Budesonide Pregnancy:

(inhaled) -
-
Inhaled/nasal: A
Oral: B3, consider alternative, may
cause hypoadrenalism in infant.
Oral/Inhaled or Nasal
corticosteroids. Brest Feeding:

C.A.Labels: 9, 18, A, F; - Inhaled/nasal: May be used.

Oral inhalation/nebules: - Oral: Limited data; probably safe to use.
14

Mode of action
Reduce airway inflammation and bronchial hyper-reactivity.

Indications
Maintenance treatment of asthma
Croup (swelling of windpipe which affects the larynx due to viral infection
in the throat)

COPD with FEV1 <50% and recurrent exacerbations despite treatment with a long-acting beta 2
agonist

Eosinophilic oesophagitis, seek specialist advice

Common ADR (>1%)

Dysphonia, oropharyngeal
candidiasis, bruising, facial
Counselling
skin irritation following - After using this medicine rinse your mouth with water, gargle and spit out.
nebulisation - Do not use this medicine for immediate relief of symptoms; follow your
asthma action plan.
- Use this medicine every day even if you are feeling better; do not reduce
Dosage: dosage or stop this medicine unless your doctor tells you to.

Asthma for Adult:

DPI, 100400 micrograms twice daily (once-daily dosing possible up to 400 micrograms
daily); maximum 2000 micrograms daily. Consider specialist referral for patients who require
>800 micrograms daily.

Neb, 0.51 mg twice daily.

Respules (severe asthma): 1-2mg b.d | Maintenance dose 0.5-1mg b.d

Nasal Spray: 32-128 mcg into each nostril daily.

COPD for Adult:

DPI, 400 micrograms twice daily.

Croup for Adult:

Neb, 2 mg as a single dose; repeat every 12 hours for 2448 hours if clinically indicated.

What to tell patients?

(Nasal spray and Oral Inhalation) This medicine takes time to work. (2-4 weeks)

Oral inhalation: This medicine will not give you quick relief from asthma but will
gradually reduce the inflammation in your lungs and help in your asthma in long term.

How to use?

Oral capsules: Best to take in the morning.

Oral Inhalation: PREVENTOR not RELIEVER so need to be used daily and

regularly.

Other Notes:

Oral Inhalation

- Once symptoms are controlled, gradually reduce the dose to the minimum
required to maintain control.

- In combination with eformoterol, can be used as a RELIEVER

- Patients should receive adequate training on correct inhaler technique.

Nasal Spray

- More effective than antihistamines for allergic rhinitis. Recommended first-line

therapy if symptoms are persistent. And/or moderate-severe.

- Patients should receive adequate training on correct use.