Basic information: Pulmicort Inhaleris a drug, used to treat bronchitis and chronic obstructive pulmonary disease (COPD).
- Brand Name: Budecort/Entocort/Budenofalk/Miflonide/Novopulmon
- Generic Name: budesonide
- Preparations: 200mcg packs
- Available: Generic for budesonide
|1 pack / 200mcg||$47.00||$47.00||Buy Now|
|2 packs / 200mcg||$87.00||$43.50||Buy Now|
Cough is a disease etymology of which sometimes just has no explanation. It can be wet or dry. During the first – you feel «vibration» during coughing, during the second – incredible dryness, which sometimes ends with irritation of lungs internal cavity and throat. Coughing can be a symptom of more complex diseases, if left untreated, such as pneumonia or bronchitis. Pulmicort drug is perfect for of cough any origin treatment. You can buy this drug on Asthma Inhalers Online website at very attractive price. Visit our website now and get high-quality medications at affordable prices.
Pulmicort: Instruction for Use
Drug active ingredient is budesonide. It has anti-inflammatory and anti-allergic effect. It reduces lungs ability to produce mucus, has a therapeutic effect in bronchitis treatment. It refers to glucocorticosteroids group. Drug pharmaceutical form: powder, suspension, solution. It is used for inhalation. Pulmicort is suitable for long-term use. The drug is used for cough treatment. Therapeutic effect of the drug is achieved within 1 – 2 weeks after treatment onset. This is an antiexudative drug. Reduces the number of bronchodilator doses. It is released in the form of suspensions for inhalation in monodoses, the powder is white. 1 ml of drug contains 250 or 500 mcg of budesonide. Additional substances are sodium chloride, sodium citrate and purified water.
Drug active ingredient is budesonide, easily absorbed. It easily binds to body proteins and can be easily cleared. The process of substance clearance – with urine or sweat and tears. The substance is cleared without residues.
Pulmicort is used for the following diseases:
- chronic obstructive pulmonary disease;
- asthma, as basic therapy in treatment;
- glucocorticosteroids maintenance therapy;
- chronic rhinitis;
- allergic contact dermatitis;
- vasomotor and allergic rhinitis;
- non-allergic asthma;
- lichen planus;
- nasopharyngitis and pharyngitis;
- growth of nasal polyps, as prevention therapy;
- infections of upper respiratory tract;
- high sensitivity to drug components;
- pulmonary tuberculosis of 3 – 4 stage;
- viral skin infection;
- fungal diseases;
- skin tuberculosis;
- skin syphilis.
Pulmicort should be inhaled. Drug dosage is appointed by doctor for each patient individually. If dosage is small, up to 1 mg/day, Pulmicort can be used one time, if dosage is higher, it is possible to divide application for several times.
* For children from 6 months and older – 0,25 to 0,5 mg/day. At more serious disease, dosage may be increased to 1 mg.
* For children from 12 years and adults – dosage amount is 1 to 2 mg a day.
If the drug is used for inhalation, it is worth noting that about 200 to 800 mg/day is used. One capsule has 200 mg of budesonide. The number of inhaled breaths is 2 – 4 a day. If patients use Pulmicort for therapeutic effect, then adult dosage is 4 mg a day, but for children from 6 months old dosage becomes to 2 mg. If patient has for a long time taken oral glucocorticosteroids, then Pulmicort is prescribed only at stable body condition after treatment and during glucocorticosteroids treatment. The drug is take for 10 days in a higher dosage in parallel with usual glucocorticosteroids dosage. In this case during next month you should gradually reduce glucocorticosteroids dosage to minimal effective. For effective treatment the drug is taken by inhalation.
There are not data about Pulmicort use at patients with renal or hepatic insufficiency. Budesonide is metabolized by liver, so as a consequence there can be expected an increase in drug action duration at patients with hepatic cirrhosis.
Application at Pregnancy and Lactation
Application is possible after doctor’s consultation and appointment, in case that ratio of positive effect and risks for the fetus is carefully studied. The product is prescribed in minimal permissible doses.
Pulmicort penetrates into breast milk, but a number of clinical trials showed no harmful effects on child, so the drug may be administered during lactation period.
Pulmicort for Inhalation
Pulmicort is mainly used for inhalation using nebulizer. Nebulizer is a device for inhalation which consists of mouthpiece and a special mask. Nebulizer is connected to compressor to create a space with air flow of 5 – 8 l/min. Nebulizer is filled by 2 – 4 ml volume.
Pulmicort is used for entering lungs, and is available in suspension, it is necessary to inhale smoothly and quietly. For a child, unable to breathe on its own through nebulizer, the mask is used.
Before using Pulmicort for inhalation patient should be necessarily warned about impossibility of using ultrasonic nebulizer. Also, before starting treatment, patient should study instruction to the drug. Pulmicort suspension should be diluted with 0,9% concentration solution. Salbutamol, fenoterol, terbutaline, acetylcysteine are perfect for this. Before doing it, patient has to wash and rinse his mouth in order to prevent candidiasis. After using the mask – to wash face with water to prevent irritation occurrence. Diluted suspension must not be stored for a long time. Period of use after dilution is not more than an hour.
Before Pulmicort each use through nebulizer, the latter must be regularly cleaned. Cleaning recommendations are contained in manufacturer’s instruction to the device. Also, after each use nebulizer chamber should be cleaned. Device chamber, mouthpiece and mask should be cleaned with warm water and mild detergent. Nebulizer chamber and all device parts should be dried.
Pulmicort use through nebulizer has several main stages – rules:
- before using, container should be shaken, with slight rotative motion.
- before inhalation, container is held vertically. container is opened with rotative motion of the «wing».
- very easy to place container in nebulizer and open its contents with slight pressing motion.
Containers with single-dose have a strip, which after rotation will indicate Pulmicort’s level. Suspension volume is equal to 1 ml.
Content is to press to 1 ml level, if single dose is required. Container may be stored up to 12 hours. Storage with mixture remnants is possible in a dark place. Before next usage, container should be slightly shaken.
Pulmicort is sold in suspension for inhalation and requires compulsory dilution. Pulmicort is diluted with 0.9% concentration sodium chloride solution. Before diluting and using, minimal effective dosage for patient should be determined.
Pulmicort for Children
The drug is used in pediatric practice. At patients – children who have taken glucocorticosteroids for a long time – growth processes should be controlled, as drugs cause slow formation of growth hormone. Before starting treatment with glucocorticosteroids, doctor must determine ratio of potential drug benefits and possible harm to patient from drug reception. Clinical studies have not shown harmful effects on patients over 3 years old, if Pulmicort is received in dosage of 400 mcg/day. If you budesonide is used for bronchial asthma treatment, it can cause growth retardation. If patient’s age category is from 11 years, studies did not show any retardation process.
Pulmicort drug interaction is possible with drugs that increase budesonide absorption percentage, for example, ketoconazole.
Along with Pulmicort pediatric application Flomax is use – a drug, prescribed for bronchial asthma. Flomax is cheaper than Pulmicort. Flomax is prescribed from 6 years old. But there are exceptions for joint use of both drugs in acute dyspnea attacks. In such cases, both drugs application leads to absence of necessity to introduce the drug parenterally with glucocorticosteroids, as well as reduce appearance of asthma attacks, as well as reduce possibility of hospitalization. This is a mandatory and effective method of first aid to child at acute asthma attack.
Pulmicort turbohaler is a powder for inhalation with high budesonide concentrations. Indicated for bronchial asthma treatment.
It has few contraindications for use:
- tuberculosis active phase;
- respiratory organs infections of different etymology.
- adults – 400 to 1600 mg 2 to 4 times a day at initial stage of treatment, maintenance dosage is 200 to 400 mg/day;
- children – 200-800 mg 4 times a day.
Pulmicort Turbohaler is well tolerated during long-term treatment. It is an anti-inflammatory and anti-allergic agent. The medication is a kind of inhaler, which can be activated by patient’s breathe.
Side Effects and Specific Features
Budesonide has several side effects, which mainly manifest in case of maximal possible dosage excess, as well as long-term use. They include:
- mouth tunica mucosa irritation;
- urticaria fever;
- behavioral disorders;
There are several specific features in Pulmicort application. Among them:
- Protect your eyes from contact with the drug.
- The drug can not be frozen or affected by direct sunlight.
- In addition, Pulmicort container must not be broken or put in fire, as well as sawed.
- If the container is cold, then it can only be warmed with hands and in no other way.
- The product does not tolerate long-term storage.
- When using drug at renal insufficiency, patients should be observed by doctor.
- If the drug is used in pediatrics, it is necessary to monitor growth hormone.
The drug has a high popularity and eliminates many symptoms of various diseases. Parents, whose children are taking Pulmicort, notice decrease in dyspnea attacks at asthma. There are also reviews from mothers of infants up to six months, in which they underline incredible medication help to their children.
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