Indications 

Pulmicort Nebules is a prescription medication indicated to treat asthma in adults and children over 6 years old, as well as chronic obstructive pulmonary disease (COPD) in adults. 

Pulmicort contains budesonide as an active ingredient, which is a corticosteroid. It works by reducing inflammation and swelling in the airways, making breathing easier for individuals with asthma. By decreasing inflammation, Budesonide helps to prevent and control asthma symptoms such as wheezing, coughing, and shortness of breath. 

Use and Dosage 

Pulmicort Nebules is administered via a jet nebulizer, which converts the medication into a fine mist that can be inhaled. 

To use Pulmicort Nebules, you will typically need a nebulizer. Here are the general steps for using Pulmicort Nebules: 

1. Prepare the nebulizer: assemble and prepare the nebulizer. Make sure it is clean and in proper working condition. 
2. Open the ampule: Each Pulmicort Nebules contains a single dose of the medication. To open the ampule, twist off the top or use scissors to cut it open. Be careful not to spill or touch the solution. 
3. Measure the dose: Use a syringe provided or a measuring device to measure the prescribed dose of Budesonide. The dose may vary depending on your condition, so follow your healthcare provider’s instructions. 
4. Add the medication: Pour the measured dose of Pulmicort into the medication cup of the nebulizer. Avoid touching the inside of the cup or spilling the solution. 
5. Attach the mouthpiece or mask: Depending on the nebulizer type, attach the mouthpiece or mask securely to the medication cup. 
6. Start the nebulizer: Turn on the nebulizer machine and ensure that the mist is being produced. Breathe calmly and deeply through the mouthpiece or mask, taking slow and steady breaths. 
7. Inhale the medication: Inhale the medication mist through your mouth, holding each breath for a few seconds before exhaling. Continue inhaling until the medication in the nebulizer cup is finished. 
8. Clean the nebulizer: After each use, follow the manufacturer’s instructions for cleaning and disinfecting the nebulizer. This helps prevent contamination and ensures the device’s effectiveness. 

If you miss a dose of Budesonide, take it as soon as you remember. However, if it is close to the time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. 

Side Effects 

Common Side Effects 

• Diarrhea 
• Difficulty falling asleep or staying asleep 
• Ear infections 
• Headache 
• Loss of appetite 
• Neck or back pain 
• Nosebleeds 
• Sore throat 
• Stomach pain 
• Stuffy or runny nose 

Serious Side Effects 

• Anxiety 
• Changes in vision 
• Chest pain 
• Cough 
• Difficulty breathing or swallowing 
• Fever, chills, or other signs of infection 
• Hives 
• Hoarseness 
• Itching 
• Nausea 
• Rash 
• Swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs 
• Tiredness 
• Vomiting 
• Weakness 
• Wheezing 
• White spots or sores in your mouth 

Cautions 

• Allergic reactions: Some individuals may be allergic to budesonide or other components of the medication. If you experience signs of an allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat, seek immediate medical attention. 
• Infections: Budesonide inhalation solutions can increase the risk of respiratory infections, including fungal infections of the mouth and throat. Rinse the mouth with water after using the medication to reduce the risk of developing these infections. 
• Weakened immune system: Long-term use of budesonide inhalation solutions may weaken the immune system, making individuals more susceptible to infections. Discuss any existing medical conditions or medications that may affect the immune system with your healthcare provider. 
• Worsening of asthma symptoms: In some cases, budesonide inhalation solutions may not adequately control asthma symptoms. If you notice that your symptoms are worsening or if you are using your rescue inhaler more frequently, contact your healthcare provider. 
• Adrenal insufficiency: Prolonged use of high doses of budesonide inhalation solutions may suppress the adrenal glands, which can affect the body’s ability to respond to stress or infection.  
• Systemic effects: When budesonide is used in higher doses or for prolonged periods, it may be absorbed into the bloodstream and potentially cause systemic effects. These effects can include adrenal suppression, slowing of growth in children, decreased bone density, cataracts, and glaucoma.  
• Interactions with other medications: Budesonide may interact with certain medications, including some antifungal medications, protease inhibitors used in HIV treatment, and certain antibiotics. Inform your healthcare provider about all the medications you are taking to avoid potential drug interactions. 
• Liver problems: Budesonide may affect liver function in some individuals. If you have a history of liver disease or are taking other medications that may affect the liver, discuss this with your healthcare provider. 
• Pregnancy and breastfeeding: The safety of budesonide during pregnancy and breastfeeding is not fully established. If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of using budesonide with your healthcare provider. 
• Lung infections: Budesonide inhalation solutions are not intended to treat acute respiratory infections, such as bronchitis or pneumonia. If you develop a new respiratory infection, inform your healthcare provider.