Liquid Under Pressure, Powder Under Pressure, Liquid
Your doctor will tell you how much of this medicine to use and how often. Your dose may need to be changed several times in order to find out what works best for you. Do not use more medicine or use it more often than your doctor tells you to.
Pulmicort Respules? is a liquid medicine that is used in children. The medicine is breathed in with a device called a nebulizer. The nebulizer turns the medicine into a fine mist that the child breathes in through the mouth and to the lungs. Your child's doctor will show you how to use a nebulizer.
Pulmicort Flexhaler? is a powder that is breathed in with a special inhaler device that comes with the medicine. The powder is stored inside this inhaler. Before each use, you will turn the brown grip at the bottom of the inhaler to load a new dose of the powder into the air chamber. Do not use a spacer with the Pulmicort Flexhaler?.
This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
When you use the Pulmicort Flexhaler? for the first time, it may not deliver the right amount of medicine with the first puff. Before using this medicine, test or prime it. Hold the inhaler so that the white cover points up, then twist the cover and lift it off. Hold the inhaler upright (mouthpiece up) using the brown grip. Twist the middle of the inhaler fully in one direction as far as it will go, and then back again in the other direction. You will hear a click. Repeat this process one more time. You do not have to prime it again after this, even if you have not used it for a long time.
The Pulmicort Flexhaler? has a dose indicator that keeps track of how many times you can use the inhaler before you need to open a new one. Check the dose indicator just below the mouthpiece. The dose indicator usually starts with either the number 60 or 120 when full.
When you have finished all your inhalations, rinse your mouth out with water. Do not swallow the water after rinsing.
Keep the inhaler clean and dry at all times. Carefully follow the patient instructions about cleaning and caring for your nebulizer or inhaler.
Pulmicort Respules? are provided as a strip of five small plastic vials with sealed caps. Each container holds one dose. The strip of vials is sealed inside a foil pouch.
If a dose is missed:
If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
Keep any unused vials inside the pouch. Store the pouch in an upright position at room temperature, away from heat and direct light. Do not freeze. Once you have opened a foil pouch, the vials will be good for 2 weeks only. Throw away any unused vials if it has been longer than 2 weeks since you opened the pouch they came in.
Store the Pulmicort Flexhaler? at room temperature, away from heat, moisture, and direct light.
Discard the whole inhaler for the Pulmicort Flexhaler? when all doses have been used. The number zero will appear in the dose indicator window. You will be given a new inhaler each time you buy more medicine.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of the used medicine container and any leftover medicine. You will also need to throw away old medicine after the expiration date has passed.
Keep all medicine away from children and never share your medicine with anyone.
Make sure your doctor knows if you are pregnant or breastfeeding, or if you have glaucoma, or any type of infection, especially a lung infection such as tuberculosis (TB) or a herpes infection in the eye.
Tell your doctor if you or your child have an allergy to milk proteins. This medicine contains small amounts of lactose, which has milk sugar with milk proteins.
This medicine will not stop an asthma attack that has already started. Your doctor may prescribe another medicine for you to use in case of an acute asthma attack.
If any of your asthma medicines do not seem to be working as well as usual, call your doctor right away. Do not change your doses or stop using your medicines without asking your doctor.
You may get infections more easily while using this medicine. Avoid people who are sick or have infections. Tell your doctor right away if you or your child have been exposed to someone with chickenpox or measles.
This medicine may also increase your risk of having infections or sores in your mouth or throat. Check with your doctor right away if you or your child notice any signs of a throat infection.
This medicine may cause children to grow more slowly than normal. This would cause a child not to gain weight or get taller. Talk with your doctor if you think this is a problem.
This medicine may increase your risk of having an adrenal gland that is less active than normal. This is more likely for people who use steroids for a long time. Check with your doctor right away if you or your child have more than one of the following symptoms: darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.
Check with your doctor right away if you or your child have blurred vision, difficulty with reading, or any other change in vision while using this medicine. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor).
Your doctor will need to check your progress at regular visits while you are using this medicine. Be sure to keep all appointments.
Do not stop using this medicine suddenly without asking your doctor. You may need to slowly decrease your dose before stopping it completely.
If your symptoms do not improve or if they get worse, call your doctor.