budesonide (oral inhalation, Pulmicort, Pulmicort Flexhaler) (cont.)
Eni Williams, PharmD, PhD
Eni Williams, PharmD, PhD
Dr. Eni Williams graduated from Creighton University in 1988 with a B.S. degree in pharmacy and a Doctor of Pharmacy from Howard University in 1994. She also obtained a Ph.D. in Public Policy in 2009 at the University of Maryland, Baltimore County.
GENERIC AVAILABLE: Yes
STORAGE: Budesonide should be stored at room temperature, 20 C - 25 C (68 F - 77 F).
DOSING: Budesonide is used to prevent asthmatic attacks and should not be used to treat an acute attack of asthma.
The Pulmicort Flexhaler
DRUG INTERACTIONS: When budesonide is given with strong liver enzyme inhibitors (CYP 3A4 inhibitors) such as ketoconazole and other drugs including ritonavir (Norvir), atazanavir (Reyataz), clarithromycin (Biaxin, Biaxin XL), indinavir (Crixivan), itraconazole (Sporanox, Onmel), nefazodone, nelfinavir (Viracept), saquinavir (Invirase) and telithromycin (Ketek), the concentration in blood of budesonide may rise increasing the probability of an individual experiencing more side effects.
PREGNANCY: When given orally to animals, glucocorticoid steroids similar to budesonide have been shown to cause fetal abnormalities. Studies of pregnant women using inhaled budesonide during early pregnancy, however, do not show an increase in the rate of fetal abnormalities. Nevertheless, since these studies cannot exclude the possibility of rare effects on the fetus, inhaled budesonide should be used with caution during pregnancy.
NURSING MOTHERS: Budesonide like other drugs of its class is secreted in breast milk. It is not known whether the small amounts that may appear in breast milk have effects on the infant. Nevertheless, the benefits of breastfeeding an infant should be weighed against the possible risks associated with using budesonide in a nursing mother.
Reference: FDA Prescribing Information
Medically Reviewed by a Doctor on 9/22/2015
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