{"id":21427,"date":"2022-05-23T07:02:28","date_gmt":"2022-05-23T07:02:28","guid":{"rendered":"https:\/\/zeepedia.com\/?p=21427"},"modified":"2022-05-23T15:00:05","modified_gmt":"2022-05-23T15:00:05","slug":"pulmicort-turbohaler","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/pulmicort-turbohaler\/","title":{"rendered":"Pulmicort Turbohaler &#8211; Budesonide uses, dose and side effects"},"content":{"rendered":"\n<p>100 micrograms \/ dose, 200 micrograms \/ dose and 400 micrograms \/ dose of&nbsp;inhaled powder<br>budesonide<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Pulmicort Turbohaler is and what it is used for<\/h2>\n\n\n\n<p>Pulmicort\u00a0Turbohaler\u00a0is used as a regular treatment for\u00a0asthma.<\/p>\n\n\n\n<p>Pulmicort\u00a0Turbohaler\u00a0dampens and prevents\u00a0inflammation\u00a0in the airways in\u00a0asthma.<\/p>\n\n\n\n<p>Pulmicort&nbsp;Turbohaler&nbsp;should be used regularly for preventive purposes &#8211; not to provide quick relief in acute problems.&nbsp;It may take a few weeks before you get the full effect of the treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Pulmicort Turbohaler<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Pulmicort Turbohaler<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to budesonide.<\/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>has a fungal or viral infection of the respiratory tract.<\/li><\/ul>\n\n\n\n<p>If you switch from cortisone tablets to Pulmicort\u00a0Turbohaler, in some cases your previous allergic problems such as runny nose and\u00a0eczema\u00a0may return.\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 your&nbsp;asthma&nbsp;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 asthma medicine.<\/p>\n\n\n\n<p>Contact a doctor if you experience blurred vision or other visual disturbances.<\/p>\n\n\n\n<p><strong>Children and young people<\/strong><\/p>\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 Turbohaler<\/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\u00a0Turbohaler, such as those containing:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>ketoconazole&nbsp;or itraconazole (found in antifungal agents).<\/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&nbsp;Turbohaler&nbsp;can affect a test performed to check the function of the pituitary gland, 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.\u00a0However, talk to your doctor before using Pulmicort\u00a0Turbohaler\u00a0during 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\u00a0Turbohaler, the risk of effects on breast-fed infants is considered unlikely.\u00a0Pulmicort\u00a0Turbohaler\u00a0can 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&nbsp;Turbohaler&nbsp;does not affect your ability to drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Pulmicort Turbohaler<\/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 times varies depending on how severe your&nbsp;asthma&nbsp;is.<\/p>\n\n\n\n<p>You should use Pulmicort&nbsp;Turbohaler&nbsp;regularly, that is, every day, even if you have no symptoms.<\/p>\n\n\n\n<p>Pulmicort\u00a0Turbohaler\u00a0is powered solely by your inhalation.\u00a0The medicine accompanies the inhaled air down to the airways.\u00a0It is therefore important that you inhale deeply and strongly when taking your\u00a0dose, see the user manual.<\/p>\n\n\n\n<p><em>Note that the amount of the drug is so small that\u00a0dose\u00a0one can be very difficult to perceive.<\/em><\/p>\n\n\n\n<p>You may not feel any taste or otherwise notice the medicine.&nbsp;If you follow the instructions for use, you can still be sure that you have inhaled&nbsp;dose&nbsp;one.<\/p>\n\n\n\n<p><strong>User manual<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19890908000091#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/res\/RootMedia\/AstraZeneca\/Media\/Pulmicort20turbuhaler\/Figur1.jpg\" alt=\"Picture 1\" title=\"Picture 1\"\/><\/a><\/figure>\n\n\n\n<p>When about 20\u00a0doses\u00a0are left, a red mark appears in the window of the dose indicator.\u00a0When the mark reaches the lower edge of the window, all\u00a0doses\u00a0are exhausted and the inhaler should be discarded.\u00a0There may be medication left in the inhaler, but not enough to give you an additional\u00a0dose.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><br><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19890908000091#\" rel=\"noopener\"><\/a><br><\/td><td><br><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19890908000091#\" rel=\"noopener\"><\/a><br><\/td><\/tr><tr><td>20 doses<br>left<\/td><td>The drug runs<br>out<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>How to prepare your new Pulmicort&nbsp;Turbohaler&nbsp;inhaler<\/strong><\/p>\n\n\n\n<p>Before using your\u00a0<strong>new<\/strong>\u00a0Pulmicort\u00a0Turbohaler\u00a0inhaler\u00a0<strong>for the\u00a0first time<\/strong>, you must prepare it for use as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Unscrew and lift off the protective sleeve.<\/li><li>Hold your Pulmicort&nbsp;Turbohaler&nbsp;inhaler&nbsp;upright with the knob down.<\/li><li>Turn the knob as far as it will go in one direction.&nbsp;Then turn it as far as it will go in the other direction (it does not matter which direction you turn first).&nbsp;You should hear a clicking sound.<\/li><li>Repeat this by turning the knob in both directions.<\/li><li>Your Pulmicort&nbsp;Turbohaler&nbsp;inhaler&nbsp;is now ready for use.<\/li><\/ul>\n\n\n\n<p><strong>How to take a&nbsp;dose of&nbsp;Pulmicort&nbsp;Turbohaler<\/strong><\/p>\n\n\n\n<p>1. Unscrew the protective sleeve.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19890908000091#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/res\/RootMedia\/AstraZeneca\/Media\/Pulmicort20turbuhaler\/Bild120PIL20Pulmicort20Turbuhaler.jpg\" alt=\"Unscrew the protective sleeve\" title=\"Unscrew the protective sleeve\"\/><\/a><\/figure>\n\n\n\n<p>2. Hold the inhaler upright with the knob down.\u00a0Do not hold the nozzle.\u00a0Feed a\u00a0dose\u00a0by first turning the knob in one direction as far as it will go and then back (it does not matter which direction you turn first).\u00a0You should hear a clicking sound.\u00a0If you are unsure if you have delivered a\u00a0dose, then deliver a new\u00a0dose.\u00a0You can never take more than one\u00a0dose\u00a0at a time from the inhaler.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19890908000091#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/res\/RootMedia\/AstraZeneca\/Media\/Pulmicort20turbuhaler\/Bild220PIL20Pulmicort20turbuhaler.jpg\" alt=\"Hold the inhaler upright with the knob down.  Do not hold the nozzle.  Feed a dose by first turning the knob in one direction as far as it will go and then backwards (it does not matter which direction you turn first\" title=\"Hold the inhaler upright with the knob down.  Do not hold the nozzle.  Feed a dose by first turning the knob in one direction as far as it will go and then backwards (it does not matter which direction you turn first\"\/><\/a><\/figure>\n\n\n\n<p>Exhale (but&nbsp;<strong>not<\/strong>&nbsp;through the inhaler).<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Put the nozzle between your teeth and close your lips around the nozzle.<\/li><li>Inhale deeply and strongly through the mouth.&nbsp;Do not bite or chew on the nozzle.<\/li><li>Remove the inhaler from your mouth&nbsp;<strong>before<\/strong>&nbsp;exhaling.&nbsp;If you are going to take several&nbsp;doses&nbsp;at a time, repeat steps 2-3.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19890908000091#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/res\/RootMedia\/AstraZeneca\/Media\/Pulmicort20turbuhaler\/Bild320PIL20Pulmicort20turbuhaler.jpg\" alt=\"Exhale but not in through the inhaler.  Do not bite or chew on the nozzle.\" title=\"Exhale but not in through the inhaler.  Do not bite or chew on the nozzle.\"\/><\/a><\/figure>\n\n\n\n<p>4. Screw on the protective sleeve.&nbsp;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<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19890908000091#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/res\/RootMedia\/AstraZeneca\/Media\/Pulmicort20turbuhaler\/Bild420PIL20Pulmicort20turbuhaler.jpg\" alt=\"Screw on the protective sleeve.  Rinse your mouth with water after each dosing session, so that you can remove any medicine that may remain in your mouth.\" title=\"Screw on the protective sleeve.  Rinse your mouth with water after each dosing session, so that you can remove any medicine that may remain in your mouth.\"\/><\/a><\/figure>\n\n\n\n<p><strong>Remember<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Hold the inhaler upright with the knob down when feeding a&nbsp;dose&nbsp;.<\/li><li>Do not exhale through the mouthpiece.<\/li><li>Always screw the protective sleeve firmly after each use.<\/li><li>Do not attempt to remove or twist the nozzle.&nbsp;It should remain.<\/li><li>Clean the nozzle regularly (once a week) with a soft paper towel.&nbsp;<strong>Never use water or other liquids.<\/strong><\/li><li>When the red mark reaches the lower edge of the dose indicator window, all&nbsp;doses&nbsp;are exhausted and the inhaler should be discarded.&nbsp;There may be medication left in the inhaler, but not enough to give you an additional&nbsp;dose&nbsp;.<\/li><li>The sound heard when you shake the inhaler is not medicine but comes from the desiccant in the knob.<\/li><li>Do not use your&nbsp;Turbohaler&nbsp;if it is damaged or if the nozzle has come loose.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Pulmicort Turbohaler than you should<\/h2>\n\n\n\n<p>If you have ever used a larger&nbsp;dose&nbsp;than your doctor prescribed, you are unlikely to experience any&nbsp;side effects&nbsp;.&nbsp;However, if you use a larger&nbsp;dose&nbsp;than your doctor prescribes for a longer period (months), there is a risk that you will experience&nbsp;side effects&nbsp;.<\/p>\n\n\n\n<p>If you have ingested too much medicine or if e.g.\u00a0If a child has ingested the medicine by mistake, contact a doctor or hospital for risk assessment and advice.<\/p>\n\n\n\n<p>It is important that you take a&nbsp;dose&nbsp;as stated on the label on the package or as your doctor has informed you.&nbsp;Do not increase or decrease the&nbsp;dose&nbsp;without consulting a doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Pulmicort Turbohaler<\/h2>\n\n\n\n<p>If you forget to take a&nbsp;dose&nbsp;, take the next&nbsp;dose&nbsp;as 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&nbsp;side effects&nbsp;, 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&nbsp;Turbohaler&nbsp;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 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,&nbsp;bronchospasm&nbsp;(bronchospasm).<\/p>\n\n\n\n<p>Stop taking Pulmicort&nbsp;Turbohaler&nbsp;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&nbsp;and difficulty breathing.<\/li><\/ul>\n\n\n\n<p><em>Other&nbsp;side effects&nbsp;ar<\/em><\/p>\n\n\n\n<p><em>Common&nbsp;<\/em>&nbsp;<em>(&nbsp;<\/em><em>may affect up to 1 in 10 people):<\/em>&nbsp;&nbsp;Throat irritation, cough, fungal infection of the oral cavity and throat.<\/p>\n\n\n\n<p><em>Uncommon (may affect up to 1 in 100 people):<\/em>&nbsp;Cataracts (clouding of the lens of the eye), blurred vision, depression, anxiety, muscle cramps, tremors.<\/p>\n\n\n\n<p><em>Rare (may affect up to 1 in 1,000 people):<\/em>&nbsp;Immediate and delayed&nbsp;hypersensitivity reactions&nbsp;such as&nbsp;hives&nbsp;and other skin rashes, contact dermatitis and&nbsp;corticosteroid&nbsp;effects (see below).&nbsp;Bruising,&nbsp;dysphonia&nbsp;(speech difficulties), hoarseness, restlessness, anxiety, behavioral disorders (occurs predominantly in children).<\/p>\n\n\n\n<p><em>Has been reported (occurs in an unknown number of users)<\/em>&nbsp;:&nbsp;Cataracts&nbsp;(increased pressure in the eye), sleep problems, aggression, feeling very upset and \/ or irritability.<\/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 Turbohaler<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Keep this medicine out of the sight and reach of children.<\/li><li>Do not store above 30 \u00b0 C.&nbsp;Store the inhaler with the protective sleeve attached.<\/li><li>Do not use this medicine after the expiry date which is stated on the inhaler and carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/li><li>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.&nbsp;Spent disposable inhalers should be taken to a pharmacy, as a small amount of medicine is always left in the inhaler.<\/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.&nbsp;One&nbsp;dose&nbsp;(&nbsp;inhalation&nbsp;) contains 100 micrograms, 200 micrograms and 400 micrograms budesonide, respectively.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Each&nbsp;inhaler&nbsp;contains 200 doses.<\/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 Turbohaler dampens and prevents inflammation in the airways in asthma .<\/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":[14461,22068,4130,4132,22064,22067,8284,4131,22065,22066],"class_list":["post-21427","post","type-post","status-publish","format-standard","hentry","category-medicines","category-p","tag-benefits-of-budesonide","tag-benefits-of-pulmicort-turbohaler","tag-budesonide","tag-budesonide-side-effects","tag-pulmicort-turbohaler","tag-pulmicort-turbohaler-side-effects","tag-what-budesonide-is-used-for","tag-what-is-budesonide","tag-what-is-pulmicort-turbohaler","tag-what-pulmicort-turbohaler-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21427","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=21427"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21427\/revisions"}],"predecessor-version":[{"id":21456,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21427\/revisions\/21456"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=21427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=21427"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=21427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}