Pulmicort Ampul medicine: Uses, indications and precautions when using

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Asthma occurs due to constriction of the airways, often associated with atopy. Therefore, in addition to bronchodilators, patients need to use inhaled corticosteroids to control asthma attacks. One of the most commonly used drugs is Pulmicort Ampul with the active ingredient Budesonide.

1. What is Pulmicort Ampul?

Budesonide with the trade name Pulmicort is a medicine that works to control and prevent symptoms (such as wheezing, shortness of breath) of bronchial asthma. Budesonide belongs to the group of corticosteroid drugs, which act directly on the airways, making it easier for patients to breathe by reducing irritation and swelling of the airways.
Pulmicort must be used regularly to be effective, it does not work immediately so it should not be used to relieve sudden asthma attacks. For asthma exacerbations, patients should use a fast-acting bronchodilator prescribed by their doctor.

2. How to use Pulmicort

Carefully read the medication instructions provided by the pharmacist before the patient starts using Pulmicort. Follow the illustrated instructions for proper use of the medication. Make sure the patient understands how to operate the nebulizer (a pneumatic nebulizer with a mask or mouthpiece) and how to properly clean it to prevent infection.
Do not use Pulmicort in the ultrasonic nebulizer. Also, do not mix budesonide suspension with other drugs in the nebulizer. Parents or responsible persons should supervise children using this machine.
Shake the medicine container gently before use. The dose of Budesonide is based on the severity of the asthma and individual patient response. Nebulizers have different levels of spray, so the patient should check if the spray intensity is enough.
Pulmicort Ampul should be inhaled by mouth, usually 1 or 2 times daily or as directed by your doctor. While inhaling this medication, breathe calmly and deeply until the mist stops, which usually lasts 5 to 10 minutes. Be careful not to let Pulmicort get into your eyes.
To prevent dry mouth, hoarseness and oral fungal infections, please rinse your mouth with clean water after each use, absolutely do not swallow mouthwash. Also, wash your face and masked area to prevent skin irritation.
Use Pulmicort regularly to get the most effective treatment. To help with memory, sing patients take Pulmicort at the same time(s) each day. Also, do not increase your dose, use it more often, or stop using Pulmicort without consulting your doctor.
Patients should learn which medicines should be used daily to control asthma and which medicines should be used to relieve acute and sudden asthma attacks. Talk to your doctor about what to do if a patient has symptoms such as coughing, shortness of breath, wheezing, increased sputum production, worsening spirometry, waking up at night due to shortness of breath. , must use reliever medicine often (more than 2 days a week) or when it is not working effectively.

If you are regularly taking another corticosteroid by mouth (such as prednisone), you should not stop taking it unless directed by your doctor. Some conditions (such as asthma, allergies) may get worse when the medicine is stopped suddenly.
If you suddenly stop taking corticosteroids, you may also have signs of withdrawal syndrome (such as weakness, weight loss, nausea, muscle aches, headache, fatigue, dizziness). To help prevent withdrawal symptoms, your doctor may slowly reduce the dose of your old medication once you start using budesonide.
Patients may notice benefits within 2-8 days of starting Pulmicort Ampul. It may take up to 4-6 weeks of regular use before the full benefits of Pulmicort take effect. Inform your doctor if your asthma symptoms do not improve or tend to get worse.

3. Pulmicort side effects

Common side effects of Pulmicort include dry throat, hoarseness, voice change, bad taste in mouth, runny nose or nosebleeds. If these effects of Pulmicort persist or worsen, tell your doctor or pharmacist right away.
In rare cases, the use of Pulmicort Ampul can cause sudden, severe breathing problems right away. If the patient has sudden shortness of breath, use a quick-acting bronchodilator and seek immediate medical attention.
Pulmicort works by suppressing the immune system so it may decrease its ability to fight infections. This can put patients at increased risk of serious (rarely fatal) infections or worsen existing infections. Promptly notify your doctor if there are any signs of infection (such as earache, sore throat, fever, chills).
Long-term or repeated use of Pulmicort may lead to oral thrush, contact a physician if patient notices white patches in the mouth or on the tongue.
Some other rare but serious side effects of Pulmicort:
Unusual fatigue; Vision problems; Easy bruising/bleeding; Facial edema; Abnormal hair growth; Mental changes (depression, mood swings, agitation); Muscle weakness or pain; Thin skin; Slow wound healing; Increased thirst; Increase the frequency of urination.

Very serious drug allergies due to Pulmicort are very rare. Be aware of serious allergy symptoms such as hives, swelling, itching of parts, dizziness, trouble breathing... and call your doctor right away for help.

4. Notes when using Pulmicort

Before using budesonide, tell your doctor if you are allergic to it or if you have any other allergies. The patient's medical history should also be taken into account, especially of: eye disease (such as cataracts, glaucoma), high blood pressure, liver disease, thyroid problems, diabetes, stomach problems, intestinal problems (such as diverticulitis, ulcers), bone loss (osteoporosis), infections (such as tuberculosis, positive TB test, herpes, thrush), bleeding problems, mental conditions (such as such as psychosis, anxiety, depression).
If you have switched from an oral corticosteroid (such as prednisone) to an inhaled form within the past 12 months, or if you have been using Pulmicort at a higher than usual dose for a long time, this may cause more difficult for the body to respond to physical stress. Therefore, before surgery or emergency treatment, or if the patient has a serious illness such as an injury, tell the doctor that you are taking Pulmicort or have used an oral corticosteroid. within the past 12 months.
Tell the doctor right away if the person develops unusual signs such as extreme fatigue or weight loss. If possible, carry a warning card or medical bracelet to indicate that the person is taking (or has used) corticosteroids.
Pulmicort may mask signs of infection, make the patient more susceptible to infection, or may worsen any existing infection. Therefore, sick people should wash their hands to prevent the spread of bacteria, avoid contact with people with contagious diseases (such as chickenpox, measles, flu...). Budesonide can cause the vaccine to become ineffective, so do not receive the vaccine while you are using Pulmicort without your doctor's consent.
Pulmicort may temporarily slow a child's growth if used for a long time. However, poorly controlled asthma can also slow growth, so take your child to the doctor regularly so that your child's height can be checked.
During pregnancy, Pulmicort should only be used when clearly needed after discussing the risks and benefits of taking it with a specialist. Pulmicort may pass into breast milk, so consult your doctor before breast-feeding.

5. Interactions of Pulmicort

Drug interactions can change the way Pulmicort works or increase the risk of serious side effects. Some products that may interact with Pulmicort include: aldesleukin, mifepristone. Pulmicort medicinal products may interfere with certain tests such as skin tests... so make sure that laboratory staff and all doctors know the patient is taking this medicine.
Learn to use a peak flow meter, use it daily, and promptly report worsening of asthma (such as readings in the yellow/red range or increasing frequency of use). use a quick-relief inhaler). Tests such as cortisol levels, bone density tests, eye exams, height/weight measurements... should be done regularly to check for Pulmicort side effects.
Avoid allergens (such as pollen, pet dander), irritants, smoking, secondhand smoke and other factors that make asthma worse. Most people with asthma or lung disease should get a flu shot every year.
In adults, Pulmicort can increase the risk of bone loss (osteoporosis) if used for a long time, so talk with your doctor about your own risk and about osteoporosis treatments. now available. Lifestyle changes to reduce the risk of osteoporosis include exercise, adequate sleep, calcium and vitamin D supplements, stopping smoking, limiting alcohol... To help prevent osteoporosis later in life in children children, encourage them to exercise and eat healthy (including calcium supplements).
Store Pulmicort ampule upright in original foil packaging, protected from light, do not store in bathroom, out of reach of children. Store US-made Pulmicort at room temperature between 68-77 degrees F (20-25 degrees C), do not freeze or refrigerate. After opening the vial, the date should be written on it and all vials must be discarded 2 weeks after opening. Store the Canadian-made Pulmicort product in the refrigerator or at room temperature between 41 and 86 degrees F (5 - 30 degrees C). Once opened, use within 3 months.
Do not flush Pulmicort down the toilet or empty it into the drain except, dispose of the Pulmicort product appropriately when it has expired or is no longer needed.
Vinmec International General Hospital is a high-quality medical care address with a team of doctors and pharmacists with many years of experience and good expertise. When having health problems, customers can contact the hospital to be examined and have the best indications for taking medicine.

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Reference source: webmd.com