonide, is a glucocorticoid ( corticosteroid ) intended for inhalation .<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15581],"tags":[14461,19224,4130,4132,19220,19223,8284,4131,19221,19222],"class_list":["post-19238","post","type-post","status-publish","format-standard","hentry","category-medicines","category-n","tag-benefits-of-budesonide","tag-benefits-of-novopulmon-novolizer","tag-budesonide","tag-budesonide-side-effects","tag-novopulmon-novolizer","tag-novopulmon-novolizer-side-effects","tag-what-budesonide-is-used-for","tag-what-is-budesonide","tag-what-is-novopulmon-novolizer","tag-what-novopulmon-novolizer-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=19238"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19238\/revisions"}],"predecessor-version":[{"id":19274,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19238\/revisions\/19274"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=19238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=19238"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=19238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}What you need to know before you use Novopulmon Novolizer<\/h2>\n\n\n\n
Do not use Novopulmon Novolizer<\/h2>\n\n\n\n
Warnings and cautions<\/h2>\n\n\n\n
Other medicines and Novopulmon Novolizer<\/h2>\n\n\n\n
Therefore, this combination should be avoided.\u00a0If this is not possible, the time interval between taking these medicines and budesonide should be as long as possible.<\/p>\n\n\n\nPregnancy and breastfeeding<\/h2>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
Novopulmon Novolizer contains milk sugar (lactose)<\/h2>\n\n\n\n
How to use Novopulmon Novolizer<\/h2>\n\n\n\n
Recommended starting dose<\/td> 1-2 doses (200-400 micrograms) 1 or 2 times daily<\/td><\/tr> Highest recommended dose<\/td> 4 doses (800 micrograms) twice daily (daily dose: 1,600 micrograms)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n Recommended starting dose<\/td> 1 dose (200 micrograms) twice daily or 1-2 doses (200-400 micrograms) once daily<\/td><\/tr> Highest recommended dose<\/td> 2 doses (400 micrograms) twice daily (daily dose: 800 micrograms)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n If you use more Novopulmon Novolizer than you should<\/h2>\n\n\n\n
If you forget to use Novopulmon Novolizer<\/h2>\n\n\n\n
If you stop using Novopulmon Novolizer<\/h2>\n\n\n\n
Possible side effects<\/h2>\n\n\n\n
Depression, anxiety or worry, cataracts, muscle cramps, tremors (tremors), blurred vision.<\/p>\n\n\n\nHow to store Novopulmon Novolizer<\/h2>\n\n\n\n
Contents of the pack and other information<\/h2>\n\n\n\n
Content declaration<\/h2>\n\n\n\n
What the medicine looks like and contents of the pack<\/h2>\n\n\n\n
Marketing Authorisation Holder:<\/h2>\n\n\n\n