budesonide nasal inhaler-spray, Rhinocort (Discontinued brand), Rhinocort Aqua (cont.)

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DRUG INTERACTIONS: Ketoconazole (Nizoral, Extina, Xolegel, Kuric), itraconazole (Sporanox), ritonavir (Norvir), atazanavir (Reyataz), clarithromycin (Biaxin, Biaxin XL), indinavir (Crixivan), and telithromycin increase the concentration in blood of budesonide by decreasing the elimination of budesonide from the body. This may lead to an increase in the side effects of budesonide.

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 do not show an increase in the rate of fetal abnormalities. Nevertheless, since these studies cannot completely exclude rare abnormalities, budesonide should be used during pregnancy only if it clearly is needed.

NURSING MOTHERS: Budesonide is secreted in breast milk at concentrations of 0.3% to 1% of the inhaled dose. Budesonide should only be used by breast feeding mothers when clearly needed, and the lowest effective dose and other strategies to reduce infant exposure should be used.

SIDE EFFECTS: The most common side effects associated with nasal budesonide are nasal irritation, sore throat, cough, bronchospasm, and nasal bleeding. Rarely, it may cause upper respiratory infections. Serious allergic reactions, increased intraocular pressure, cataracts, glaucoma, and growth suppression have been associated with use of budesonide.

Reference: FDA Prescribing Information

Last Editorial Review: 5/3/2012

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