Pulmicort Caution For Usage

Instructions for Use/Handling: 1. Prepare the nebuliser for filling.
2. Detach one PULMICORT RESPULES from the rack by twisting it firmly.
3. Shake the respule.
4. Twist the top off the respule.
5. Squeeze the contents into the reservoir of the nebuliser. Do not dilute the contents unless instructed to do so by the physician. In some cases, it may be necessary to use only a part of the respule content to obtain the prescribed dose. The physician or pharmacist will advise the patient accordingly.
6. Use the nebuliser as directed, ensuring that the contents of the reservoir are completely used up.
7. After use, clean the nebuliser in accordance with the manufacturer's recommendations. Also remember to wash patient's face and rinse the mouth out with water. After each nebulisation, the mouthpiece or face mask should be rinsed in warm water and dried.
PATIENT INSTRUCTIONS: PULMICORT is not intended for rapid relief of acute episodes of asthma where an inhaled short-acting bronchodilator is required.
The patient should be instructed in the proper use of the inhaler device considered appropriate for his/her particular needs. A full set of instructions are provided with each pack of PULMICORT.
In patients in whom aerosol metered-dose inhalation technique is incorrect or unamenable to easy correction, PULMICORT TURBUHALER could be substituted.
Patients also receiving bronchodilators by inhalation should be advised to use the bronchodilator before PULMICORT in order to enhance its penetration into the bronchial tree. Several minutes should elapse between the use of the two inhalers.
IMPORTANT: PULMICORT is not intended for rapid relief of acute episodes of asthma where an inhaled short-acting bronchodilator is required.
CAUTION: The contents of PULMICORT RESPULES are for inhalation via a nebuliser, and should not be swallowed or injected.
Use only as directed by the physician.
Avoid getting the aerosol in the eyes (wear goggles as suggested).
Wash the face and rinse the mouth out with water after administration of each dose of PULMICORT.
Do not exceed the prescribed dose.
PULMICORT RESPULES can be mixed with 0.9% saline and with solutions for nebulisation of terbutaline, salbutamol, sodium cromoglycate and ipratropium. The admixture should be used within 30 minutes.
PULMICORT should be added to the nebuliser immediately before use.
Medications for nebulisation should not be mixed in advance.
Nebulisers and PULMICORT (budesonide) RESPULES: For all solutions used in a nebuliser, it is very important that the mist (aerosol) produced is the right size and strength to work correctly in the lungs.
With PULMICORT RESPULES, this can best be achieved by using a compressed air jet nebuliser which gives an output of at least 6 to 8 litres per minute.
A jet nebuliser creates the aerosol mist to be inhaled by using air pumped via an electric compressor or compressed oxygen from a tank.
Check the instruction manual or with the manufacturer of the nebuliser to ensure the nebuliser fulfills the requirements.
Take note that it is not recommended that an ultrasonic nebuliser is used with PULMICORT RESPULES.
An ultrasonic nebuliser creates a high frequency signal to produce vibrations in the liquid and to provide a fog of small droplets which can be inhaled. Use of this type of nebuliser may cause the treatment with PULMICORT RESPULES to be ineffective. Follow the other instructions in the package.