Budesonide
Brand: Pulmicort, Rhinocort, Entocort
No boxed warning on the current FDA label.
- Caution
- Oral thrush with inhaled use; adrenal suppression and growth effects in children with long-term use.
- Storage
- Pulmicort Respules: room temperature, protect from light in the foil envelope, and use opened envelopes within 2 weeks.
Common side effects
- Oral thrush
- Hoarseness
- Nasal irritation
- Headache
Key interactions
- Grapefruit juice raises systemic exposure of the oral form
- Strong CYP3A4 inhibitors raise its level
Counseling points
- Rinse and spit after inhaled doses
- A daily controller, not a rescue medicine
- Do not stop abruptly after long courses of the oral form
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