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Pulmicort Flexhaler

Pulmicort Flexhaler (budesonide) is an inhaled corticosteroid used primarily for the management of asthma and chronic obstructive pulmonary disease (COPD). It works by reducing inflammation in the airways, making it easier to breathe and helping to prevent asthma attacks. Pulmicort Flexhaler is particularly effective for long-term control of asthma symptoms and is often prescribed for patients who require regular inhalation therapy.



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Frequently Asked Questions

How quickly does Pulmicort Flexhaler start to work?
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Pulmicort Flexhaler may take several hours to days to achieve its full effect. It is intended for long-term control rather than immediate relief.

Can I stop taking Pulmicort Flexhaler suddenly?
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It is important not to stop taking Pulmicort Flexhaler abruptly without consulting your healthcare provider, as this may lead to a worsening of asthma or COPD symptoms.

Are there any specific dietary restrictions while taking Pulmicort Flexhaler?
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There are no specific dietary restrictions; however, maintaining a balanced diet can support overall health.

What should I do if I miss a dose of Pulmicort Flexhaler?
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If you miss a dose, take it as soon as you remember. If it’s close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up on doses.

Is Pulmicort Flexhaler safe for long-term use?
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Pulmicort Flexhaler can be used long-term under medical supervision. Regular follow-ups are important to monitor lung function and adjust treatment as necessary.

Comprehensive Drug Guide

How Does Pulmicort Flexhaler Work?

Budesonide, the active ingredient in Pulmicort Flexhaler, works by binding to glucocorticoid receptors in the lungs, leading to the regulation of inflammatory responses. This results in decreased production of inflammatory mediators, reduced swelling in the airways, and improved airflow, thereby enhancing respiratory function and decreasing the frequency of asthma attacks.



Common Dosages

  • Inhalation aerosol: 90 mcg and 180 mcg per actuation.

Typical Dosing

  • For asthma: The usual starting dose for adults and children 6 years and older is 180 mcg to 360 mcg once daily, with a maximum daily dose not exceeding 720 mcg.
  • For COPD: The recommended dosage is usually 360 mcg twice daily.


Typical Dosing

FDA Approved Indications

  • Maintenance treatment of asthma in patients aged 6 years and older.
  • Maintenance treatment of COPD.


Who Shouldn't Take Pulmicort Flexhaler?

  • Known hypersensitivity to budesonide or any components of the formulation.
  • Acute bronchospasm or severe asthma exacerbations without a rescue medication


Advice From The Pharmacist

  • Instruct patients on the proper technique for using the Flexhaler to ensure effective delivery of the medication to the lungs.
  • Emphasize the importance of not using Pulmicort Flexhaler for immediate relief of acute asthma symptoms; a rescue inhaler should be used for that purpose.
  • Regular follow-ups are important to assess asthma control and adjust the medication regimen if necessary.


Side Effects of Pulmicort Flexhaler

Common Side Effects

  • Oral thrush (fungal infection in the mouth)
  • Sore throat
  • Cough
  • Headache
  • Nausea


Uncommon/Severe Side Effects

  • Severe allergic reactions (such as rash, itching, or difficulty breathing)
  • Adrenal insufficiency (with long-term use)


Risks and Warnings of Pulmicort Flexhaler

  • Oral Candidiasis: Patients should be advised to rinse their mouth with water after using the inhaler to reduce the risk of oral thrush.
  • Adrenal Suppression: Long-term use of corticosteroids may lead to adrenal suppression; monitor for symptoms of adrenal insufficiency.
  • Growth Suppression: In pediatric patients, long-term use of inhaled corticosteroids may affect growth; regular monitoring is recommended.


Interactions with Pulmicort Flexhaler

Common Drug Interactions

  • Other Corticosteroids: Concurrent use of systemic corticosteroids may increase the risk of systemic side effects.
  • CYP3A4 Inhibitors: Medications that inhibit CYP3A4 (e.g., ketoconazole) may increase the plasma concentration of budesonide, necessitating caution and possible dosage adjustments.


Alternatives to Pulmicort Flexhaler

  • Other Inhaled Corticosteroids: Such as fluticasone or beclomethasone, may be considered for similar indications.
  • Long-acting beta-agonists (LABAs): May be used in combination with inhaled corticosteroids for better control of asthma and COPD.