Budesonide

Pulmicort Turbuhaler 

Pulmicort Turbuhaler is an inhaled corticosteroid medication approved by the FDA to treat asthma & COPD or Chronic Obstructive Pulmonary Disease. It is prescribed for asthma in adults and children over 12, with initial doses of 200-400 mcg twice daily. It comes in the form of a dry inhaler powder with 100, 200, and 400 mcg strengths. It works by directly targeting the lungs and reducing airway inflammation. The medication dosage is based on the severity of the condition, needs, and patient’s response to treatment. You should consult a licensed healthcare provider for personalized guidance and advice for safe and efficient medication use. Buy Pulmicort Turbuhaler online at the best prices to treat asthma and COPD effectively. 

Pulmicort Turbuhaler Overview

Pulmicort Turbuhaler contains budesonide, a potent corticosteroid designed to reduce inflammation within the airways, facilitating easier breathing and managing respiratory conditions. This medication functions by delivering budesonide directly to the lungs through a dry powder inhaler, offering targeted therapy to prevent the frequency and severity of asthma attacks.

The Turbuhaler is available in dosages of 100 mcg, 200 mcg, and 400 mcg. Adults and children over 12 years should initially use 200-400 mcg twice daily, which can be adjusted based on symptom control, not exceeding 1600 mcg daily. For children aged 6-11, the starting dose ranges from 100-200 mcg twice daily, up to a maximum of 800 mcg. The inhaler is suitable for patients with asthma and chronic obstructive pulmonary disease (COPD), emphasizing regular use as directed by a healthcare provider for effective disease management.

Common side effects include oral thrush, throat irritation, and cough. Patients should be monitored for rare but severe effects like allergic reactions or psychiatric symptoms and seek immediate medical attention if they occur. If you miss a dose of budesonide, take it as soon as you remember unless it is near the time for the next dose. In case of overdose, contact emergency services immediately. Store the Pulmicort inhaler in a cool, dry place away from direct light. Patients should stick to their prescribed regimen and regularly consult their healthcare provider to adjust the treatment as necessary for optimal results.

What Are the Uses of Pulmicort Turbuhaler?

Pulmicort Turbuhaler is used for:

• Treatment of asthma 
• Maintenance therapy for chronic obstructive pulmonary disease 

What Are the Forms & Strengths of Pulmicort Turbuhaler?

It comes in the form of a dry powder inhaler with the following strengths: 

• 100 mcg 
• 200 mcg 
• 400 mcg

What Are the Recommended Dosage of Pulmicort Turbuhaler?

For Asthma

For Adults and Children More Than 12 Years Old: 

• The initial recommended dose is typically 200-400 mcg twice daily. 
• The dosage should not exceed 1600 mcg daily. 
• Once your asthma is under control, your doctor may reduce your medication dose to the lowest effective dose. 

For Children Aged 6-11 Years 

• The initial dose is usually 100-200 mcg twice daily.  
• The maximum recommended dose is up to 800 mcg daily. 
• Your doctor may make dosage adjustment based on the severity of the condition being treated & your body’s response to treatment.  

For COPD

For Adults

• The recommended dose of Pulmicort Turbuhaler is 400 mcg twice daily.
• Some patients may benefit from 200 mcg twice daily. 
• The maximum recommended dose is 800 mcg daily. 

[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How to Use a Pulmicort Turbuhaler? 

• Before using Pulmicort Turbuhaler, you should carefully read & follow the instructions for use given in the patient information leaflet that came with your prescription medication and ask your doctor if you don’t understand any part of it. 
• You should use this medication exactly as your doctor directs, typically once or twice daily. Do not use it more or less than prescribed, in large quantities or more frequently, as it can increase your risk of unwanted side effects. 
• Your doctor may change your dose frequently to help you get the most out of your medicine. 
• Do not shake or drop this product or use a spacer with it. Do not use the inhaler if the mouthpiece has come off or is damaged. 
• While using the inhaler device, hold it upright and inhale as deeply and forcefully as you can. 
• Before inhaling, turn your mouth away from the device and exhale. Do not breathe out into the device again.
• If your prescribed dose is two puffs, you should keep a gap of at least 1 minute between them. 
• If you are using other inhalers simultaneously, keep a gap of at least one minute between each medication and use this medication last. 
• After each use of an inhaler, you should adequately rinse your mouth with water and spit out to prevent hoarseness, dry mouth, and oral yeast infections. 
• You should keep track of each medication dose you use. Discard the inhaler device after it has delivered the labeled number of doses.
• The medication dosage is based on the patient’s medical condition and response to treatment. 
• To get the most benefit of your medication, you should maintain consistency in dosage and take it around the same time every day to help you remember it. 
• You should not abruptly stop taking this medication unless your doctor tells you to, as certain conditions, including asthma, may become worse if you abruptly stop taking this medication. 
• You may start to notice benefits from this medication within 24 hours of starting this medication. 
• Let your doctor know if your condition does not improve or worsen. 

Follow the step-by-step instructions given below for the effective use of the medication:

• Remove the white cover by unscrewing it counterclockwise.
• Hold the inhaler upright with the brown base at the bottom.
• Twist the brown base to the right as far as it will go.
• Twist it back to the left until you hear a click.
• Turn your head away from the inhaler.
• Breathe out normally and completely.
• Hold the Turbuhaler upright with the mouthpiece facing you.
• Place the mouthpiece between your teeth and close your lips around it.
• Inhale deeply and forcefully through your mouth.
• Remove the Turbuhaler from your mouth.
• Hold your breath for about 10 seconds or as long as you are comfortable.
• Breathe out slowly through your mouth/nose, away from the inhaler.
• Rinse your mouth carefully with water and spit it out without swallowing.
• Put the white cover back on and turn it clockwise until it is tight.
• Check the dose indicator on the side of the inhaler.
• If prescribed more than one dose, wait about 30 seconds and repeat the process.
• Keep the inhaler dry, and never wash it with water.
• Store Pulmicort at room temperature, away from heat and moisture.
• Clean the outside of the mouthpiece once weekly with a dry tissue.
• Never use the Turbuhaler if it has been damaged or if the mouthpiece has come apart.

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Does Pulmicort Turbuhaler Work?

Pulmicort Turbuhaler contains budesonide, a corticosteroid that works by reducing inflammation in the airways. When inhaled, it directly targets the lungs, helping to decrease swelling and irritation, making breathing easier. This medication is used regularly to manage and prevent asthma symptoms, but it is not effective for immediate relief during an asthma attack. By consistently reducing inflammation, Pulmicort Turbuhaler helps to control asthma & reduce the frequency and severity of asthma attacks. 

Important Safety Information for Using Pulmicort Turbuhaler

What Are the Side Effects of Pulmicort Turbuhaler?

Pulmicort Turbuhaler may cause some side effects that don’t usually require medical attention and go away within a few days. The common side effects of Pulmicort Turbuhaler are as follows:

• Oral thrush
• Throat irritation 
• Cough
• Change in voice 
• Headache 
• Nausea 
• Respiratory infection 

If these symptoms persist or have become bothersome, immediately tell your doctor. In rare cases, this medication may cause bothersome side effects that require immediate medical attention. Severe side effects of Pulmicort Turbuhaler may include:

• Allergic reactions. Its symptoms may include itching, rash, swelling, severe dizziness or difficulty breathing
• Immune system suppression
• Adrenal suppression 
• Growth suppression in children 
• Glaucoma or cataracts 
• Osteoporosis 
• Paradoxical bronchospasm
• Psychiatric effects such as agitation, depression, and behavioral changes 
• Bruising or thinning of skin
• Pneumonia 

[Note: This list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]

Are There Any Warnings for Pulmicort Turbuhaler? 

• You should not use this medication while you are having an asthma attack, as Pulmicort is not a rescue medication. You should only use a fast-acting inhalation medication during an asthma attack that has already begun. 
• You should seek immediate medical attention if your breathing problems worsen quickly or if you suspect that your medications are not working as correctly as they should. An increased need for medication could be an early warning sign or a severe asthma attack. 
• Your doctor may change your medication dosage if you are ill, having surgery, are under stress, or have recently had an asthma attack. You should talk to your doctor if your asthma medications are not working as well in preventing or treating asthma attacks. 
• Patients transferring from systemic corticosteroids to Pulmicort may need careful monitoring due to potential adrenal insufficiency.
• If you also use an oral steroid medication, you should not abruptly stop taking this medication as you may experience unpleasant withdrawal symptoms. Consult your doctor if you are thinking about discontinuing the drug. They may help you taper off the medication before stopping completely. 

What Are the Pulmicort Turbuhaler Precautions?

• Before using Pulmicort, tell your doctor or pharmacist if you are allergic to it, or to any of its ingredients or have any other allergies. This medication may contain certain inactive ingredients (such as lactose or milk proteins in some brands) that could cause severe allergic reactions or other problems. Talk to your pharmacist for more details.
• Before starting Pulmicort, share your medical history with your doctor, especially if you have any of the following conditions: eye diseases (like cataracts or glaucoma), hypertension, liver disease, thyroid issues, diabetes, stomach or intestinal problems (such as diverticulitis or ulcers), osteoporosis, current or past infections (including tuberculosis, herpes, fungal infections), bleeding disorders, or mental health conditions, including psychosis, anxiety, or depression).
• If you have transitioned from oral corticosteroids (like prednisone tablets) to this inhaler within the past year, or if you have been using this inhaler in higher-than-usual doses for an extended period, your body may struggle to handle physical stress. Before undergoing surgery, including a dental procedure, or if you have a severe illness or injury, tell your doctor, surgeon, or dentist that you are using this medication or have used oral corticosteroids within the past year. Let your doctor know immediately if you experience unusual or extreme tiredness or significant weight loss. It is best recommended to carry a medical ID bracelet or warning card indicating your use (or past use) of corticosteroid medications.
• Before any surgery, inform your doctor about all the medications you are currently taking or planning to take, including prescription drugs, nonprescription drugs, and herbal supplements.
• Budesonide can mask signs of infection and may increase your vulnerability to infections or worsen existing ones. Avoid contact with anyone with an easily spreadable infection (such as chickenpox, COVID-19, measles, or flu). Immediately contact your physician if you have been exposed to an infection or need more details.
• Tell your healthcare provider that you are using budesonide before receiving vaccinations or immunizations. Avoid coming into contact with individuals who have recently received live vaccines (like the nasal flu vaccine).
• Long-term use of this medication may slow down a child’s growth temporarily. Poorly controlled asthma can also affect growth. You should make regular visits to your doctor to monitor your child’s height.
• Use this medication only when clearly necessary during pregnancy. Discuss the potential risks & benefits with your doctor.
• Budesonide can pass into breast milk. Consult your doctor before breastfeeding.

What Are the Contraindications of Pulmicort Turbuhaler?

Pulmicort Turbuhaler is contraindicated for use in patients who have:

• A known hypersensitivity to budesonide or any of the ingredients present in the product. 
• An acute asthma attack or status asthmaticus
• Active or inactive tuberculosis of the lungs
• Bacterial, fungal, or infections of the respiratory system. 

What If You Missed a Dose of Pulmicort Turbuhaler?

• If you have missed a dose of Pulmicort Turbuhaler, you should take it as soon as you remember. 
• However, if it is almost time to take your next dose of the medication, you may omit the missed dose and return to your regular dosing schedule. 
• Do not take double or extra doses of the same medication simultaneously to compensate for the missed dose, as this may lead to unwanted side effects. 
• To prevent missing doses, you can try setting a reminder on your phone. Medication reminders work best for this purpose. 

[Note: If you have missed a medication dose and are still unsure when to take the next one, immediately consult your doctor or pharmacist.]

What Happens If You Take Too Much of Pulmicort Turbuhaler?

Taking Pulmicort Turbuhaler more than the prescribed dose on a single occasion is rarely life-threatening, but long-term overuse of the medication may cause Cushing’s syndrome. You should immediately seek medical attention if suspected. You can contact your doctor, call 911, or poison control helpline. You can also head to the nearest emergency room. 

[Note: If you consumed more than the recommended dose, get medical help immediately or call the Poison Help line at 1-800-222-1222.]

How to Store a Pulmicort Turbuhaler?

• You can keep Pulmicort Turbuhaler in a tightly closed container at a controlled room temperature, away from moisture, excess heat, and direct sunlight. 
• You can store it in a cool, dark, and dry place and close the cap tightly when not used. 
• Keep all medications, including Pulmicort Turbuhaler, in a safe place, away from the sight and reach of children and pets. 
• You should not keep medications that are outdated or no longer needed. Discard them safely. 
• You should dispose of unwanted medications in a way that prevents children, animals, and others from consuming them. 
• Do not flush them down the toilet, throw them in the household garbage bin, or pour them down the drain. 
• You can consult your pharmacist, local waste disposal company, or healthcare provider to learn more about the proper ways to eliminate unwanted medications. 

[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]

What Medications Interact with Pulmicort Turbuhaler?

Pulmicort Turbuhaler may interact with several other medications and affect how it may work. The severity and nature of interactions can vary. The lists of medications that may interact with Pulmicort are given below. This list does not contain all the potential drug interactions. Consult your doctor and tell them about all the medications you are currently taking or planning to take while using this medication. Sharing this information with them will help you avoid potential interactions. 

• Antidepressants
• Antifungals
• Atazanavir
• Atenolol
• Certain antibiotics
• Ciprofloxacin
• Clarithromycin
• Dexamethasone
• Diuretics
• Diltiazem
• Erythromycin
• Estrogens and oral contraceptives
• Fluconazole
• HIV medications
• Hydrocortisone
• Immunosuppressants
• Indinavir
• Ipratropium
• Itraconazole
• Ketoconazole
• Metoprolol
• Methylprednisolone
• Nelfinavir
• NSAIDs
• Prednisone
• Propranolol
• Ritonavir
• Saquinavir
• St. John’s Wort
• Telithromycin
• Tiotropium
• Verapamil

What Are the Other Pulmicort Turbuhaler Interactions?

Before taking the Pulmicort Turbuhaler, tell your doctor about all the medications you are currently taking or planning to take, including all prescription, nonprescription, over-the-counter, and herbal or vitamin supplements. Consult with a healthcare provider, physician, or pharmacist about potential drug interactions. Additionally, certain disease interactions of Pulmicort are essential to consider. It’s important to note that while these disease interactions exist, the benefits of using Pulmicort Turbuhaler often outweigh the risks for many patients. Disease interactions of Pulmicort Turbuhaler are as follows:

• Active or quiescent tuberculosis
• Fungal infections
• Parasitic infections
• Viral infections 
• Glaucoma 
• Cataracts 
• Osteoporosis 
• Diabetes mellitus 
• Hepatic impairment 
• Hyperthyroidism 
• Cirrhosis 
• Psychosis or behavioral disorders 
• Ulcerative colitis 
• Diverticulitis 
• Fresh intestinal anastomosis 
• Thromboembolic disorders 
• Myasthenia gravis 
• Ocular herpes simplex 
• Cushing syndrome
• Hypertension 

[Note: This isn’t a complete list, and there could be other drugs that interact with Pulmicort Turbuhaler. Tell your doctor about prescription, over-the-counter medicines, and herbal products.]

What Are the Pulmicort Turbuhaler Alternatives?

People look for alternative medicines for Pulmicort Turbuhaler when the medication does not suit them, or they do not get the desired results from it. However, you should always consult a licensed healthcare professional before changing your medication, and they will help you determine which substitute of Pulmicort will work best for you based on your medical condition and needs. Based on the conditions these medications treat, they are categorized as follows:

For Asthma 

• QVAR (beclomethasone)
• Flovent (fluticasone)
• Alvesco (ciclesonide)
• Asmanex (mometasone)
• Advair (fluticasone/salmeterol)
• Symbicort (budesonide/formoterol)
• Fasenra (benralizumab)
• Dupixent (dupilumab)

For COPD 

• Spiriva (tiotropium)
• Incruse Ellipta (umeclidinium)
• Flovent (fluticasone)
• Pulmicort (budesonide)
• Prednisone (prednisone)

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]

Pulmicort Turbuhaler Cost & Coupons

Several factors, such as health insurance coverage, impact the affordability of Pulmicort Turbuhaler. Many Americans discover their insurance does not cover this medication, leading to significant out-of-pocket costs. To help manage these expenses, individuals often explore alternatives like purchasing Pulmicort Turbuhaler from Canadian services like Polar Bear Meds. Customers can also use a coupon code, WELCOMEPB10, for a 10% discount on their initial purchase.

Frequently Asked Questions

How often can I use my Pulmicort inhaler?

Pulmicort Turbuhaler should be used per your healthcare provider’s instructions and tailored to your medical needs. Typically, for managing asthma, it is recommended to use the inhaler twice daily. The precise frequency and dose can vary depending on factors such as your symptoms’ severity and overall treatment response. It is essential to adhere strictly to the prescribed regimen and consult with your doctor if you feel an adjustment might be necessary, as improper use can affect the medication’s efficacy and safety.

How do I know when my Pulmicort Turbuhaler is empty?

The Pulmicort Turbuhaler is equipped with a dose indicator on the inhaler’s side. This indicator is useful for tracking the remaining doses. As you use the inhaler, the indicator gradually moves towards a red zone on the scale; once it reaches this zone, it shows that there are fewer than 20 doses left. This is an alert that the medication is running low, and it’s time to arrange for a new turbuhaler to ensure that your treatment is not interrupted.

What should I do if I miss a dose of Pulmicort Turbuhaler?

If you miss a dose of your Pulmicort Turbuhaler, you should take it as soon as you remember. However, if it is almost time to take your next dose, you may omit the missed dose to avoid doubling up. Continue with your regular dosing schedule after that. Taking two doses at once is not recommended as this may increase the risk of experiencing side effects. Keeping a consistent schedule maximizes the therapeutic benefits and minimizes the risks associated with fluctuating dosages.

Can Pulmicort Turbuhaler be used during a sudden asthma attack?

Pulmicort Turbuhaler is not suitable for treating sudden asthma attacks. It is formulated as a maintenance medication, which helps manage and reduce the likelihood of asthma symptoms when used regularly over time. A fast-acting rescue inhaler should be used for immediate relief during an asthma attack. Always having a rescue inhaler available is crucial, as is discussing the best action plan for managing acute symptoms with your healthcare provider.

How does Pulmicort Turbuhaler affect children’s growth?

Long-term use of corticosteroids, including budesonide found in Pulmicort Turbuhaler, may have a potential impact on growth in children. While the medication is effective in controlling asthma, which itself can adversely affect a child’s growth, the possibility of the medication suppressing growth cannot be overlooked. Regular monitoring of a child’s growth by a healthcare professional is recommended during prolonged corticosteroid therapy. Consult with your child’s pediatrician to balance the benefits of asthma control with the potential risks associated with corticosteroid use.

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