Pulmicort

Pulmicort

budesonide

Manufacturer:

AstraZeneca

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Budesonide
Indications/Uses
Bronchial asthma. Respules: Acute laryngotracheobronchitis (croup) in infants & childn.
Dosage/Direction for Use
Respules Bronchial asthma Adult Initially 1-2 mg bd. Maintenance: 0.5-1 mg bd. Childn Initially 0.5-1 mg bd. Maintenance: 0.25-0.5 mg bd. Croup Infant & childn 2 mg as single dose or 2 1-mg dose separated by 30 min, every 12 hr up to 36 hr or until improvement. Turbuhaler Adult 200-800 mcg daily in 2-4 divided inhalations. Severe cases Up to 1,600 mcg. Childn ≥7 yr 100-800 mcg daily in 2-4 divided doses, 5-7 yr 100-400 mcg daily in 2-4 divided doses.
Contraindications
Special Precautions
Not indicated for rapid relief of bronchospasm. Not suitable as sole therapy for status asthmaticus or other acute asthma exacerbations. Active or quiescent pulmonary TB or fungal, bacterial or viral airway infections. Pneumonia in patients w/ COPD. HPA axis suppression & adrenal insufficiency, bone density reduction, cataract, glaucoma. Periods of stress, severe asthma attack or elective surgery. High dose & prolonged use. Concomitant use w/ CYP3A4-metabolised drugs. Hepatic impairment. Pregnancy & lactation. Growth retardation in childn & adolescents. Respules: Not to be used w/ positive pressure delivering systems. Turbuhaler: Oral candidiasis. Paradoxical bronchospasm. Avoid concomitant use w/ HIV PIs.
Adverse Reactions
Hoarseness, sore & irritated throat, tongue & mouth irritation, dry mouth, oral candidiasis; cough; pneumonia (COPD patients).
Drug Interactions
Increased systemic exposure w/ CYP3A4 inhibitors eg, ketoconazole, itraconazole. Turbuhaler: Increased systemic exposure w/ HIV-PIs. Increased plasma conc & corticosteroid effects w/ oestrogens, contraceptive steroids.
ATC Classification
R03BA02 - budesonide ; Belongs to the class of other inhalants used in the treatment of obstructive airway diseases, glucocorticoids.
Presentation/Packing
Form
Pulmicort turbuhaler 100 mcg/dose
Packing/Price
200 dose x 1's
Form
Pulmicort respules 0.5 mg/mL
Packing/Price
30 × 1's
Form
Pulmicort respules 0.25 mg/mL
Packing/Price
30 × 1's
Form
Pulmicort turbuhaler 200 mcg/dose
Packing/Price
100 dose x 1's
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