If patient presents symptoms eg, blurred vision or other visual disturbances, consider referral to an ophthalmologist for evaluation of possible causes which may include cataract, glaucoma or rare diseases (eg, central serous chorioretinopathy). Patients w/ lung TB & fungal or viral infections. Consider antiviral therapy if chicken pox develops. Patient should adhere to the regular asthma medication when viral upper resp infection is present. Consider short-course oral corticosteroid therapy in patients known to deteriorate rapidly when they have viral resp infection. Rinse mouth w/ water after each inhalation. Avoid concomitant treatment w/ ketoconazole & itraconazole or other potent CYP3A4 inhibitors. Patients transferred from oral glucocorticosteroids. Patients who have required high-dose emergency glucocorticosteroid or prolonged treatment may exhibit signs & symptoms of adrenal insufficiency when exposed to severe stress. Systemic steroid treatment replaced by budesonide may reveal allergies (eg, rhinitis & eczema). Not for rapid relief of bronchospasm. Not suitable as sole therapy for the treatment of status asthmaticus or other acute exacerbations of asthma where intensive measures are required. Seek medical attention if short-acting bronchodilator is ineffective or more inhalations than usual is needed. Not to be taken by patients w/ rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption. May give +ve result at anti-doping test for sportsmen. Decreased liver function. Pregnancy. Childn on immunosuppressants. Regular growth monitoring is recommended in childn & adolescents receiving long-term treatment.
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