Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment
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Pulmicort (Budesonide)

Prescription Drugs & Asthma Treatment » Asthma » Pulmicort (Budesonide)

Pulmicort (Budesonide) is a corticosteroid used to prevent bronchial asthma. It is not used to relieve an asthma attack. It may also be used to treat other conditions as determined by your doctor.

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About Pulmicort (Budesonide):

Product Type: Asthma

Brand name: Pulmicort Generic name: Budesonide What is the most important information I should know about Pulmicort? • Pulmicort will not stop an asthma attack that has already started. It is used to prevent attacks. • Avoid exposing yourself to known sources of infection. Stay away from people with chicken pox measles or any other type of infection. Your immune system may not be strong enough to fight off an infection while you are taking Pulmicort. • Do not use more of this medication than is prescribed for you. Too much may cause serious side effects. • Use Pulmicort on a regular basis for best results. It may take several weeks to get the maximum effect of this medication. • It is very important that you use your Pulmicort inhaler or nebulizer properly so that the medicine gets into your lungs. Talk to your doctor about proper inhaler or nebulizer use. • Seek medical attention if you notice that you require more than your usual or more than the maximum amount of any asthma medication in a 24-hour period. An increased need for medication could be an early sign of a serious asthma attack. What is Pulmicort? • Pulmicort is a steroid. It prevents the release of substances in the body that cause inflammation. • Pulmicort is used to prevent asthma attacks. • Pulmicort may also be used for purposes other than those listed in this medication guide. Who should not use Pulmicort? • Before using Pulmicort tell your doctor if you have a viral bacterial or fungal infection of any kind. The absorption of this drug into your system can inhibit your body's ability to fight off infections. You may not be able to use Pulmicort if you have an infection. • Pulmicort will not stop an asthma attack that has already started. It is used to prevent attacks. Do not use Pulmicort to treat an asthma attack. If you are having an asthma attack that is not responding to any treatment seek emergency medical attention. • Pulmicort is in the FDA pregnancy B. This means that it is not expected to harm an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant. • It is not known whether Pulmicort passes into breast milk. Do not use Pulmicort without first talking to your doctor if you are breast-feeding a baby. How should I use Pulmicort? • Use Pulmicort exactly as directed by your doctor. Read the information insert included with your inhaler. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • If you are also using a bronchodilator such as albuterol (Proventil Ventolin) pirbuterol (Maxair) or bitolterol (Tornalate) your doctor may want you to use the bronchodilator first then use your Pulmicort inhaler. Using the medications in this order will allow more Pulmicort to reach your lungs. • The Pulmicort Turbuhaler must be primed the first time it is used. Turn the cover and lift it off while holding the unit upright. Turn the grip all the way to the right then all the way to the left until it clicks. Repeat this procedure. The unit is now primed. You will not have to prime it again even if you do not use it for an extended period of time. • To inhale a dose hold the unit upright turn the cover and lift it off. While still holding the unit upright twist the grip all the way to the right and all the way to the left until it clicks. Do not blow or exhale into the unit and do not shake it. Turn your head away and breathe out fully. Place your lips around the mouthpiece while holding the unit upright or horizontally. Take a deep slow breath. You may not taste smell or feel any medicine when you inhale however you are receiving a dose. Hold your breath for several seconds then exhale slowly. If more than one dose is required repeat this process. Replace the cover on the unit and twist it firmly into place after each use. • The Pulmicort Respules are intended for administration with a jet nebulizer (not an ultrasonic nebulizer). The Pulmicort Respules should not be mixed with any other nebulizable medications in the nebulizer. Gently shake the Respule using a circular motion before use. • To reduce the chance of developing a yeast infection in your mouth rinse your mouth with water after a dose of Pulmicort but do not swallow. Also if you are using a nebulizer with a face mask wash the area of your face covered by the mask. • It is very important that you use your Pulmicort inhaler or nebulizer properly so that the medicine gets into your lungs. Talk to your doctor about proper inhaler or nebulizer use. • Do not use more of this medication than is prescribed for you but use it consistently as directed even when you are feeling better. It may be several weeks before you see effects from Pulmicort. Talk to your doctor if your symptoms do not improve or if they get worse. • Pulmicort will not stop an attack after it has started. It is used to prevent attacks from occurring. Keep another medicine on hand to treat attacks. • Seek medical attention if you notice that you require more than your usual or more than the maximum amount of any asthma medication in a 24-hour period. An increased need for medication could be an early sign of a serious asthma attack. • If you are switching from an oral steroid (pills or liquid) to Pulmicort carry or wear identification that will let others know that you may require a systemic steroid during a severe asthma attack or during another traumatic situation. Discuss with your doctor the precautions necessary when discontinuing an oral steroid. • There are 200 doses in each Pulmicort Turbuhaler. A red mark will appear in the top of the dose indicator window when there are 20 doses of medicine remaining. You should get your next inhaler at this time. When the red mark reaches the bottom of the indicator window the inhaler is empty and should be thrown away. • Store this medication at room temperature away from moisture and heat. Keep the inhaler clean and dry at all times. Do not refrigerate or freeze the Pulmicort Respules. After opening an aluminum foil envelope any unused Pulmicort Respules should be returned to the envelope to protect them from light. Any individually opened Respules should be used promptly. The Pulmicort Respules are good for up to 2 weeks at room temperature when protected from light after the envelope has been opened. Record the date the envelope was opened on the back of the envelope in the space provided. What happens if I miss a dose? • Use the missed dose as soon as you remember. However if it is almost time for your next regularly scheduled dose skip the missed dose and use the next one as directed. Do not use a double dose of this medication. What happens if I overdose? • An overdose of this medication is not likely to occur. If you do think an overdose has occurred call an emergency room or poison control left. What should I avoid while taking Pulmicort? • Avoid items or activities that you know are allergens for you if they make your symptoms worse. Clean areas where dust or pet fur may aggravate your condition. • Avoid exposing yourself to known sources of infection. Stay away from people with chicken pox measles or any other type of infection. Your immune system may not be strong enough to fight off an infection while you are taking Pulmicort. What are the possible side effects of Pulmicort? • Serious side effects from Pulmicort are not likely to occur. If you experience any of the following serious side effects stop using Pulmicort and seek emergency medical attention or notify your doctor immediately: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives); numbness tingling or pain; a rash or unexplained open sores or bruising; or worsening respiratory symptoms. • Other less serious side effects may be more likely to occur. Continue to take Pulmicort and talk to your doctor if you experience dry mouth nose or throat after use; yeast (or another) infection in the mouth or throat (white patches); hoarseness or deepening of the voice cough or sore throat; headache; weakness or fatigue; weight loss; increased tanning of the skin; lightheadedness or dizziness; unpleasant (or loss of) taste or smell; nausea or abdominal pain; decreased growth in children taking large doses; increased pressure in the eyes glaucoma or tearing of the eyes; cataracts which may develop after long-term use; or mood changes such as depression aggression irritability or anxiety (these effects are very rare). • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Pulmicort? • Before using this medication tell your doctor and pharmacist about any other drugs you are taking. The use of other oral nasal or inhaled steroids may increase the chance of side effects or overdose. • The effects of Pulmicort may be increased by the antifungal medicine ketoconazole (Nizoral). If you are using this or another antifungal medication talk to your doctor. • Drugs other than those listed here may also interact with Pulmicort or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines

Generic Pulmicort (Budesonide)

Budez Plumicort Bidien Cortivent Desonide Desowen Entocort Micronyl Preferid Rhinocort Spirocort Tridesilon

100mcg 10 inhalers 100mcg 2 inhalers 100mcg 4 inhalers 100mcg 3 inhalers 100mcg 5 inhalers Budesonide Pulmicort

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Prescription Drugs & Asthma Treatment: Advair Diskus (Fluticasone / Salmeterol) Fluticasone is a steroid. It prevents the release of substances in the body that cause inflammation. Salmeterol is a bronchodilator. It works by relaxing muscles in the airways to improve breathing. Advair Diskus (Fluticasone and Salmeterol) inhalation is used to prevent asthma attacks. It is also used to prevent flare-ups or worsening of chronic obstructive pulmonary disease (COPD) associated with chronic bronchitis and/or emphysema. Buy Advair Diskus (Fluticasone / Salmeterol) and other Asthma products online at Medstore. About Advair Diskus (Fluticasone / Salmeterol): Product Type: Asthma Brand name: Advair Diskus Generic name: Fluticasone / Salmeterol What is Advair Diskus (fluticasone and salmeterol)? Fluticasone is a steroid. It prevents the release of substances in the body that cause inflammation. Salmeterol is a bronchodilator. It works by relaxing muscles in the airways to improve breathing. Advair Diskus (fluticasone and salmeterol) inhalation is used to prevent asthma attacks. It is also used to prevent flare-ups or worsening of chronic obstructive pulmonary disease (COPD) associated with chronic bronchitis and/or emphysema. Advair Diskus (fluticasone and salmeterol) may also be used for other purposes not listed in this medication guide. What is the most important information I should know about fluticasone and salmeterol? Do not use fluticasone and salmeterol to treat an asthma attack that has already begun. Before using fluticasone and salmeterol tell your doctor if you have a food or drug allergy heart disease high blood pressure a seizure disorder an infection a weak immune system diabetes glaucoma tuberculosis osteoporosis a thyroid disorder or liver disease. Call your doctor right away if you feel that this medicine is not working as well as usual or if it makes your condition worse. Salmeterol has been shown to increase the risk of asthma-related death. It is critical that you use only the prescribed dose of this medicine and follow all patient instructions for safe use of the medication. What should I discuss with my healthcare provider before using this medication? Do not use this medication if you are allergic to fluticasone (Flonase Flovent) salmeterol (Serevent) or milk proteins or if you are having an asthma attack or severe COPD symptoms. Salmeterol has been shown to increase the risk of asthma-related death. It is critical that you use only the prescribed dose of this medicine and follow all patient instructions for safe use of the medication. If you have any of these other conditions you may need a dose adjustment or special tests to safely use this medication: • a food or drug allergy; • heart disease or high blood pressure; • epilepsy or other seizure disorder; • an infection of any kind; • a weak immune system; • diabetes; • glaucoma; • tuberculosis; • osteoporosis; • a thyroid disorder; or • liver disease. FDA pregnancy category C. It is not known whether fluticasone and salmeterol is harmful to an unborn baby. Before using this medication tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether fluticasone and salmeterol passes into breast milk or if it could harm a nursing baby. Do not use fluticasone and salmeterol inhalation without telling your doctor if you are breast-feeding a baby. Advair Diskus (fluticasone and salmeterol) inhalation can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication. Long-term use of steroids may lead to bone loss (osteoporosis) especially if you smoke if you do not exercise if you do not get enough vitamin D or calcium in your diet or if you have a family history of osteoporosis. How should I use this medication? Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts or use it for longer than recommended by your doctor. Follow the directions on your prescription label. This medication comes with patient instructions for safe and effective use and directions for priming the inhaler device if needed. Follow these directions carefully. Do not use fluticasone and salmeterol inhalation to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medication. Advair Diskus is a powder form of fluticasone and salmeterol that comes with a special inhaler device pre-loaded with blister packs containing measured doses of the medicine. The device opens and loads a blister each time you use the inhaler. This device is not to be used with a spacer. Advair HFA is an aerosol form of fluticasone and salmeterol that comes in a canister that is used with an actuator inhaler device. Use only the inhaler device provided with Advair HFA. This device is not to be used with a spacer. Shake the Advair HFA inhaler for at least 5 seconds before each spray. Keep track of the number of sprays you have used and throw away the Advair HFA canister after 120 sprays even if it feels like there is still medicine in it. If you also use a steroid medication do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the steroid before stopping completely. Call your doctor right away if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter call your doctor if your numbers are lower than normal. Asthma is usually treated with a combination of different drugs. To best treat your condition use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor. Carry an identification card or wear a medical alert ID to let others know that you may need an oral steroid in an emergency. Store this medication at room temperature away from moisture and heat. Keep the Advair HFA canister away from high heat such as open flame or in a car on a hot day. The canister may explode if it gets too hot. What happens if I miss a dose? Use the medication as soon as you remember. If it is almost time for the next dose skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include angina or chest pain fast or irregular heartbeats seizures tremor weakness headache nausea and vomiting. What should I avoid while using this medication? Do not use a second form of salmeterol (such as Serevent) or use a similar inhaled bronchodilator such as formoterol (Foradil) unless your doctor has told you to. Advair Diskus (fluticasone and salmeterol) can lower the blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicines. This medication side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Call your doctor at once if you have any of these serious side effects: • bronchospasm (wheezing chest tightness trouble breathing); • fast or uneven heart beats restless feeling tremor; • fever chills stabbing chest pain cough with yellow or green mucus; • blurred vision eye pain or seeing halos around lights; • white patches or sores inside your mouth or on your lips; or • worsening asthma symptoms. Less serious side effects include: • headache dizziness; • nausea vomiting diarrhea; • dry mouth nose or throat; • stuffy nose sinus pain cough sore throat; or • hoarseness or deepened voice. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. What other drugs will affect this medication? Before using fluticasone and salmeterol inhalation tell your doctor if you are using any of the following drugs: • amiodarone (Cordarone); • a diuretic or “water pill”; • HIV medicines such as atazanavir (Reyataz) ritonavir (Norvir) indinavir (Crixivan) nelfinavir (Viracept) or saquinavir (Invirase); • an MAO inhibitor such as isocarboxazid (Marplan) tranylcypromine (Parnate) phenelzine (Nardil) rasagiline (Azilect) or selegiline (Eldepryl Emsam); • an antidepressant such as amitriptyline (Elavil) desipramine (Norpramin) fluoxetine (Prozac) nefazodone or imipramine (Tofranil); • antibiotics such as clarithromycin (Biaxin) or telithromycin (Ketek); • antifungal medications such as ketoconazole (Nizoral) or itraconazole (Sporanox); or • a beta-blocker such as atenolol (Tenormin) carvedilol (Coreg) metoprolol (Lopressor Toprol) and others. This list is not complete and there may be other drugs that can interact with fluticasone and salmeterol inhalation. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor Generic Advair Diskus (Fluticasone / Salmeterol) Cutivate Flixonase Flixotide Flonase Flovent Diskus Flunase Seretide 250/50mcg 1 250/50mcg 2 accuhalers 500/50mcg 1 250/50mcg 3 accuhalers 500/50mcg 2 accuhalers 250/50mcg 4 accuhalers 500/50mcg 3 accuhalers 250/50mcg 5 accuhalers 500/50mcg 4 accuhalers 500/50mcg 5 accuhalers Fluticasone / Salmeterol Advair Diskus