Forb 400 Inhaler

Who is this for?

Budesonide is a type of steroid medicine that reduces swelling and inflammation in your airways or gut, helping you breathe easier or reducing gut irritation depending on the form you use.

Binds to glucocorticoid receptors in the cytoplasm, translocating to the nucleus to suppress pro-inflammatory gene transcription and reduce production of cytokines, chemokines, and inflammatory mediators. This mechanism decreases airway inflammation, mucus production, and allergic responses while suppressing intestinal inflammatory pathways in conditions like Crohn's disease.

Is Budesonide safe to take with another drug?

Budesonide comes in different forms — as an inhaler, nebuliser solution (like Pulmicort Nebulising Suspension), nasal spray, or capsules. For asthma via nebuliser, the usual adult dose is 1-2mg twice daily. For nasal spray, it is usually 1-2 sprays in each nostril once or twice daily. Always follow your doctor's specific instructions. For the inhaler or nebuliser, rinse your mouth with water after each use to prevent mouth sores.

If you miss a dose, take it as soon as you remember. But if it is almost time for your next dose, skip the missed one and continue your normal schedule. Do not double up to make up for a missed dose.

• Sore throat or hoarse voice
• mouth thrush (white patches in the mouth)
• cough or mild headache
• nosebleed or nose irritation (if using nasal spray)

Avoid taking with ketoconazole or itraconazole (antifungal drugs commonly used in Nigeria) as they can increase budesonide levels in your body and cause more side effects. Grapefruit juice can also increase the drug's effect — avoid drinking it while on budesonide. If you are taking HIV medicines like ritonavir, tell your doctor as they can interact.

Store at room temperature, away from direct sunlight and heat — Nigerian weather can be very hot, so do not leave it in a car or near a window. Keep away from moisture and humidity. Always keep out of reach of children. Once a Pulmicort nebuliser ampoule is opened, use it within 12 hours.