Inhalations with pulmicort for infants

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How to properly use Pulmicort for children for inhalation

Pulmicort is a hormonal drug and helps in the treatment of bronchitis, laryngitis and other diseases of the upper respiratory tract. The drug is a glucocorticosteroid and is used topically.

Table of contents:

Pulmicort: composition and properties of the drug

Pulmicort is an effective medicine for inhalation with a nebulizer

Pulmicort is a synthetic glucocorticosteroid, which is available in the form of a powder or solution. Designed for inhalation.

The active ingredient is budesonide with a dose of 0.25 mg and 0.5 mg. Other components included in the drug: sodium chloride, sodium citrate, polysorbate 80, citric acid, etc.

The drug relieves swelling of the bronchi and has an anti-inflammatory effect, preventing the development of bronchospasm. In addition, the product reduces swelling of the mucous membrane and the formation of sputum. The therapeutic effect is achieved 1-2 weeks after use.

After inhalation, the active substance is quickly absorbed.

It is necessary to observe the temperature regime when storing the drug. The room must be at least 30 degrees. After opening the envelope for preparation of inhalation, it should be used within 3 months, and the opened container within half a day.

When is it prescribed to children?

Most often, Pulmicort is used to treat bronchitis and COPD.

Main indications for use in children:

Pulmicort is prescribed for the treatment of bronchial asthma, as well as chronic bronchitis. If a child has been diagnosed with bronchial asthma, then inhalation with Pulmicort reduces the number of attacks and the severity of symptoms.

Prescribed remedy for laryngitis. Inhalations will help relieve swelling, eliminate spasms and restore breathing. This remedy is effectively used in combination with other drugs. Recommended for use with mucolytics, mast membrane stabilizers, and antihistamines.

Dosage and features of use

The dosage and course of treatment are prescribed by the doctor depending on the diagnosis.

When prescribing Pulmicort to children, the dosage is determined strictly by the doctor. The adult dosage is 1-2 mg, and in case of exacerbation it is increased. The high dose is divided into two doses.

Children six months old are prescribed 0.25-0.5 mg per day. If attacks occur, the dose may be increased, but only under the supervision of a physician. It is necessary to know that 0.25 mg – 1 ml, 0.5 mg – 2 ml, 0.75 mg – 3 ml, 1 mg – 4 ml of suspension. For maintenance therapy, the dosage is 0.5-4 mg per day.

The drug is intended for inhalation using a nebulizer.

To reduce the risk of fungal infection of the pharynx, it is necessary to rinse your mouth well after each procedure.

When ketoconazole is used together with budesonide, the plasma concentration of the latter increases 6 times. If it is necessary to use budesonide and ketoconazole, it is necessary to increase the time between taking the two drugs. Itraconazole also increases budesonide levels in the blood.

The effectiveness of the active substance of the drug Pulmicort is reduced when using drugs such as Phenobarbital, Rifampicin, Phenytoin. The therapeutic effect is enhanced by the use of estrogens and methandrostenolone.

Contraindications and side effects

To eliminate the risk of side effects, you need to familiarize yourself with the contraindications to the drug.

Do not use Pulmicort if you are hypersensitive to the active ingredient. The drug is not prescribed to children under 6 months. Only under the supervision of a physician can it be used by patients with infections of various etiologies (fungal, bacterial, viral), and cirrhosis of the liver.

During pregnancy, the use of Pulmicort does not affect the fetus, but the risk and development of abnormalities cannot be completely excluded. Pregnant women are prescribed a minimum dosage of the drug.

If used incorrectly or hypersensitivity to the active substance, Pulmicort can cause adverse reactions. Hoarseness, throat irritation, dry mouth, cough, and allergic reactions may occur. Other side effects associated with the use of Pulmicort:

  • Bronchospasm
  • Hives
  • Contact dermatitis
  • Headache
  • Angioedema
  • Bruising on the skin

In addition, disruption of the central nervous system may occur and excitability, nervousness, and behavioral disturbances may appear.

If these symptoms appear, you should consult a doctor and stop using the drug. To avoid irritation on the skin of the face, you should wash it after inhalation.

Drug analogues

Before using Pulmicort analogue, you should consult your doctor.

If for some reason the use of the drug Pulmicort is impossible, then it can be replaced with another drug with a similar effect.

Analogues of Pulmicort are:

  • Benacort. Cheap analogue of domestic production. Intended for inhalation and has the following properties: anti-inflammatory, antiallergic and immunosuppressive effects. Available in various dosage forms: aerosol, capsules with powder, solution, suspension. Not used for various infections, hypothyroidism, osteoporosis, pregnancy, lactation.
  • Atrovent. The drug has a bronchodilator effect. The active ingredient is ipratropium bromide. Not prescribed for children under 6 years of age, in the first trimester of pregnancy.
  • Berotek. A bronchodilator with the active ingredient fenoterol hydrobromide. There are many contraindications to the use of the drug, so it should be used only as directed by a doctor.
  • Flixotide. An inhalation drug with antiallergic and anti-inflammatory effects. The drug is not prescribed to children under one year of age with acute bronchospasm.
  • Berodual. A popular medicine for the treatment of asthma and obstructive bronchitis, it relieves symptoms of suffocation and difficulty breathing.
  • Tafen Novolizer. It has an anti-inflammatory effect, suppresses the activity of cells that take part in the inflammatory process. In addition, it has an immunosuppressive and antiallergic effect. Cannot be used by children under 6 years of age.

You can learn more about how to use a nebulizer correctly from the video:

There are medications with the same active ingredient, but they are available in different forms: Budecort, Budenofalk, Benarin, etc.

When choosing an analogue of Pulmicort, you must carefully read the instructions about dosage, contraindications and possible adverse reactions. The dose should be observed according to the instructions and prescription of the doctor; self-medication is unacceptable.

To choose Pulmicort or Berodual?

Berodual is a bronchodilator drug that is used for inhalation with a nebulizer

These drugs belong to different pharmacological groups. Berodual is a bronchodilator, and Pulmicort is a glucocorticosteroid. Both drugs are used for bronchial asthma, bronchitis, to eliminate suffocation and difficulty breathing. If the active component of Pulmicort is budesonide, then the active ingredient of Berodual is fenoterol hydrobromide. Unlike Pulmicort, Berodual is a potent drug, so only a doctor can prescribe it.

In addition, the mechanism of action of the two drugs is different. Berodual has a bronchodilator and anti-inflammatory effect, and also relaxes the muscles of the bronchi. The anti-inflammatory effect is much weaker compared to Pulmicort.

Berodual should not be used by children under 6 years of age.

Like all drugs, these medicines also have side effects. Inhaled medications can be used to treat respiratory diseases in children, but it should be remembered that some components included in the medications may slow growth.

The combined use of Berodual and Pulmicort is possible. However, only a doctor can prescribe medications and select the dosage. Self-medication is strictly prohibited.

How to inhale with a nebulizer: tips for parents

Inhalations are carried out using a special device - a nebulizer. Thanks to this device, the medicinal substance is sprayed and enters all parts of the respiratory tract.

Before using the drug, you should carefully study the instructions:

  • To prepare a solution for inhalation, the suspension should be mixed with sodium chloride in equal proportions. Instead, you can use the following solutions: Salbutamol, Acetylcysteine, Fenoterol, etc. It is necessary to dilute the solution correctly, taking into account the prescribed dosage. The effectiveness of treatment depends on this.
  • The prepared solution for inhalation must be used immediately, after which it will not be suitable for use.
  • Inhalation should be carried out at least 1-1.5 hours after eating. The procedure is not performed on a full stomach to avoid vomiting and nausea. Sports activities can be performed an hour before inhalation.
  • During the procedure it is forbidden to talk or laugh. You need to breathe evenly, inhaling through your mouth. The inhalation should be deep, if possible, it should be held for a couple of seconds.
  • Before the procedure, you should not take medications that stimulate secretion, or rinse your mouth with antiseptics.
  • The procedure must be carried out for 10 minutes until the solution is completely consumed. After completing inhalation therapy, all parts of the device must be washed with hot water and soapy water. The procedure should be performed at least 3 times a day.
  • After inhalation, you should not eat, go outside or talk for some time. The oral cavity should be rinsed with water, and if a mask was used at the time of the procedure, then be sure to wash your face and wipe your eyes.
  • Small children cannot sit in one position for a long time on their own. Therefore, the child should be occupied with something during the procedure. You can sit the baby on mom or dad's lap and put the mask on his face. If the child begins to be capricious, it is better to postpone the procedure, otherwise the hot air can provoke spasms in the bronchi and cause an attack of suffocation.

Parents should remember that inhalation therapy is not carried out for pathologies of the cardiovascular system, some diseases of the respiratory system and a tendency to nosebleeds.

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Pulmicort for children's inhalations

In the treatment of diseases of the respiratory system in a child, inhalation of medications using a nebulizer is often prescribed. One of the inhaled medications often used by pediatricians is pulmicort. In what cases is it worth doing inhalations with this drug and what is important for parents to know about such procedures?

Inhalations, during which pulmicort enters the child’s lungs, have an anti-inflammatory and anti-edematous effect. This medicine belongs to the group of glucocorticoid hormones. It also has an antiallergic effect. The main active ingredient of this drug is budesonide.

Indications

Nebulizer inhalations with pulmicort are prescribed mainly for the following pathologies:

  • Bronchial asthma.
  • Obstructive diseases of the respiratory system.
  • Allergic form of rhinitis.
  • Laryngitis with stenosis (mild course).

Contraindications

Procedures with pulmicort are not prescribed for:

  • Viral, bacterial or fungal diseases of the respiratory system.
  • Tuberculosis.
  • Individual intolerance.
  • Cirrhosis of the liver.

This drug is usually not prescribed to babies under 6 months of age. If you have to treat children under six months with pulmicort, this must be monitored by a doctor.

Dosage and instructions for use

It is important to note that pulmicort must be prescribed to the child by a doctor. Only a specialist selects the dosage and takes into account all factors that can affect the treatment and condition of the baby.

Features of the use of inhalations with pulmicort for various diseases:

After inhalation with this drug, the frequency of attacks decreases, which makes it possible to reduce the use of systemic medications.

For obstructive bronchitis

Pulmicort has proven to be an effective remedy for eliminating bronchospasm, as well as reducing the amount of mucus in the bronchi and eliminating the inflammatory reaction. It is usually prescribed for 3 days for symptoms of stenosis. The procedures are carried out twice or thrice a day, with one of the inhalations always done before bedtime.

The doctor selects the daily dose of medicine for children. It can vary from 0.25 to 1 mg or more depending on the severity of the disease.

Other important features of treatment with pulmicort in the form of inhalations:

  • For inhalation, a suspension is used, which is sold in 2 ml plastic containers. On such a container there is a mark indicating the volume of 1 ml (if the procedure requires only 1 ml of pulmicort, it is squeezed out of the container to this mark).
  • In most cases, the drug should be diluted before the procedure using saline solution. After dilution, the medicine should be used within half an hour. If there is still medication left in the container, it can be stored in a dark place for up to 12 hours.

Instructions for using Pulmicort for inhalation:

  • After shaking the package, opening it and mixing the suspension with saline, the medicine is poured into a compression nebulizer (an ultrasonic model for inhalation with pulmicort is not used).
  • The child should breathe through a mask that fits tightly to the face.
  • The duration of the procedure depends on age. For small children who are inhaled for the first time, 3 minutes is enough. Older children are usually advised to breathe this medication for 10 minutes.
  • After inhalation, the mask, mouthpiece and nebulizer container must be washed, and the child must rinse his mouth well.
  • Although pulmicort practically does not enter the bloodstream and acts mainly locally, it can still cause side effects such as candidiasis, hoarseness, skin irritation, pharyngitis, allergic reactions, rhinitis, overexcitability and others. The frequency of such manifestations is 1-10%.

Although the therapeutic effect of procedures with pulmicort is noticeable within a few hours, the maximum therapeutic effect of the drug appears within two to three weeks.

Analogs

You can replace pulmicort during nebulizer inhalations with the following drugs:

  • Benacort;
  • Budesonide;
  • Symbicort Turbuhaler;
  • Novopulmon E Novolizer;
  • Tafen Novolizer.

Reviews

In most cases, parents respond positively to inhalations with pulmicort, because the drug effectively fights laryngospasm and bronchial asthma. Everyone notes the ease of use of this medication, since pulmicort is presented as a suspension, it quickly enters the respiratory tract and has almost no effect on other organs.

As for negative reviews, they are often based on the high price of the medicine, as well as on the frequent occurrence of side effects such as candidiasis. To avoid it, it is important to rinse your mouth thoroughly after each procedure.

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Pulmicort for babies?

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pulmicort is often prescribed to infants in “special” cases, but it can really help

If you have a severe cough, then take it; you shouldn’t delay it either. Get well!

I did it for my youngest, it helped a lot! We breathed three times, the swelling went down!

Ian, are you breathing with an inhaler? If you breathe ambrobene with saline solution, you won’t get such a strong cough

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at 5 months they breathed it, there was bronchitis with abstraction

Did the doctor only prescribe inhalation with Pulmicort? we always alternated inhalations with pulmicort and lazolvan (ambrobene).

Pulmicort is expensive, there is Russian budesonide, the active substance is the same, it costs 100 rubles, ask your doctor

My niece was given neem inhalations since birth; she was born premature and her lungs were not fully expanded.

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Instructions for use of the pediatric inhalation drug Pulmicort - indications, side effects and price

The use of intranasal drugs, such as Pulmicort for inhalation for children, during the treatment of respiratory tract diseases in a child, gives a positive effect if you strictly follow the instructions and dilute the drug in the correct proportion. Inhalation is used to relieve bronchospasms in adults and children. Due to the specific nature of the action, treatment with such drugs occurs only as prescribed by a doctor and under his supervision.

What is Pulmicort for inhalation

The international name of Pulmicort is Budesonide. This is a drug based on a steroid hormone that has a diverse effect on the human body. The secretion produced by the adrenal cortex is widely used in medicine due to its powerful immunoregulatory effect and anti-inflammatory effect. The product is produced in the form of a suspension with a solid, easily resuspended dispersed phase, placed in polyethylene containers. Before use, the weighed powder should be diluted with saline solution.

Compound

Pulmicort for inhalation for children contains 0.25 mg of micronized Budesonide, which is the main active ingredient of systemic glucocorticosteroids. The auxiliary components that give the drug the form of a suspension are sodium chloride, disubstituted sodium salt of ethylenediaminetetraacetic acid (EDTA), anhydrous citric acid, ethoxylated sorbitan 80.

Is it a hormonal drug or not?

The pharmacological effect of the drug consists of penetration into the cytoplasm of cells and a targeted change in physiological reactions, which classifies the drug as a type of hormonal drug. Systemic corticosteroids are the most effective treatment for bronchial asthma and diseases of the upper respiratory tract. The release of the drug in the form of a suspension for inhalation expanded the scope of introduction of GCS into therapeutic practice due to the fact that this method reduces the risk of unwanted reactions of the body.

pharmachologic effect

Pulmicort has a specific effect on tissues, changing physiological reactions in organs that have receptors to which the hormone binds. Stimulation of andrenoreceptors helps improve bronchial patency. The recommended dosage of Budesonide has a positive effect on the glands that produce mucus and phlegm, resulting in reduced swelling.

Pulmicort for children is able to relieve swelling of the bronchi and eliminate the symptoms of the disease during an exacerbation. The mechanism of action of Budesonide is based on blocking the synthesis of bronchoconstrictor substances by influencing encoding genes. Low lipophilicity promotes penetration into the lungs through mucous secretions and eliminates bronchospasm by reducing the synthesis of nitric oxide. The maximum effect of treatment with the drug is achieved 7-14 days after the start of therapy.

Indications for use in children

The topical drug reduces the risk of complications and side effects that occur when taking GCS orally, while providing a similar anti-inflammatory effect. Such properties determine the use of Pulmicort for children starting from the age of six months. Glucocorticosteroid therapy is indicated for a child in the following cases:

  • attacks of bronchial asthma;
  • obstructive bronchitis and other obstructive diseases;
  • allergic asthma attacks;
  • laryngitis;
  • coughing attacks of unspecified etiology.

Pulmicort for a cough in a child is prescribed in the form of inhalations using a special compressor inhaler. Such procedures are effective for dry cough, inflammation of the larynx (laryngitis), maintenance treatment of bronchial asthma, if the use of nebulization inhalers is impossible. It is not advisable to use the drug during an acute attack of asthma. For inhalation, Budesonide is mixed with saline solution.

How to dilute Pulmicort for inhalation with saline solution

In order to find out how to dilute Pulmicort for inhalation for a child, you should refer to the instructions. To prepare a solution for inhalation, saline solution is used. The suspension is diluted at a ratio of 1:1. For a drug dose of 0.25 mg the suspension volume corresponds to 1 ml, for 0.5 mg - 2 ml, for 0.75 mg - 3 ml. For example, before a child is inhaled with a minimum dose of Pulmicort, 1 ml of suspension is diluted with 1 ml of saline solution.

Instructions for use for children

The doctor selects an effective dose for the child individually, based on his medical history. According to the instructions, the minimum daily dose for starting treatment for children from 6 months and adolescents up to 12 years is 0.25 mg. In some cases, pediatricians prescribe Pulmicort to infants from 3 months of age. If the response to initiation of treatment with the drug is positive, the dose of inhaled corticosteroids can be increased to 1 mg/day.

The frequency of procedures depends on the dosage. For a minimum dose of 0.25 mg, you can breathe through a nebulizer once a day. Increasing the amount of the drug requires switching to 2 or 3 times a day inhalations, while the medicinal solution must be re-diluted before each procedure. The child should definitely inhale in the evening before bedtime.

How many days to use

The active substance of the drug penetrates faster to target cells due to preliminary inhalation of beta-adrenergic stimulants, so therapy with an inhaled hormonal agent gives positive results even in severe forms of the disease after 3 days. If longer therapy is required to completely eliminate symptoms, the use of glucocorticosteroids is permitted in the absence of side effects. Containers remaining after the course should be stored in packaging with instructions, avoiding direct exposure to the sun.

How to breathe Pulmicort through a nebulizer

To carry out inhalation with Pulmicort for children, a special nebulizer device is used. During the procedure, a mask is used to cover the child's nose and mouth. The nebulizer mouthpiece is suitable for use by adults and teenagers; children will find it uncomfortable to breathe with it. Before starting the procedure, it is recommended to wash your hands with soap and treat the child’s face with an antibacterial agent.

The dosage of Pulmicort for inhalation for children should correspond to the doctor’s prescription. The drug should be inhaled for no more than 10 minutes, and the inhalation should be active and deep. After using the nebulizer, you must rinse your mouth with water and wash your face. All components of the device must be thoroughly washed and dried before next use.

Is it possible to breathe Pulmicort at a temperature

Inhalations using a nebulizer are recommended to be used at a body temperature of no more than 37.5 degrees. This precaution is due to the possibility of worsening the condition of a patient suffering from bronchitis, pneumonia or infection. However, if bronchospasm, attacks of suffocation, or shortness of breath occur, you can and should breathe Pulmicort, even at high temperatures. After the attack passes, you should consult a doctor.

Drug interactions

Clinically significant results of interaction between drugs used to treat asthma and hormonal drugs based on Budesonide have not been recorded. Quantitative or qualitative changes in effects when taking the drugs simultaneously are described in the table:

Plasma concentration of budesonide increases

Phenobarbital, phenytoin, rifampicin

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Side effects and overdose

The use of the drug in recommended doses is well tolerated by patients. Rare side effects include:

  • dry mouth;
  • candidal lesions;
  • increased excitability;
  • skin irritation.

A one-time excess of the dosage does not lead to tangible consequences. With long-term treatment with Pulmicort with chronic excess dosage, the following clinical phenomena may occur, in which the dose is gradually reduced:

  • hyperpigmentation;
  • weight gain;
  • weakness, dizziness;
  • hypertension;
  • appearance of stretch marks.

Contraindications

Pulmicort therapy is not prescribed to children under 6 months of age and to patients who have been identified as individual intolerant to the drug or immune to its action. In addition, Pulmicort inhalations cannot be used for:

  • pulmonary tuberculosis in the active phase;
  • damage to the respiratory system by fungal infections;
  • severe liver diseases.

Analogs

In order to select an analogue of Pulmicort for inhalation, a child must consult a doctor. Making a decision on your own based on indications for use, composition or price is not recommended due to the fact that only a specialist knows the effect of the drug on the body of a particular patient. Inhaled glucocorticosteroids, which help with respiratory diseases and contain the active substance Budesonide, are:

Pulmicort or Berodual - which is better?

The effectiveness of using a particular drug can only be assessed by a doctor familiar with the patient’s medical history, so the decision about which drug is better should not be based only on customer reviews or recommendations. You should choose a medicine for your child based on the pediatrician’s prescriptions. Below are the main differences between the two drugs:

Removing bronchial edema

Have an anti-inflammatory effect

Possibility of use for children

You can find out how much Pulmicort costs in Moscow by visiting the websites of pharmacies, with catalogs of medical drugs posted on them, which indicate the characteristics and cost of the available funds. In order to order and buy an inhalation suspension in the online store at prices from city pharmacies, you should select the required item and fill in the necessary data. Information on the cost of the drug is presented in the table:

Video

The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment based on the individual characteristics of a particular patient.

Source: http://sovets.net/13137-pulmikort-dlya-ingalyacij-dlya-detej.html

Carrying out inhalations with Pulmicort according to Komarovsky

Children often get sick, especially during the cold season. At the same time, they are diagnosed not only with respiratory diseases, but also with more severe pathologies. Recently, complications of colds such as bronchitis and pneumonia have become increasingly common. These diseases are accompanied by a debilitating cough that disrupts the child’s condition. Various medications are used to treat cough, and Pulmicort is considered one of the most effective. Before starting use, you should carefully study the instructions. A well-known children's pediatrician advises using Pulmicort for inhalation for children, Dr. Komarovsky recommends it for the treatment of cough.

General characteristics of the drug

Pulmicort belongs to the medicinal group of hormonal drugs. This is a synthetic corticosteroid that helps reduce the incidence of diseases of the lower respiratory organs. Pulmicort has a strong anti-inflammatory and anti-edematous effect, in addition, it relieves bronchospasm well. This drug also reduces allergy symptoms.

The active component of Pulmicort is budesonide. Budesonide is supplemented with various excipients, which only enhance the effect of the drug.

According to the experienced doctor Komarovsky, Pulmicort is completely safe for small children. When performing inhalations, the active substance almost instantly penetrates the site of inflammation and is very quickly removed from the body through the kidneys.

Pulmicort is completely non-addictive, so it can be used to treat children for a long time.

Indications

Inhalations with saline and Pulmicort are indicated for various pathologies of the respiratory organs. They help normalize the condition of the respiratory system. The main indications for use are:

  • chronic obstructive bronchitis;
  • bronchial asthma;
  • rhinitis of various origins;
  • pharyngitis and nasopharyngitis;
  • infectious pathologies of the upper respiratory organs;
  • psoriasis and lichen planus;
  • allergic dermatitis;
  • to prevent the growth of nasal polyps.

The drug helps to quickly relieve spasms in bronchial asthma, laryngitis and laryngotracheitis. This medicine will help relieve an attack of suffocation in a matter of minutes and normalize the child’s condition.

You can start using Pulmicort to treat children only as prescribed by a doctor. It is important to know the dosage and features of inhalation.

Contraindications

Pulmicort cannot be prescribed in all cases; there are a number of contraindications that need to be taken into account.

  • Intolerance to individual components or special sensitivity to them.
  • Advanced pulmonary tuberculosis.
  • Fungal or viral pathology of the skin.
  • Tuberculosis and syphilis.

In addition, it is worth considering that the medicine is not prescribed to children under six months. This is associated with a high probability of developing side effects.

How to use the medicine

Inhalations are carried out using a nebulizer. This is a special medical device equipped with a compressor that helps spray medicinal solutions into fine particles.

Before inhalation, the hormonal drug must be diluted with saline solution. The diluted solution is used immediately and cannot be stored. The dose of the drug is determined by the doctor individually, depending on the patient’s age and diagnosis.

Inhalations with Pulmicort are carried out in different ways, depending on the diagnosis:

  • For laryngitis, no more than 1 mg of medication per day is usually prescribed. This volume is divided into several steps.
  • For bronchitis, inhalations are carried out two hours after meals. After the procedure, the child should not eat or drink for an hour. It is best to inhale before daytime sleep.
  • For pneumonia, the medicine is inhaled in the same way as for treating bronchitis. The daily dose prescribed in the instructions is divided into several doses.
  • Tracheitis. The hormonal drug quickly eliminates swelling and promotes sputum discharge. The treatment regimen for tracheitis is determined by the doctor.
  • For stenosis, two inhalations are performed with an interval of half an hour. Pulmicort is diluted with saline solution in a 1:1 ratio. If necessary, you can repeat the procedure every 12 hours.
  • Laryngotracheitis. The hormonal drug can be used to relieve acute attacks of asthma. In addition, it can be used to prevent relapse of the disease.
  • Cough. Pulmicort is effective for treating cough of any etiology. It quickly eliminates bronchospasm and promotes the introduction of even quite viscous sputum. When coughing is of an allergic nature, it stops the attack within 10 minutes after use.
  • False croup. In this case, the drug is especially effective in combination with antiallergic drugs.
  • Dr. Komarovsky advises using Pulmicort for adenoiditis. This medication eliminates swelling, relieves inflammation and prevents further proliferation of lymphoid tissue.
  • Bronchial asthma. The hormonal drug is the main one in the treatment of asthma; the treatment regimen and dosage are determined by the doctor.

Pulmicort inhalations are carried out according to the same scheme; only the dosage can change. The dose of the hormonal drug is prescribed by the doctor individually.

The maximum effect of inhalation is observed after 3 hours, although in some cases the effect of the drug is noticeable almost immediately. The duration of inhalation of a hormonal drug for children should not exceed 10 minutes.

You need to be treated with this medication for at least a week, only in this case a lasting effect will be noticeable. A single use will not give long-term results.

Bronchial asthma should be treated with Pulmicort for at least 2 weeks.

Side effects

If Pulmicort is used for a long time and in high dosages, side effects may occur. Adverse reactions include the following health deviations:

  • feeling of dry mouth;
  • irritation of the oral and nasopharyngeal mucosa;
  • cough and hoarseness;
  • dermatitis and allergic rashes such as urticaria;
  • excessive nervousness and excitability;
  • depression and inappropriate behavior;
  • bronchospasm and laryngeal edema;
  • bruises of unknown etiology.

In addition, the function of the adrenal glands decreases, which can manifest itself as characteristic disorders.

To reduce the risk of side effects, you must adhere to the following doctor’s recommendations:

  1. Before and immediately after inhalations, the child should rinse his mouth with warm water.
  2. After inhaling medicinal vapors, you should thoroughly wash your face and hands. This will avoid local allergic reactions.
  3. Do not exceed the dosage prescribed by the doctor.
  4. After using the nebulizer, the mask and container are washed well with running water and then treated with an antiseptic.

In some cases, Pulmicort can slow down the growth of children, so with prolonged use of the drug, the doctor must monitor the physical development of the child.

Using Pulmicort for inhalation, you can quickly cure coughs of various origins. This drug is not addictive, but has a number of contraindications and side effects. It can only be used as prescribed by a doctor and only in doses prescribed by a specialist. The medicine can be used to relieve bronchospasms.

Source: http://pulmono.ru/lekarstva/dlya-legkih/provedenie-ingalyatsij-pulmikortom-po-komarovskomu

Inhalations with Pulmicort for children

All children get sick from time to time. Almost every parent faces diseases such as acute respiratory infections and flu, but more serious pathologies of the respiratory system also occur. As a rule, they are accompanied by a painful cough and disruption of normal breathing. Such ailments require treatment with the prescription of potent drugs. One of them is Pulmicort for inhalation. Before using it, it is recommended to carefully study all the information and consult with a specialist in order to get the maximum benefit without harming the child.

Description of the drug Pulmicort

Pulmicort is a hormonal drug that belongs to the group of synthetic corticosteroids that reduce the incidence of diseases of the bronchopulmonary system. It has a pronounced anti-inflammatory effect, perfectly relieves bronchospasm and swelling. The medicine also has an antiallergic effect.

The active component of this drug is budesonide.

It is worth noting that in the international directory of medications, Pulmicort has a different name, corresponding to its main component - Budesonide.

In addition, the composition of the suspension for inhalation includes the following excipients:

  • disodium edetate;
  • sodium citrate;
  • sodium chloride;
  • polysorbate 80;
  • lemon acid;
  • purified water.

Pulmicort is absolutely safe for children’s bodies, even with long-term use. It is not addictive (as many people believe). The active substance is quickly absorbed after inhalation and is completely excreted from the body along with urine.

Pulmicort for inhalation has a pronounced local anti-inflammatory effect

Indications for use

Pulmicort is intended for the treatment of diseases of the bronchial tree and the relief of conditions associated with impaired functioning of the respiratory system. It is effective for:

  • chronic obstructive pulmonary disease;
  • asthma (bronchial and non-allergic);
  • rhinitis (chronic, vasomotor and allergic);
  • pharyngitis and nasopharyngitis;
  • upper respiratory tract infections;
  • psoriasis;
  • lichen planus;
  • allergic dermatitis;
  • emphysema;
  • chronic cough;
  • growth of nasal polyps (as a prophylactic agent).

The drug copes well with the task of emergency relief during attacks of diseases such as bronchial asthma, laryngitis and laryngotracheitis. If a child experiences suffocation, you can quickly relieve swelling and improve the condition using inhalations with Pulmicort. The main thing is to know the dosage and follow the rules of the procedure.

Contraindications for treatment of children

The use of Pulmicort for the treatment of children has the following contraindications:

  • individual intolerance or hypersensitivity to the components of the drug;
  • pulmonary tuberculosis at stages 3 or 4;
  • the presence of fungal diseases or viral lesions of the skin;
  • lupus;
  • cutaneous syphilis.

In addition, there is an age restriction - the drug is prohibited for infants under 6 months.

Instructions for use

Inhalations with Pulmicort are carried out using a nebulizer. The device is very convenient to use. The device usually comes with a mask for babies and a mouthpiece for older children.

A nebulizer is a device for inhalation that converts a medicinal substance into an aerosol.

The principle of operation of the nebulizer is based on the fact that at the exit from it the drug is sprayed into dispersed particles, which, through a tube or mask, enter the patient’s respiratory organs

The suspension for inhalation requires mandatory dilution with 0.9% sodium chloride solution or saline solution. The product for the procedure is prepared in advance, but is stored for no more than half an hour.

The dosage of the substance is determined by the doctor based on the diagnosis, test results and the individual characteristics of the child.

Inhalations with Pulmicort have certain features in the treatment of various diseases:

  1. Laryngitis. If a child is prescribed more than 1 mg of medication per day, it can be divided into several doses.
  2. Bronchitis (including obstructive). Inhalations are carried out in children 2 hours after eating. It is important that the baby does not take food or drink for an hour after the procedure. The ideal time is before a day or night rest.
  3. Pneumonia. The drug is used according to the instructions, and the prescribed dosage is divided into 2-3 uses.
  4. Tracheitis. Pulmicort quickly relieves swelling of the mucous membrane and also suppresses sputum production. For this disease, it is used according to the regimen specified by a specialist.
  5. Stenosis. A single dose can be divided into 2 inhalations with an interval of 30 minutes. When using the entire dose, Pulmicort is diluted with an equal amount of saline solution. To be effective, you need to breathe the medicine every 12 hours until improvement occurs.
  6. Laryngotracheitis. The drug is used as an ambulance for acute attacks of the disease. It is also recommended for the treatment and prevention of possible relapses. It is important to know that during attacks after inhalation, the child is not recommended to talk (even in a whisper) so as not to overstrain the vocal cords.
  7. Cough - dry, wet, allergic. Pulmicort is effective for all types of cough, as it quickly relieves bronchospasm and promotes the separation of even very viscous sputum. For allergic coughs, inhalation relieves symptoms within 10 minutes.

Elevated body temperature is often a contraindication for inhalation. However, in some cases the procedure is simply necessary. Pulmicort is approved for bronchospasm with elevated temperature, and for stenosis it can be used even at 38°C. If the drug is used as maintenance therapy, then it cannot be stopped when a temperature appears, as this may worsen the child’s condition.

Duration of use

The effectiveness of inhalation in many cases can be assessed already during its implementation. The maximum effect of Pulmicort is observed after 1–3 hours. The duration of the procedure directly depends on the dosage of the drug and the age of the patient. On average from 5 to 10 minutes.

A lasting result of disease therapy is observed after a week of regular use. That is why there is no point in using the medicine once - you need to complete the full course.

Thus, for bronchial asthma treatment with Pulmicort is required for at least a month.

Side effects

In some situations, in particular with overdose and long-term use, Pulmicort can cause a number of side effects, namely:

  • dry mouth;
  • irritation of the mucous membranes of the mouth and throat;
  • fungal infections (candidiasis) of the oral cavity and pharynx;
  • hoarseness;
  • cough;
  • hives;
  • contact dermatitis;
  • allergic rashes;
  • increased excitability and nervousness;
  • inappropriate behavior;
  • depressed mood;
  • in very rare cases - bronchospasm and angioedema;
  • bruises on the skin of unknown origin;
  • decreased adrenal function.

In order to reduce the risk of side effects, the following recommendations must be followed:

  1. Before and after each inhalation, rinse the child’s mouth with warm water.
  2. After the procedure, wash your face and hands to prevent local reactions.
  3. After each use, clean the nebulizer with water and a mild antibacterial agent.

It is important to note that Pulmicort can have an inhibitory effect on a child’s growth if it is used continuously over a long period of time. Therefore, taking the drug, especially in children and adolescents, should be carried out under strict control of growth indicators.

Experts' opinion

Reviews from leading pediatricians boil down to the fact that inhalation with Pulmicort through a nebulizer is a reliable, safe and effective method of treating respiratory diseases.

Registration of the drug Pulmicort® suspension for the treatment of stenosing laryngotracheitis is an important event for pediatric pulmonology in Russia. The use of this drug demonstrates high effectiveness, especially in children of early and preschool age. We are very pleased that Russian pulmonologists now have the opportunity to offer young patients an effective and safe remedy for the rapid relief of this syndrome.

ON THE. Geppe, Head of the Department of Childhood Diseases of the First Moscow State Medical University named after. THEM. Sechenova, Professor, Doctor of Medical Sciences, Honored Doctor of the Russian Federation, Director of the Clinic of Children's Diseases

Doctor Komarovsky about the effectiveness of inhalations - video

Analogues of the drug

Despite its high effectiveness, the drug has side effects. If a child is overly sensitive to the components of Pulmicort or to a group of corticosteroids, it is necessary to contact a pediatrician about changing the drug. The following drugs are analogues of Pulmicort:

  • Tafen Novolizer;
  • Apulein;
  • Budesonide;
  • Budenit Steri Neb.

How can you replace Pulmicort - gallery

Reviews from parents

Pulmicort suspension was prescribed to my son to relieve attacks of laryngitis. Not only did he wheeze as he inhaled and exhaled, but he also began to choke in fits of breath. I called an ambulance, the doctor relieved the attack using inhalation using a suspension of Budenit and saline. solution. They recommended purchasing Budenit or Pulmicort - both are hormonal drugs, with one active ingredient - Budesonide. The drug is hormonal, you should not get carried away with it, use it under the supervision of a doctor and preferably for no more than 3 days.

My daughter had a dry, non-productive cough, which could not be treated even with antibiotics, and then we were prescribed the hormonal inhalation drug Pulmicort. This medicine is expensive, but you can buy it not in a box, but in a bag, which will cost 5 times less, and besides, many sessions with it are not prescribed. We were prescribed only 2 days of 2 inhalations. I had high hopes for this drug. But after the course of treatment, nothing changed in my daughter’s condition. The cough remained dry and frequent. And when we arrived at the hospital, we were told that this drug was used in vain. And ordinary injections of ampicillin helped us.

After my daughter recently developed an allergy after treating her cough with Fluditec, we had to suffer for some time to finally leave the girl alone with this terrible cough. The doctor prescribed us Pulmicort. It’s sad that this drug is also hormonal, but what can I do, my daughter is all exhausted. I will say that on the first day we did not feel any better, only slightly on the second, and after the last inhalation the cough practically stopped. And be sure to remember: under no circumstances prescribe it to yourself, and especially to your child. The pulmonologist recommended it to us, and the pediatrician, having carefully studied her recommendations, prescribed it to us.

Anyone who has encountered laryngospasm or laryngeal stenosis in young children will understand that it is better to inhale the hormone than to call an ambulance for an injection or hospitalization. Pulmicort is a strong drug; it acts directly on the sore spot, that is, on the area of ​​the larynx. When my daughter gets sick, I always prepare an inhaler for the night, since in half of the cases the virus causes laryngitis from an early age. Fortunately, I didn't notice any side effects.

The treatment of many diseases associated with the respiratory system requires the use of modern techniques. These include inhalations with the drug Pulmicort, which are carried out using a nebulizer - a convenient and safe device. It is important to note that Pulmicort is a potent drug and has a number of side effects. Before using it, consult a pediatrician. Compliance with the scheme chosen by the specialist and the correct implementation of the procedure will help achieve maximum results and protect the baby from unwanted consequences.

Source: http://babyzzz.ru/0-1/health/13243.html

Inhalations with Pulmicort for children: use, dosage for nebulizer, instructions for dilution with saline solution

Bronchial asthma is a fairly serious disease of the respiratory system, which manifests itself at an early age and can accompany a person throughout his life. Many children and adults suffer for a long time from attacks of severe suffocation, alternating with severe coughing. The selection of medications in such cases is made purely individually.

Pulmicort is traditionally considered one of the most effective remedies. With its help, patients will be able to get rid of discomfort in the chest and delay the next attack of suffocation. Pulmicort compares favorably with other medications due to its availability and simplicity. You can easily purchase it at any pharmacy.

Suspension for nebulizer Pulmicort

Composition of the drug Pulmicort

Pulmicort is a local inhaled glucocorticosteroid. The main active ingredient is budesonide in the amount of 0.25 milligrams. Of the additional components, it is especially worth highlighting sodium salt, citric acid and disodium edetate, which are completely safe for children.

The drug itself is a whitish suspension, which is located in special containers. Each small container contains only one single dose of the drug.

The components of Pulmicort are well tolerated and harmless for children. The inhaled substance passes through the body very quickly and is adsorbed. The drug is excreted in the urine after a few days. The medication does not linger in the body of children and adults, which makes its use absolutely safe from the point of view of overdose. According to leading scientists, the drug does not contribute to the occurrence of cancer and does not affect pregnancy or the ability to conceive.

The principle of action of the medicine

Like any other glucocorticosteroid, Pulmicort has pronounced anti-inflammatory, antiallergic and mineralcorticoid effects. The mechanism of action is based on reducing the synthesis in the cells of the body of prostaglandins, leukotrienes, prostacyclins, which have an irritating effect and damage tissues, activating inflammatory processes.

Also, during the exudation phase, a large number of interleukins are released - these are inflammatory mediators that damage cell walls and cause fluid to leak into the intercellular space.

Main effects of taking:

  • reduction of allergic swelling of the mucous membranes;
  • decreased production of mucus and fluid by small bronchioles and alveoli;
  • ensuring complete patency of the upper respiratory tract;
  • evacuation of inflammatory cells and inhibition of the exudation process with the formation of allergic secretion;
  • significant reduction in sputum;
  • decreased sensitivity of the mucous membranes of the pharynx, nasopharynx and nasal cavity to external irritants;
  • increased sensitivity to glucocorticosteroids;
  • strengthening the body and increasing its resistance to prolonged physical activity.

Indications for use

The main indications for which this medicinal substance is used using an inhaler include:

  • bronchial asthma;
  • status asthmaticus;
  • functional obstruction of the bronchi with dry cough;
  • allergic laryngospasm;
  • swelling of the bronchioles associated with immediate hypersensitivity reactions;
  • chronic obstructive pulmonary disease;
  • complications of COPD with bronchitis;
  • breathing disorders such as expiratory and inspiratory dyspnea;
  • pseudocroupous reaction;
  • stenosis of the larynx;
  • chronic allergic rhinitis.

Bronchial asthma is the main indication for the use of Pulmicort

Contraindications

Unfortunately, in some cases, the use of the drug is strictly prohibited or limited, which is due to the reactions of the children’s body to the components of the substance, as well as the peculiarities of the course of some chronic diseases. Before taking, be sure to consult with your doctor to avoid negative consequences and not make your child worse.

It is prohibited to take inhalations of the drug if you have:

  • pulmonary tuberculosis in the phase of increased activity;
  • fungal infections of various organs;
  • chronic and acute renal failure;
  • liver diseases;
  • uncomplicated bronchitis;
  • cataracts and glaucoma;
  • diabetes mellitus with many complications;
  • peptic ulcer in the acute stage.

Instructions for use for inhalation

Dosage of the drug

When taking a medication by inhalation, the amount of the administered substance is purely individual and depends on the patient’s response to the therapy, his age and body weight.

The dosage of Pulmicort is determined by the doctor

For children older than six months, the initial dosage is prescribed from 0.25 to 0.5 mg per day. In particularly severe cases of exacerbation of bronchial asthma and allergic rhinitis, it is increased to 1 mg.

Adults are prescribed 1 to 2 mg per day. To maintain normal bronchial reactivity, take 0.5 mg per day. In cases of exacerbation of chronic pathology, doctors slightly increase the amount of the drug for the inhaler.

If the prescribed dosage of the drug does not exceed 1 mg per day, it can be used once. In case of a dosage of more than 1.5 mg, it must be divided into two or three doses. This will help avoid overdose.

How to dilute a suspension with saline solution for a nebulizer?

A nebulizer is a special device for inhalation use of a drug. It has a special mask and mouthpiece, which make its use very convenient in any situation. The device is connected via a tube to an air compressor, which creates a stream of tight air. Instructions for diluting the drug with saline:

  1. Take the container, rinse it under running water, and dry it with a paper towel.
  2. Squeeze the one-dose sachet into a container. Remove unnecessary residues.
  3. Open the bottle of 0.9% saline solution. Add liquid to the two milliliter mark on the container. It needs to be diluted gradually.
  4. After using the medicine, rinse the container.

Pulmicort single dose container

How to breathe correctly?

There is nothing complicated in using a nebulizer:

  1. Place the required amount of medicine. Fill with saline solution.
  2. Connect the container to the compressor. Plug in.
  3. Place the mask on your face and activate the device. During the procedure, you can breathe and go about your business.
  4. Inhale slowly. It is necessary to inhale until the drug substance has completely evaporated.
  5. At the end of the procedure, the child needs to remove any remaining drug from the face.

How many times a day should I use and for how long?

Pulmicort is recommended to be used once or twice a day (morning and evening) for 10 or 14 days at the maximum possible dosage. Gradually, as the symptoms decrease, the amount of the drug is reduced until the normal state of the body is maintained. It is strictly forbidden to independently change the dosage and cancel the glucocorticosteroid: this can provoke a serious attack of suffocation and laryngospasm.

Changing the dosage of Pulmicort on your own is strictly prohibited.

special instructions

If the patient has diseases of the nasopharynx and oral cavity associated with fungal infection, a procedure for rinsing the mouth before and after using the nebulizer is necessary.

For fungal pneumonia, it is worth taking an antibiotic before starting inhalation. When a patient has severe adrenal dysfunction, which is treated with other systemic glucocorticosteroids, strict adherence to dosages in children is a vital necessity. If it is exceeded, decompensated adrenal insufficiency may develop.

When a patient is transferred from one type of drug to Pulmicort, withdrawal symptoms may be present in the first few days: nausea, vomiting, increased blood pressure, excessive urination. There is no need to be afraid - this is a common stress reaction to the introduction of a new substance into the body. However, if pathological signs appear that indicate a pronounced violation of various organs and systems, you should consult a specialist.

Possible side effects

Most often you can find the following negative effects of the substance:

  • colonization of the oral cavity by opportunistic microorganisms, which are called Candida and cause thrush of the oral cavity and pharynx;
  • irritation, discoloration and dryness of mucous membranes;
  • hoarseness of voice due to swelling of the vocal cords;
  • spasm of small bronchi and bronchioles;
  • headache and dizziness;
  • nausea and vomiting of gastric contents immediately after taking the drug (especially dangerous for patients with ulcers);
  • the appearance of angioedema on the surface of the skin;
  • small punctate and large punctate rash on the upper and lower extremities, surface of the abdomen and chest;
  • apathy, tendency to depression;
  • ulcerations on the inside of the cheeks and tongue.

If side effects occur, it is recommended to consult a doctor. If, when the dosage is reduced, some of the pathogenic effects of the drug disappear, you should seriously think about finding analogues or completely replacing the course of therapy. A competent specialist usually prescribes several similar medications at once in order to select the required dosage.

Analogs of Pulmicort suspension

Pulmicort cannot always be used to treat bronchopulmonary pathology. Many are put off by its cost or possible side effects; others simply prefer to use more proven means.

To prescribe analogues of Pulmicort, you must consult your doctor and carefully study the composition and method of use of the substitute product. Self-prescribing and taking medications can worsen the situation and cause complications of the underlying disease and the appearance of concomitant ones.

Turbuhaler - an analogue of Pulmicort

The main analogues that can safely replace Pulmicort include:

  • Budesonide;
  • Budoster;
  • Tafennazal;
  • Apulein;
  • Benarin;
  • Budenit Sterineb;
  • Budenofalk;
  • Alcedin;
  • Becdazone;
  • Turbuhaler.

If none of the above remedies suits you either in terms of secondary components of raw materials or in the price category, you should turn your attention to other drugs that are intended to relieve asthma and acute allergic attacks of suffocation.

Nowadays, special injection pens are very common, with the help of which it is easy to stop the impending swelling and relieve congestion. Do not forget to carefully study the instructions and ask an immunologist-allergist for advice on how and how much to use the chosen drug.

We used this Pulmicort with our baby, after it my son got even more sick, we even had to call an ambulance! The medicine did not help at all, although it was taken according to the instructions. Be very careful!

You need to get used to the drug, my son was nauseous for the first couple of weeks. But Pulmicort copes well with asthma, however, it is quite expensive and needs to be used every day. But these are the costs of treating the disease - it is lifelong.

I still haven’t figured out how to breed it correctly. I pour 1 ml of the drug per 4 ml of saline solution. Am I doing it wrong? This is how they told us in the hospital. Or do you need 1 ml of the drug and 1 ml of saline solution? The baby is 4.5 months old. Unfortunately, I already have to be treated for bronchitis.

Attention! All information on the site is provided for informational purposes only and is for informational purposes only. For all questions regarding the diagnosis and treatment of diseases, you must consult a doctor for an in-person consultation.

Source: http://vseprorebenka.ru/zdorove/preparaty/pulmikort-dlya-ingalyacij-detej-instrukciya-dozirovka.html