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- What is budesonide (Rhinocort Aqua, Rhinocort Allergy), and how does it work?
- What are the uses for budesonide (Rhinocort Aqua, Rhinocort Allergy)?
- What are the side effects of budesonide (Rhinocort Aqua, Rhinocort Allergy)?
- What is the dosage for budesonide (Rhinocort Aqua, Rhinocort Allergy)?
- Which drugs or supplements interact with budesonide (Rhinocort Aqua, Rhinocort Allergy)?
- Is budesonide (Rhinocort Aqua, Rhinocort Allergy) safe to use during pregnancy or while breastfeeding?
- What else should I know about budesonide (Rhinocort Aqua, Rhinocort Allergy)?
What is budesonide (Rhinocort Aqua, Rhinocort Allergy), and how does it work?
- Budesonide is a synthetic steroid belonging to the glucocorticoid family, a family in which cortisol (hydrocortisone) is the naturally occurring steroid.
- Hydrocortisone is produced in the adrenal glands.
- Glucocorticoid steroids have potent anti-inflammatory actions.
- When used as a nasal inhaler or spray, budesonide travels directly to the lining of the nose, and only 20% of the administered dose is absorbed into the body.
What brand names are available for budesonide?
- Brand names available for budesonide in the US include:
- Rhinocort Aqua
- Rhinocort Allergy
- Rhinocort is a discontinued brand for budesonide in the US.
Is budesonide (Rhinocort Aqua, Rhinocort Allergy) available as a generic drug?
Do I need a prescription for budesonide (Rhinocort Aqua, Rhinocort Allergy)?
- Yes, OTC (Rhinocort Allergy)
What are the uses for budesonide (Rhinocort Aqua, Rhinocort Allergy)?
- Budesonide is used for the management of symptoms of allergic rhinitis, a condition in which fluid accumulates within the lining of the nose leading to obstruction to the flow of air. Fluid also is released into the nasal passages.
- In addition, budesonide is used for the treatment and prevention of nasal polyps.
What are the side effects of budesonide (Rhinocort Aqua, Rhinocort Allergy)?
The most common side effects associated with nasal budesonide are:
Other side effects include:
What is the dosage for budesonide (Rhinocort Aqua, Rhinocort Allergy)?
- In adults and in children over the age of 6 years, the recommended starting dose of budesonide is 1 spray in each nostril once daily.
- The maximum dose for children older than 12 years of age and adults is 4 sprays per nostril once daily.
- The maximum dose for children younger than 12 years of age is 2 sprays per nostril once daily.
Which drugs or supplements interact with budesonide (Rhinocort Aqua, Rhinocort Allergy)?
The following drugs 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.
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Is budesonide (Rhinocort Aqua, Rhinocort Allergy) safe to use during pregnancy or while breastfeeding?
- 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 only be used during pregnancy if it clearly is needed.
- Budesonide is secreted in breast milk at concentrations of 0.3% to 1% of the inhaled dose. Budesonide should only be used by breastfeeding mothers when clearly needed, and the lowest effective dose and other strategies to reduce infant exposure should be used.
What else should I know about budesonide (Rhinocort Aqua, Rhinocort Allergy)?
What preparations of budesonide (Rhinocort Aqua, Rhinocort Allergy) are available?
- Nasal Spray: 32 mcg/spray
How should I keep budesonide (Rhinocort Aqua, Rhinocort Allergy) stored?
- Budesonide should be kept at room temperature, 15 C-30 C (59 F-86 F). It should be shaken well before each use.
When was budesonide (Rhinocort Aqua, Rhinocort Allergy) approved by the FDA?
- Intranasal budesonide was approved by the FDA in 1994.
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Related Disease Conditions
Chronic Rhinitis and Post-Nasal Drip
Chronic rhinitis and post-nasal drip symptoms include an itchy, runny nose, sneezing, itchy ears, eyes, and throat. Seasonal allergic rhinitis (also called hay fever) usually is caused by pollen in the air. Perennial allergic rhinitis is a type of chronic rhinitis and is a year-round problem, often caused by indoor allergens, such as dust, animal dander, and pollens that may exist at the time. Treatment of chronic rhinitis and post nasal drip are dependent upon the type of rhinitis condition.
How Long Does an Allergic Reaction Last?
Allergic reactions may last for varying lengths of time. They may take a few hours to a few days to disappear. If the exposure to the allergen continues, such as during a spring pollen season, allergic reactions may last for longer periods such as a few weeks to months.
An allergy refers to a misguided reaction by our immune system in response to bodily contact with certain foreign substances. When these allergens come in contact with the body, it causes the immune system to develop an allergic reaction in people who are allergic to it. It is estimated that 50 million North Americans are affected by allergic conditions. The parts of the body that are prone to react to allergies include the eyes, nose, lungs, skin, and stomach. Common allergic disorders include hay fever, asthma, allergic eyes, allergic eczema, hives, and allergic shock.
Neutropenia is a marked decrease in the number of neutrophils, neutrophils being a type of white blood cell (specifically a form of granulocyte) filled with neutrally-staining granules, tiny sacs of enzymes that help the cell to kill and digest microorganisms it has engulfed by phagocytosis. Signs and symptoms of neutropenia include gum pain and swelling, skin abscesses, recurrent ear and sinus infections, sore mouth, low-grad fever, pneumonia-like symptoms, and pain and irritation around the rectal area. Neutropenia has numerous causes, for example, infections (HIV, TB, mono); medications (chemotherapy); vitamin deficiencies (anemia); bone marrow diseases (leukemias), radiation therapy, autoimmune destruction of neutrophils, and hypersplenism. Treatment of neutropenia depends upon the cause and the health of the patient.
Cold, Flu, Allergy Treatments
Before treating a cold, the flu, or allergies with over-the-counter (OTC) medications, it's important to know what's causing the symptoms, which symptoms one wishes to relieve, and the active ingredients in the OTC product. Taking products that only contain the medications needed for relieving your symptoms prevents ingestion of unnecessary medications and reduces the chances of side effects.
Hay Fever (Allergic Rhinitis)
Hay fever (allergic rhinitis) is an irritation of the nose caused by pollen and is associated with the following allergic symptoms: nasal congestion, runny nose, sneezing, eye and nose itching, and tearing eyes. Avoidance of known allergens is the recommended treatment, but if this is not possible, antihistamines, decongestants, and nasal sprays may help alleviate symptoms.
Allergy Treatment Begins at Home
Avoiding allergy triggers at home is one of the best ways to prevent allergy symptoms. Controlling temperature, humidity, and ventilation are a few ways to allergy-proof the home. Cleaning, vacuuming, and using HEPA air filters also helps control allergies.
Primary Biliary Cirrhosis (PBC) Treatment
Primary biliary cirrhosis (PBC) is thought to be an autoimmune disorder that involves the deterioration of the liver's small bile ducts. These ducts are crucial to transport bile to the small intestine, digesting fats and removing wastes. Symptoms of PBC are edema, itching, elevated cholesterol, malabsorption of fat, liver cancer, gallstones, urinary tract infections (UTIs), and hypothyroidism. Treatments include ursodeoxycholic acid (UDCA); colchicine (Colcrys); and immunosuppressive medications, such as corticosteroids; obeticholic acid (Ocaliva); and medications that treat PBC symptoms. For PBC that is associated with cirrhosis of the liver, liver transplantation may be indicated in extreme cases.
Sinus Infection vs. Allergies
Both sinus infections and allergies (allergic rhinitis) cause symptoms such as runny or stuffy nose and fatigue. Sinus infection (known as sinusitis) is inflammation of the sinuses, caused by infection from bacteria, viruses, and/or fungi (molds). Allergic rhinitis occurs when certain allergies cause nasal symptoms. When a person with allergies breathes in an allergen, such as pollen, dust, or animal dander, symptoms such as runny or stuffy nose, itching, sneezing, and fatigue occur.
Why Won’t My Allergy Symptoms Go Away?
Allergies happen when your body's immune system reacts to certain substances as though they are harmful. Allergy symptoms may not go away unless you avoid your triggers, stick to your medications, find the right combination of medications, and consider surgery.
What Causes Chronic Sinusitis?
Chronic sinusitis occurs when the tissue lining the facial sinuses becomes inflamed for at least three months. Chronic sinusitis usually involves nasal airway swelling (rhinitis). The causes of chronic sinusitis include nasal polyps, deviated nasal septum, medical conditions, respiratory tract infections, and allergies.
What Are the Symptoms of Ragweed Allergy?
The common symptoms of ragweed allergy are sneezing, runny nose, itchy, watery red eyes, headache, nasal congestion, eye swelling, rashes and coughing.
Do Allergy Desensitization Shots Work?
Allergies happen when your immune system overreacts to harmless substances called allergens. Allergy desensitization shots make your body less likely to react to allergen.
Should I Exercise Outside if I Have Allergies?
An allergy is a condition in which the immune system overresponds to a foreign substance. With the right treatment and precautions, you can completely eliminate allergy flare-ups during your outdoor workout.
Treatment & Diagnosis
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Medications & Supplements
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- Drug Interactions
- budesonide (oral inhalation, Pulmicort, Pulmicort Flexhaler)
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- Nasal Allergy Medications
- Xyzal (levocetirizine dihydrochloride)
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- Side Effects of Rhinocort Aqua (budesonide)
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- flunisolide nasal spray, Aerospan (Nasalide, Aerobid, Aerobid HFA are discontinued)
Prevention & Wellness
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Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.