Safely Buy Pulmicort Nebules from Canada Prescriptions Plus.

Indications

Pulmicort Nebules is a medication that contains budesonide and is used to control and prevent symptoms such as wheezing and shortness of breath caused by asthma. Budesonide belongs to a class of drugs known as inhaled corticosteroids.

Pulmicort Nebules are typically used with a jet nebulizer, which is a device that turns the medication into a fine mist that can be inhaled.

Use and Dosage

Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. Follow the illustrated directions for the proper use of this medication. Make sure you understand how to operate the breathing machine (compressed air jet nebulizer with a face mask or mouthpiece) and how to properly clean it to prevent infections. If you have any questions, ask your doctor, pharmacist, or respiratory therapist.

Do not use this medication in an ultrasonic nebulizer. Do not mix budesonide suspension with other medications in the nebulizer. A parent or other responsible adult should supervise a child who is using this machine. If you have any questions, ask your healthcare professional.

Shake the container gently before use. The dosage is based on your medical condition and response to treatment. This medication comes in different strengths. Check that you are using the correct strength.

Inhale this medication by mouth as directed by your doctor, usually once or twice daily. While inhaling this medication, breathe calmly and deeply until the mist stops, usually over 5 to 10 minutes. Avoid getting the medication in the eyes.

To prevent dry mouth, hoarseness, and oral yeast infections, gargle, rinse your mouth with water and spit out after each use. Do not swallow the rinse water. Also, wash your face where the face mask/mouthpiece has touched your skin to prevent skin reactions and irritation.

Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time(s) each day. Do not increase your dose, use it more often, or stop using this medication without first consulting your doctor.

Learn which of your inhalers/medications you should use every day (controller drugs) and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor ahead of time what you should do if you have new or worsening cough or shortness of breath, wheezing, increased sputum, worsening peak flow meter readings, waking up at night with trouble breathing, if you use your quick-relief inhaler more often (more than 2 days a week), or if your quick-relief inhaler does not seem to be working well. Learn when you can treat sudden breathing problems by yourself and when you must get medical help right away.

Some conditions (such as asthma, and allergies) may become worse when the drug is suddenly stopped. If you suddenly stop taking the drug, you may also have withdrawal symptoms (such as weakness, weight loss, nausea, muscle pain, headache, tiredness, dizziness). To help prevent withdrawal, your doctor may slowly lower the dose of your old medication after you begin using budesonide. Tell your doctor or pharmacist right away if you have withdrawal. See also the Precautions section.

You may notice a benefit within 2 to 8 days of starting this drug. It may take up to 4 to 6 weeks of regular use before the full benefit of this drug takes effect. Tell your doctor if your symptoms do not improve or if they worsen.

Side Effects

Get emergency medical help if you have signs of an allergic reaction: hives, rash, severe itching; chest pain, difficulty breathing, feeling anxious; swelling of your face, lips, tongue, or throat.

Serious side effects include:

• Worsening asthma symptoms
• Wheezing, choking, or other breathing problems after using this medication
• White patches or sores inside your mouth or on your lips
• Blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights
• Signs of infection–fever, chills, body aches, ear pain, nausea, vomiting
• Signs of low adrenal gland hormones–worsening tiredness or muscle weakness, feeling light-headed, nausea, vomiting

Pulmicort Respules can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using Pulmicort Respules.

Common side effects of Pulmicort Respules may include:

• Runny or stuffy nose, sneezing
• Red, itchy, and watery eyes
• Fever, sore throat, cough
• Nausea, vomiting, diarrhea, stomach pain, loss of appetite
• Nosebleed
• Headache, back pain

This is not a complete list of side effects and others may occur. 

Cautions

• Before using budesonide, tell your doctor if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
• Before using this medication, tell your doctor or pharmacist your medical history, especially of: eye disease (such as cataracts, glaucoma), high blood pressure, liver disease, thyroid problems, diabetes, stomach/intestinal problems (such as diverticulitis, ulcer), bone loss (osteoporosis), current/past infections (such as tuberculosis, positive tuberculosis test, herpes, fungal), bleeding problems, mental/mood conditions (such as psychosis, anxiety, depression).
• If you have switched from a corticosteroid taken by mouth (such as prednisone tablets) to this inhaler within the past 12 months, or if you have been using this product in higher-than-usual doses for a long time, it may be more difficult for your body to respond to physical stress. Before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used a corticosteroid taken by mouth within the past 12 months. Tell your doctor right away if you develop unusual/extreme tiredness or weight loss. Carry a warning card or medical ID bracelet that says you use (or have used) corticosteroid medications.
• Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
• This medication may mask signs of infection. It can make you more likely to get infections or may make current infections worse.
• Tell your health care professional that you are using budesonide before having any immunizations/vaccinations. Avoid contact with people who have recently received live vaccines (such as flu vaccine inhaled through the nose).
• This medication may temporarily slow down a child’s growth if used for a long time. However, poorly controlled asthma can also slow down growth. See the doctor regularly so your child’s height can be checked.
• During pregnancy, this medication should be used only when needed. Discuss the risks and benefits with your doctor.
• This medication passes into breast milk. Consult your doctor before breast-feeding.

Forms and Strengths

Pulmicort Nebules is available in the following forms and strengths:

• Pulmicort Nebules Ampules:
  • 0.25 mg/2 ml
  • 0.5 mg/2 ml
  • 1 mg/2 ml

FAQ

What happens if I miss a dose?

Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention.

High doses or long-term use of budesonide can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while using Pulmicort Respules?

Avoid getting Pulmicort Respules in your eyes.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using steroid medicine.

Resources:

1. https://www.webmd.com/drugs/2/drug-19937/pulmicort-inhalation/details
2. https://www.drugs.com/mtm/pulmicort-respules.html#side-effects
3. https://www.accessdata.fda.gov/drugsatfda_docs/label/2000/20929lbl.pdf
4. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=33cd9834-76df-4f26-3fa2-aab6b9eee8f2
5. https://medlineplus.gov/druginfo/meds/a699056.html