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PULMICORT RESPULES
Asthma/COPD
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Drug Name:

PULMICORT RESPULES Rx

Generic Name and Formulations:
Budesonide (micronized) 0.25mg/2mL, 0.5mg/2mL, 1mg/2mL; susp for inhalation.

Company:
AstraZeneca Pharmaceuticals

e-Prescribe this drug via Surescripts


Therapeutic Use:

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Indications for PULMICORT RESPULES:

Maintenance treatment of asthma and as prophylactic therapy.

Adult Dose for PULMICORT RESPULES:

Use Flexhaler.

Children's Dose for PULMICORT RESPULES:

Use jet nebulizer; do not mix with other drugs. <6months: not recommended. 6–12months: see literature. 12months–8yrs: Previously on bronchodilators alone: 0.5mg/day once daily or in 2 divided doses (if symptomatic and unresponsive to nonsteroidal therapy, may start at 0.25mg once daily). Previously on inhaled corticosteroids: 0.5mg/day once daily or in 2 divided doses; max 1mg/day. Previously on oral corticosteroids: 1mg/day once daily or in 2 divided doses. Rinse mouth and face (if face mask used) after use.

See Also:

PULMICORT FLEXHALER

Pharmacological Class:

Steroid.

Contraindications:

Not for primary treatment of acute attack.

Warnings/Precautions:

Maintain regular regimen. Infections. If exposed to chickenpox or measles, consider antiinfective prophylactic therapy. Adrenal insufficiency may occur when transferring patients from systemic corticosteroids to inhaled corticosteroids: see literature. Monitor for growth suppression in children. Post-op or during stress: monitor adrenal response. Monitor for hypercorticism and HPA axis suppression (if occur discontinue gradually). Transferring from oral corticosteroids: see literature. Pregnancy (Cat.B). Nursing mothers: not recommended.

Interactions:

Caution with CYP3A4 inhibitors (eg, ketoconazole).

Adverse Reactions:

Pulmicort Flexhaler: nasal congestion, allergic rhinitis, viral upper respiratory tract infection, oral candidiasis, viral gastroenteritis, nausea, bronchospasm (rare). Pulmicort Respules: Respiratory or other infection, GI upset, moniliasis, fatigue, cough, dysphonia, rash, epistaxis, hypersensitivity reactions (discontinue if occurs).

How Supplied:

Flexhaler (90mcg/dose)—1 (60 inh); Flexhaler (180mcg/dose)—1 (120 inh); Respules—30

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