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Pulmicort

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.

General medical information about Pulmicort

Pulmicort will not stop an asthma attack that has already started. It is used to prevent attacks.

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.

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 you 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.

If you 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 you 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 center.

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.

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.

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A
abilify accupril accutane acetaminophen aciphex actifed actonel actos acyclovir adalat adderall adipex advair advil albuterol alesse aleve allegra allopurinol amaryl ambien amiodarone amitriptyline amoxicillin amoxil amphetamine anacin aprazolam aricept asacol aspirin atenolol ativan atorvastatin atrovent augmentin avandia avapro avastin avelox azmacort
B
baclofen
bactrim bactroban baycol benadryl bextra biaxin boniva bontril buspar buspirone
C
caduet campral camptosar capoten captopril cardizem cardura carisoprodol casodex catapress cefzil celebrex celexa cellcept cephalexin cialis cipro ciprodex clarinex claritin climara clindamycin clonazepam clonidine codeine codeprex combivent combivir concerta copaxone coreg coricidin cotrim coumadin cozaar crestor cubicin cyclobenzaprine cymbalta
D
darvocet demerol depakote desogen detrol dextromethorphan diazepam diclofenac didrex diflucan digoxin dilantin diltiazem dimetapp diovan diprivan ditropan doxazosin doxycycline drixoral duragesic dyazide
E
effexor elavil elocon eloxatin emend enalapril enbrel endocet engerix-b entex epogen epzicom erbitux ertaczo ery-tab erythromycin estradiol evista 
F
fabrazyme famotidine fazaclo fenofibrate fioricet fiorinal flexeril flomax flonase flovent fluoxetine fosamax fosrenol furosemide  
G
gabapentin gamimune gemfibrozil gemzar glipizide glucophage glucotrol glucovance glyburide glyburide guaifenesin guaifenex 
H
herceptin humalog humira hydroxyzine hyzaar  
I
ibuprofen imdur imitrex imodium inderal insulin integrilin iressa 
K
kaletra keflex kenalog keppra ketek klonopin kytril  
L
lamictal lamisil lanoxin lantus lasix lescol levaquin levitra levothyroxine levoxyl lexapro lidoderm lipitor lisinopril lithium lorazepam lortab lotensin lotrel lotrisone lovenox lupron luveris  
M
macrobid magnevist meclizine medroxyprogesterone meridia metformin methadone methamphetamine methotrexate methylphenidate methylprednisolone metoclopramide metoprolol metronidazole miacalcin minocycline mobic monopril morphine motrin myfortic  
N
naproxen nasacort nasonex natrecor neulasta neupogen neurontin nexium nifedipine nitrofurantoin norco nortriptyline norvasc  
O
omeprazole omnicef orthovisc oxybutynin oxycodone oxycontin oxytrol  
P
paraplatin patanol paxil pegasys penicillin pepcid percocet percodan percogesic phendimetrazine phenergan phentermine phenytoin plavix plendil potassium pravachol prednisone premarin prempro prevacid prilosec prinivil procrit promethazine propecia propofol propoxyphene propranolol protonix proventil provigil prozac pseudoephedrine pulmicort  
R
ranitidine rebetol reglan relafen relpax remeron remicade renagel renova rhinocort riomet risperdal risperidone ritalin rituxan rocephin rogaine roxicet  
S
sanctura seasonale sensipar serevent seroquel serzone singulair skelaxin soma somavert sonata spiriva spironolactone strattera striant sustiva synagis synthroid 
T
tamoxifen tavist taxol taxotere tegretol temazepam tenormin tenuate tequin terazosin tetracycline tiazac tindamax titralac tobradex topamax toprol tramadol trazodone triamcinolone triaminic triamterene tricor trileptal trimox triphasil trizivir truvada tylenol 
U
ultane ultracet ultram uroxatral
V
valium valtrex vaniqa vasotec velcade verapamil viagra vicodin vicoprofen vidaza viracept viread vytorin  
W
warfarin wellbutrin  
X
xalatan xanax xenical xifaxan xolair xopenex xyrem  
Y
yasmin 
Z
zanaflex zantac zavesca zelnorm zemplar zerit zestoretic zestril zetia ziac zithromax zocor zofran zoladex zoloft zometa zorbtive zosyn zovirax zyrtec zyvox