Pulmicort contains the active ingredient budesonide in the form of a corticosteroid. It is formulated as a sterile inhalation suspension for administration via jet nebulizer, available in dosages of 0.25 mg, 0.5 mg, and 1 mg per 2 mL ampule. Key inactive ingredients include disodium edetate, sodium chloride, and citric acid monohydrate. It is intended to be used with a face mask or mouthpiece to ensure proper delivery to the lungs.

How should I use this medication?

This medication is for inhalation using a nebulizer. Nebulizers make a liquid into an aerosol that you breathe in through your mouth or your mouth and nose into your lungs. You will be taught how to use your nebulizer. Rinse your mouth with water after use. Do not mix this medication with other medications in your nebulizer. Take it as directed on the prescription label. Do not use more often than directed. Talk to your care team about the use of this medication in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Where should I keep my medication?

Keep out of the reach of children and pets. Store at a room temperature between 20 and 25 degrees C (68 and 77 degrees F). Do not refrigerate or freeze. Keep unopened vials in the foil pouch. When the package has been opened, the shelf life of the unused medication is 2 weeks when protected from light. Unused medication should be returned to the aluminum foil envelope right away to protect them from light. Get rid of any unused medication after the expiration date. To get rid of medications that are no longer needed or have expired: -Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location. -If you cannot return the medication, ask your pharmacist or care team how to get rid of this medication safely.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible: -Allergic reactions—skin rash, itching, hives, swelling of face, lips, tongue, or throat -Flu-like symptoms—fever, chills, muscle pain, cough, headache, or fatigue -Low adrenal gland function—nausea, vomiting, loss of appetite, unusual weakness or fatigue, dizziness -Pain, tingling, or numbness in the hands or feet -Sinus pain or pressure around the face or forehead -Thrush—white patches in the mouth -Wheezing or trouble breathing that is worse after use Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): -Cough -Hoarseness -Runny or stuffy nose -Sore throat -Stomach pain

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions: -Bone problems -Glaucoma -Immune system problems -Infection, such as chickenpox, tuberculosis, herpes, fungal infection -Recent surgery or injury of the mouth or throat -Taking corticosteroids medications -An unusual or allergic reaction to budesonide, other medications, foods, dyes, or preservatives -Pregnant or trying to get pregnant -Breastfeeding

What may interact with this medication?

-Certain antibiotics, such as clarithromycin, erythromycin, telithromycin -Certain antivirals for HIV or hepatitis -Certain medications for fungal infections, such as itraconazole, ketoconazole -Nefazodone

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse. If you need your short-acting inhalers more often, call your care team right away. The medication may increase your risk of getting an infection. Try to avoid people who are sick. Tell your care team if you are around anyone with measles or chickenpox.