Budecort Caution For Usage

Instructions for use, handling and disposal: Turbuhaler: How to use Budesonide (Budecort Turbuhaler): Note: In the printed leaflet, clarifying pictures are included in this part.
Turbuhaler is a multidose inhaler from which very small amounts of powder are administered. When breathing in through Turbuhaler, the powder is delivered to the lungs. It is therefore important that it is inhaled forcefully and deeply through the mouthpiece.
How to prepare a new inhaler for use: Before using Turbuhaler for the first time the patient needs to prepare the inhaler for use.
1. Unscrew and lift off the cover.
2. Hold the inhaler upright with the grip downwards. Do not hold the mouthpiece when the patient turns the grip. Turn the grip as far as it will go in one direction, and then back again in the opposite direction as far as it will go. It does not matter which way the patient turns first. During this procedure the patient will hear a click. Perform the procedure twice.
The inhaler is now prepared for use, and the patient should not repeat the previously mentioned procedure again. To take a dose, continue according to the instructions as follows.
How to use Turbuhaler: To administer one dose, simply follow the instructions as follows.
1. Unscrew and lift off the cover.
2. Hold the inhaler upright with the grip downwards. Do not hold the mouthpiece when the patient turns the grip. To load the inhaler with a dose, turn the grip as far as it will go in one direction, and then back again in the opposite direction as far as it will go. It does not matter which way the patient turns first. During this procedure the patient will hear a click.
3. Hold the inhaler away from the mouth. Breathe out. Do not breathe out through the mouthpiece.
4. Place the mouthpiece gently between the teeth, close the lips and inhale forcefully and deeply through the device. Do not chew or bite on the mouthpiece.
5. Remove the inhaler from the mouth, before breathing out.
6. If more than one dose has been prescribed, repeat steps 2-5.
7. Replace the cover by screwing it back on tightly.
8. Rinse the mouth out with water after inhaling the prescribed dose.
NOTE: Never breathe out through the mouthpiece.
Always replace the cover properly after use.
As the amount of the powder dispensed is very small, the patient may not be able to taste it after inhalation. However, the patient can still be confident that the dose has been inhaled if the patient has followed the instructions.
Cleaning: Clean the outside of the mouthpiece regularly (weekly) with a dry tissue
Do not use water for cleaning the mouthpiece.
Dose indicator: When a red mark is first seen in the indicator window there are approximately 20 doses left. When the red mark has reached the lower edge of the window the inhaler will no longer deliver the correct amount of medicine, and should be discarded. The sound heard as the patient shake the inhaler is not produced by the medication but by a drying agent.
Disposal: Always be sure to dispose used Turbuhaler responsibly/in the recommended way, since some of the medicine will remain inside it.
NOTE: There may be local requirement for national text, regarding proper disposal of Turbuhaler.
The local legal requirement for disposal of medicines, where one exists, will be added here and will include the wording 'in the recommended way'. Where there is no legal requirement, the word responsibly could be used in the optional text. This could also include the phrasing 'Ask the pharmacist for advice.'
Respules: See Dosage & Administration.
How to use (BUDESONIDE RESPULES) Nebulizing Suspension:
1) Before use, re-suspend the contents of the sterile single dose by using a gentle swirling motion.
2) Hold the sterile single dose unit upright and open by twisting off the wing.
3) Place the open (i.e. 1 mL) of the single dose units are to be used, withdraw the desired volume and discard any remaining portion.
NOTE: 1. Rinse the mouth out with water after each dosing occasion.
2. If the patient uses a facemask, make sure that the mask fits tightly while the patient is inhaling.
3. Wash the face after the treatment.
Cleaning: The nebulizer chamber and the mouthpiece, or the facemask, should be cleaned after each use. Wash the parts in hot tap water using a mild detergent or according to the instructions supplied by the manufacturer of the nebulizer. Rinse well and dry by connecting the nebulizer chamber to the compressor of air inlet.
Incompatibilities: No known incompatibilities. For proven compatible products (see Dosage & Administration).