{"id":21425,"date":"2022-05-23T07:00:55","date_gmt":"2022-05-23T07:00:55","guid":{"rendered":"https:\/\/zeepedia.com\/?p=21425"},"modified":"2022-05-23T15:00:15","modified_gmt":"2022-05-23T15:00:15","slug":"pulmicort","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/pulmicort\/","title":{"rendered":"Pulmicort &#8211; Budesonide uses, dose and side effects"},"content":{"rendered":"\n<p>0.125 mg \/ ml, 0.25 mg \/ ml and 0.5 mg \/ ml&nbsp;suspension&nbsp;for&nbsp;nebuliser<br>budesonide<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Pulmicort is and what it is used for<\/h2>\n\n\n\n<p>Pulmicort belongs to a group of medicines called\u00a0corticosteroids.\u00a0They are used to reduce\u00a0inflammation.<\/p>\n\n\n\n<p>Pulmicort is used to:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>treat, reduce and prevent\u00a0inflammation\u00a0of the airways in\u00a0asthma,<\/li><li>treat symptoms of\u00a0chronic obstructive pulmonary disease\u00a0(COPD) by reducing\u00a0inflammation\u00a0in the airways,<\/li><li>treat very severe\u00a0false croup\u00a0(laryngitis that can cause difficulty breathing).<\/li><\/ul>\n\n\n\n<p>Pulmicort should not be used as a replacement for your bronchodilator.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Pulmicort<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Pulmicort<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to budesonide or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Tell your doctor if you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have or have had liver disease or problem with the liver,<\/li><li>have pulmonary tuberculosis (active or inactive),<\/li><li>have a fungal or viral infection of the respiratory tract.<\/li><\/ul>\n\n\n\n<p>If you switch from cortisone tablets to Pulmicort, your previous allergic symptoms, such as runny nose and\u00a0eczema, may come back in some cases.\u00a0You may also experience fatigue, headaches, muscle, and joint pain, as well as occasional nausea and vomiting.\u00a0This is because the total amount of\u00a0cortisone\u00a0in the body is reduced by treating the disease locally in the lungs.\u00a0These problems disappear after some time of treatment.<\/p>\n\n\n\n<p>You should rinse your mouth with water after each dosing session, to minimize the risk of getting a fungal infection in the oral cavity and throat.&nbsp;Contact a doctor if you get symptoms of a fungal infection.<\/p>\n\n\n\n<p>In rare cases, with long-term treatment with budesonide, growth in children and adolescents may decrease.&nbsp;If your child is using this medicine for a long time, your doctor will usually want to check your child&#8217;s height regularly.<\/p>\n\n\n\n<p>If asthma worsens, consult a doctor.&nbsp;This may mean that one&nbsp;dose&nbsp;needs to be changed or that you need another treatment.<\/p>\n\n\n\n<p>In the event of an&nbsp;acute&nbsp;asthma attack, you should use your fast-acting bronchodilator medication.<\/p>\n\n\n\n<p>Contact a doctor if you experience blurred vision or other visual disturbances.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Your doctor will regularly check the height of children receiving long-term treatment with Pulmicort.&nbsp;If growth slows, treatment should be re-evaluated.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Pulmicort<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Some medicines may affect or be affected by treatment with Pulmicort, such as those containing:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>ketoconazole&nbsp;or itraconazole (found in medicines used to treat fungal infections).<\/li><li>saquinavir, indinavir, ritonavir, nelfinavir, amprenavir, lopinavir, fosamprenavir, atazanavir or tipranavir (so-called&nbsp;HIV&nbsp;protease&nbsp;inhibitors&nbsp;used against&nbsp;HIV&nbsp;).<\/li><\/ul>\n\n\n\n<p>Pulmicort can affect a test that is done to check the function of the pituitary gland, the ACTH stimulation test, which can give incorrectly low values.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>Experience with use during pregnancy does not indicate an increased risk of malformations.&nbsp;However, talk to your doctor before using Pulmicort during pregnancy, as your asthma severity may change and treatment may need to be adjusted.<\/p>\n\n\n\n<p>Budesonide passes into breast milk.\u00a0However, at\u00a0therapeutic doses\u00a0of Pulmicort, the risk of effects on breast-fed infants is considered unlikely.\u00a0Pulmicort can be used during breastfeeding.<\/p>\n\n\n\n<p>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<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Pulmicort does not affect your ability to drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Pulmicort<\/h2>\n\n\n\n<p>Always use this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>Your doctor will decide on a&nbsp;dose&nbsp;to suit you.<\/p>\n\n\n\n<p>The number of dosing sessions varies depending on how severe your illness is.<\/p>\n\n\n\n<p>You should use Pulmicort regularly, or as directed by your doctor, even if you have no symptoms.<\/p>\n\n\n\n<p>Pulmicort\u00a0suspension\u00a0for\u00a0nebulizer\u00a0is inhaled using a\u00a0nebulizer\u00a0(= inhaler).\u00a0When inhaling through the mouthpiece or face mask, the medicine follows the inhaled air down to the airways.\u00a0It is therefore important that you inhale with even and calm breaths when you take your\u00a0dose, see the user manual.<\/p>\n\n\n\n<p><strong>User manual<\/strong><\/p>\n\n\n\n<p>Pulmicort\u00a0suspension\u00a0for\u00a0nebulizers\u00a0should only be used in a special inhaler called a\u00a0nebulizer.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Mix the solution before use by gently swirling the single-dose container.<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19950522000010#\" rel=\"noopener\"><\/a><br><\/li><li>Hold the single-dose container with the tip facing up and open by turning the wing.<br><br><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19950522000010#\" rel=\"noopener\"><\/a><\/li><li>Squeeze the liquid into the nebulization container.<br><br><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19950522000010#\" rel=\"noopener\"><\/a><\/li><\/ol>\n\n\n\n<p>The single-dose container is marked with a dash (only Pulmicort 0.25 mg\/ml and 0.5 mg\/ml).\u00a0This line shows 1 ml when the single-dose container is held upside down.<\/p>\n\n\n\n<p>If only 1 ml is to be used, empty the single-dose container until the liquid level reaches the line.<\/p>\n\n\n\n<p>Keep the opened single-dose container protected from light.<\/p>\n\n\n\n<p>The opened single-dose container should be used within 12 hours.<\/p>\n\n\n\n<p>Gently swirl the single-dose container before using the remaining liquid.<\/p>\n\n\n\n<p>As there should always be at least 2 ml in the nebulizer container from the beginning, dilute with saline solution (or mix with another\u00a0nebulizer\u00a0fluid, as prescribed by your doctor) if you are only inhaling 1 ml\u00a0of Pulmicort\u00a0nebulizer\u00a0suspension.<\/p>\n\n\n\n<p>When inhaling, it is important to inhale with even and calm breaths through the nebulizer nozzle.&nbsp;For children, a face mask can be used to make it easier for the child to cope with inhalation.<\/p>\n\n\n\n<p>Rinse your mouth with water after each dosing session, so that you can remove any medicine that may remain in your mouth.<\/p>\n\n\n\n<p>If a face mask is used: Make sure that the mask closes tightly when\u00a0inhaling\u00a0and that the face is washed afterward.<\/p>\n\n\n\n<p><em>Cleaning<\/em><\/p>\n\n\n\n<p>Clean the nebulization container and the mouthpiece or face mask in warm water with a mild detergent after each treatment session.&nbsp;Rinse well and dry.<\/p>\n\n\n\n<p>For further information, see the nebulizer manufacturer&#8217;s recommendations.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Pulmicort than you should<\/h2>\n\n\n\n<p>If you have ever used a larger\u00a0dose\u00a0than your doctor prescribed, you are unlikely to experience any\u00a0side effects.\u00a0However, if you use a larger\u00a0dose\u00a0than your doctor prescribes for a longer period (months), there is a risk that you will experience\u00a0side effects.<\/p>\n\n\n\n<p>If you have ingested too much medicine or if e.g.\u00a0a child ingested the medicine by mistake, contact a doctor or hospital for risk assessment and advice.<\/p>\n\n\n\n<p>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<h2 class=\"wp-block-heading\">If you forget to take Pulmicort<\/h2>\n\n\n\n<p>If you forget to take a\u00a0dose, take the next\u00a0dose\u00a0as usual.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><em>Serious&nbsp;side effects&nbsp;are<\/em><\/p>\n\n\n\n<p><em>Common (may affect up to 1 in 10 people):&nbsp;<\/em>pneumonia&nbsp;(in COPD patients).<\/p>\n\n\n\n<p>Tell your doctor if you have any of the following symptoms while taking Pulmicort as they may be symptoms of pneumonia:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fever or chills<\/li><li>increased mucus production changed the color of the mucus<\/li><li>increased cough or increased difficulty breathing.<\/li><\/ul>\n\n\n\n<p><em>Rare&nbsp;<\/em>&nbsp;<em>(may&nbsp;<\/em><em>affect up to 1 in 1,000 people&nbsp;<\/em><em>)<\/em>&nbsp;:&nbsp;angioedema&nbsp;, anaphylactic reactions, bronchospasm (bronchospasm).<\/p>\n\n\n\n<p>Stop taking Pulmicort and contact your doctor immediately if you get any of the following symptoms of angioedema:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>swelling of the face, tongue, or throat<\/li><li>difficulty swallowing<\/li><li>hives\u00a0and difficulty breathing.<\/li><\/ul>\n\n\n\n<p>Other&nbsp;side effects&nbsp;ar<\/p>\n\n\n\n<p><em>Common\u00a0<\/em>\u00a0<em>(may\u00a0affect up to 1 in 10 people\u00a0)<\/em>: Throat irritation, cough, fungal infection of the oral cavity and throat.<\/p>\n\n\n\n<p><em>Uncommon\u00a0<\/em>\u00a0<em>(may\u00a0affect up to 1 in 100 people\u00a0)<\/em>: Cataracts (clouding of the lens of the eye), blurred vision, depression, anxiety, muscle cramps, tremors.<\/p>\n\n\n\n<p><em>Rare\u00a0<\/em>\u00a0<em>(may\u00a0affect up to 1 in 1,000 people\u00a0)<\/em>: Immediate and delayed\u00a0hypersensitivity reactions\u00a0such as\u00a0hives\u00a0and other skin rashes, contact dermatitis, and\u00a0corticosteroid\u00a0effects (see below).\u00a0Bruising,\u00a0dysphonia\u00a0(speech difficulties), hoarseness, restlessness, anxiety, and behavioral disorders (occurs predominantly in children).<\/p>\n\n\n\n<p><em>Has been reported (occurs in an unknown number of users):<\/em>\u00a0\u00a0Cataracts (increased pressure in the eye), sleep problems, aggression, feeling very hurried, and\/or irritability.<\/p>\n\n\n\n<p>Skin irritations on the face have been reported in some cases when a face mask has been used.&nbsp;To avoid this, always wash your face after using a face mask, see the user manual.<\/p>\n\n\n\n<p>Inhaled corticosteroids&nbsp;can affect the normal production of steroid hormones in the body, especially if you use high&nbsp;doses&nbsp;for a long time.&nbsp;The effects include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Changes in bone mineral density (thinning of the skeleton).<\/li><li>Cataracts (cloudiness of the eye lens).<\/li><li>Cataracts&nbsp;(increased pressure in the eye).<\/li><li>A subdued growth rate in children and adolescents.<\/li><li>An effect on the adrenal glands (a small&nbsp;gland&nbsp;that sits next to the kidney).<\/li><\/ul>\n\n\n\n<p>The likelihood of these effects occurring is much less for inhaled&nbsp;corticosteroids&nbsp;than for cortisone tablets.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Pulmicort<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Store the single-dose containers in a sealed foil envelope.\u00a0Sensitive to light.<\/li><li>The single-dose containers should be stored upright and at a maximum of 30 \u00b0 C.<\/li><li>Single-dose containers\u00a0in an open foil envelope should be consumed within 3 months.<\/li><li>Opened\u00a0single-dose containers\u00a0are stable for 12 hours.\u00a0Note that if only 1 ml is used, the remaining volume is not\u00a0sterile.<\/li><li>Keep this medicine out of the sight and reach of children.<\/li><li>Do not use this medicine after the expiry date which is stated on the carton after EXP.\u00a0The expiration date is the last day of the specified month.<\/li><li>Medicines should not be disposed of via wastewater or household waste.\u00a0Ask your pharmacist how to dispose of medicines no longer required.\u00a0These measures will help to protect the environment.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is budesonide.\u00a0A\u00a0single-dose container\u00a0(2 ml) contains 0.25 mg, 0.5 mg and 1 mg budesonide respectively.<\/li><li>The other ingredients (excipients) are disodium edetate, sodium chloride, polysorbate 80, citric acid (anhydrous), sodium citrate, and water for injections.\u00a0These ingredients are included as excipients so that the\u00a0suspension\u00a0can be manufactured.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Each pack (20&#215;2 ml) contains 4 foil envelopes with 5 single-dose containers of 2 ml each.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>AstraZeneca AB, 151 85 S\u00f6dert\u00e4lje.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pulmicort belongs to a group of medicines called corticosteroids . They are used to reduce inflammation .<\/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":[2200,18527],"tags":[14461,22073,4130,4132,22069,22072,8284,4131,22070,22071],"class_list":["post-21425","post","type-post","status-publish","format-standard","hentry","category-medicines","category-p","tag-benefits-of-budesonide","tag-benefits-of-pulmicort","tag-budesonide","tag-budesonide-side-effects","tag-pulmicort","tag-pulmicort-side-effects","tag-what-budesonide-is-used-for","tag-what-is-budesonide","tag-what-is-pulmicort","tag-what-pulmicort-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21425","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=21425"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21425\/revisions"}],"predecessor-version":[{"id":21457,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21425\/revisions\/21457"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=21425"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=21425"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=21425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}