budesonide and formoterol inhalation (cont.)
IN THIS ARTICLE
What should I discuss with my healthcare provider before using budesonide and formoterol inhalation (Symbicort)?
You should not use this medication if you are allergic to budesonide (Entocort, Pulmicort, Rhinocort) or formoterol (Foradil, Perforomist).
To make sure you can safely use budesonide and formoterol, tell your doctor if you have any of these other conditions:
FDA pregnancy category C. It is not known whether budesonide and formoterol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.
Budesonide can pass into breast milk and could harm a nursing baby. Do not use budesonide and formoterol inhalation without telling your doctor if you are breast-feeding a baby.
Budesonide 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.
Do not give this medication to a child younger than 12 years old.
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 budesonide and formoterol inhalation (Symbicort)?
Budesonide and formoterol inhalation may increase the risk of asthma-related death. Use only the prescribed dose of budesonide and formoterol, and do not use it for longer than your doctor recommends. Follow all patient instructions for safe use. Talk with your doctor about your individual risks and benefits in using this medication.
Do not use budesonide and formoterol to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medication.
Budesonide and formoterol comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions. Always rinse your mouth after using the inhaler device.
Prime the inhaler device before the first use by pumping 2 test sprays into the air, away from your face. Shake the inhaler for at least 5 seconds before each spray. Prime the inhaler if it has not been used for longer than 7 days, or if the inhaler has been dropped.
Do not try to clean or take apart the inhaler device. Throw it away when the medicine runs out. Do not float the medicine canister in water. The dose indicator on the inhaler will turn red when there are 10 doses left in the device. Get your prescription refilled before you run out of medicine completely. Always use the new device provided with the medication when you get your prescription filled.
It may take up to 2 weeks before your symptoms improve. Keep using the medication as directed. Call your doctor if your symptoms do not improve after the first week of treatment, or if your symptoms get worse.
Your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.
Your dosage needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Do not change your doses or medication schedule without advice from your doctor.
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.
Wear a medical alert tag or carry an ID card to let others know that you may need an oral steroid in an emergency.
Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter at home, call your doctor if your numbers are lower than normal.
Use all of your medications as directed by your doctor. Talk with your doctor if your medications do not seem to work as well in treating or preventing attacks. Do not change your doses or medication schedule without advice from your doctor.
Store at room temperature, away from moisture, light, and heat. Always keep the cover on the inhaler device when not in use. Keep the medicine canister away from open flame or high heat, such as in a car on a hot day. The canister may explode if it gets too hot. Do not puncture or burn an empty inhaler canister.
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.
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