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|Budesonide Budesonide

Budesonide

Generic name: Budesonide
Brand names: Rhinocort Aqua

Why is Budesonide prescribed?

Budesonide is an anti-inflammatory steroid nasal spray. It is prescribed for relief of the symptoms of hay fever and similar allergic nasal inflammations.

Most important fact about Budesonide

Because steroids can suppress the immune system, people taking Budesonide may become more susceptible to infections, and their infections could be more severe. Anyone taking Budesonide or other corticosteroids who has not had infections such as chickenpox and measles should avoid exposure to them. If you are taking Budesonide and are exposed, tell your doctor immediately.

How should you take Budesonide?

Before using Budesonide Nasal Spray, shake the container gently and prime the pump by spraying it 8 times. If used daily, the pump does not need to be reprimed. If not used for two consecutive days, reprime with one spray or until a fine mist appears. If not used for more than 14 days, rinse the applicator and reprime with two sprays or until a fine mist appears. Discard the bottle after 120 sprays, since the amount of drug in each spray will decline substantially after that point.

Relief may begin within 10 hours. Most improvement occurs during the first 1 or 2 days, but it may take as long as 2 weeks to achieve the maximum benefits. If symptoms do not improve after 2 weeks, or the condition grows worse, check with your doctor.

Do not use doses that are larger than recommended.

--If you miss a dose...

Take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take two doses at the same time.

--Storage instructions...

Store at room temperature with the valve up. Do not freeze. Protect from light.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Rhinocort.

• More common side effects may include:
  Nosebleeds, sore throat

Why should Budesonide not be prescribed?

If you develop an infection of your nose and throat, stop using Budesonide and call your doctor. If you already have tuberculosis or any other kind of infection, be sure your doctor knows about it.

Do not use Budesonide if you have recently had nasal ulcers, nasal surgery or a nasal injury; Budesonide would slow the healing process. You will also need to avoid Rhinocort if it gives you an allergic reaction.

Special warnings about Budesonide

If you have been taking a steroid in tablet form, such as prednisone, and are switched to Budesonide, you may have symptoms of withdrawal, such as joint or muscle pain, lethargy, and depression. If you have been taking another steroid for a long time for asthma, your asthma may get worse if your medication is cut back too quickly. Using Budesonide with another steroid drug can decrease the body"s normal ability to make its own steroid chemicals.

Use Budesonide with caution in children and teenagers. It can affect their rate of growth.

Possible food and drug interactions when taking Budesonide

Talk to your doctor before using Budesonide if you already take prednisone or any other steroid medication.

If Budesonide is taken with certain other drugs, its effects could be increased. It is especially important to check with your doctor before combining Budesonide with the following:

Cimetidine (Tagamet)
Clarithromycin (Biaxin)
Erythromycin (E.E.S., Ery-Tab, PCE)
Itraconazole (Sporanox)
Ketoconazole (Nizoral)

Special information if you are pregnant or breastfeeding

In large doses, Budesonide has caused fetal harm in laboratory animals. If you are pregnant or plan to become pregnant, inform your doctor immediately. Budesonide should be used during pregnancy only if clearly needed. The effect of Budesonide on nursing infants is also unknown, although we do know that similar drugs have been found in breast milk. It should be used with caution by women who breastfeed.

Recommended dosage

ADULTS

The recommended starting dose for adults and children over 12 is 64 micrograms per day administered as 1 spray in each nostril once a day. The maximum recommended dose is 256 micrograms per day, administered as 4 sprays per nostril once a day.

CHILDREN

The recommended starting dose for children between 6 and 12 years of age is 64 micrograms per day administered as one spray per nostril once a day. The maximum recommended dose for children in this age group is 128 micrograms per day, administered as 2 sprays per nostril once a day. The safety and effectiveness of Budesonide in children under 6 have not been established.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

Symptoms of long-term overdose with Budesonide stem from a condition called hypercorticism, when the body produces an excess of its own steroid chemicals.

• Symptoms of overdose may include:
  Diabetes easy bruising, fat around the waist and on the upper back, high blood pressure, lowered resistance to infection, menstrual problems, moon face, muscle weakness and wasting, poor healing, thin skin