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This safety and warning information for Pulmicort Flexhaler (budesonide) aims to provide essential guidance on its use and potential risks. Please review the information carefully and consult your healthcare provider with any questions or concerns.

• Not for Acute Asthma Attacks: Pulmicort Flexhaler should not be used during an asthma attack as it does not provide immediate relief. Use a rescue inhaler like albuterol instead.

• Risk of Thrush: As an inhaled steroid, Pulmicort Flexhaler may cause oral and throat fungal infections (thrush). Reduce this risk by rinsing and spitting out water after each use. Report symptoms like white patches, mouth pain, or altered taste to your pulmonologist.

• Bronchospasm Alert: This medication may cause lung muscle spasms, leading to breathing difficulties or wheezing. If this occurs, use a rescue inhaler and seek medical help immediately.

• Increased Infection Risk: Pulmicort Flexhaler can weaken the immune system, increasing infection risk, including respiratory infections and pneumonia. Inform your doctor if being treated for a serious infection like tuberculosis.

• Hormonal Changes: Overuse can increase steroid absorption, affecting stress hormone levels and potentially raising blood sugar or pressure. Follow the prescribed dosage.

• Growth Concerns in Children: Inhaled steroids may delay growth in children. The lowest effective dose will be prescribed, and growth will be monitored regularly.

• Bone Density Reduction: Long-term use may lower bone mineral density, potentially increasing fracture risk, especially in older adults or those with osteoporosis risk factors.

• Eye Health: Long-term use may raise eye pressure or cause vision issues like glaucoma and cataracts. Regular eye check-ups are advised if you have pre-existing eye conditions.

• Allergic Reactions: Possible allergic reactions include facial swelling, hives, and anaphylaxis. Seek immediate medical attention if you experience these symptoms.

Contraindications: Do not use Pulmicort Flexhaler during sudden, severe asthma attacks or if you have an allergy to lactose or milk proteins. Always consult your healthcare provider if you have concerns about these contraindications.

When using this medication, some individuals may experience mild side effects such as a dry or irritated throat, hoarseness, voice changes, a bad taste in the mouth, runny nose, or nosebleeds. Additionally, some report symptoms akin to a common cold, such as a stuffy nose or sore throat. These effects are generally not severe, but if they persist or worsen, it is advisable to consult a healthcare provider.

In some cases, users have reported experiencing allergic rhinitis, viral upper respiratory infections, nausea, stomach flu, middle ear infections, and oral thrush. If you notice white patches in your mouth or on your tongue, contact your doctor as this may indicate oral thrush. Prolonged use of the medication might lead to a weakened immune system, making you more susceptible to infections.

Rarely, serious side effects may occur, necessitating immediate medical attention. These include sudden breathing difficulties, wheezing, or chest pain, which could indicate airway narrowing. There is also a risk of serious allergic reactions, marked by symptoms such as hives, swelling of the face, lips, or tongue, and difficulty breathing. Other severe side effects to watch for include unusual tiredness, vision problems, easy bruising or bleeding, swelling of the face, unusual hair growth, mood changes, muscle weakness or pain, thinning skin, slow wound healing, and increased thirst or urination. If you experience any of these symptoms, seek medical help promptly.

Pulmicort Flexhaler (budesonide) can interact with a variety of medications, and it's crucial to inform your healthcare provider about all other drugs or supplements you are taking. This includes prescription medications, over-the-counter drugs, and any vitamins or herbal supplements.

Some specific medications that should generally not be used with Pulmicort Flexhaler include desmopressin. In certain situations where it's necessary to use both, your doctor might adjust the dosage or frequency of either medication.

There are numerous other medications, such as Aceclofenac, Celecoxib, and Ibuprofen, where concurrent use with Pulmicort Flexhaler is usually discouraged. However, if it's essential, your healthcare provider may modify how you take one or both medications.

Additionally, combining Pulmicort Flexhaler with drugs like Erythromycin or Ketoconazole may increase the risk of side effects. Your doctor could alter your treatment plan to minimize these risks.

Lastly, be aware that Pulmicort Flexhaler might affect the results of certain lab tests, such as skin tests, potentially leading to false readings. It's important to let lab personnel and all your healthcare providers know that you are using this drug.