PULMICORT TURBOHALER 400 MICROGRAMS

Active substance: BUDESONIDE

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PATIENT INFORMATION LEAFLET
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PULMICORT TURBOHALER 400 micrograms / BUDESONIDE 400 micrograms TURBOHALER
(budesonide)
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This medicine is available as any of the above names but will be referred to as Pulmicort Turbohaler throughout
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the following leaflet. Please note that the leaflet also contains information about other strengths (Pulmicort
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Turbohaler 100 micrograms and Pulmicort Turbohaler 200 micrograms).
Read all of this leaflet carefully before you start taking this medicine.
 Keep this leaflet. You may need to read it again.
 If you have any further questions, ask your doctor or pharmacist.
 This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their
symptoms are the same as yours.
 If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your
doctor or pharmacist.
In this leaflet:
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1. What Pulmicort Turbohaler is and what it is used for
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2. Before you use Pulmicort Turbohaler
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3. How to use Pulmicort Turbohaler
4. Possible side effects
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5. How to store Pulmicort Turbohaler
6. Further information
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1. WHAT PULMICORT TURBOHALER IS AND WHAT IT IS USED FOR
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Pulmicort Turbohaler is an inhaler. It contains a medicine called budesonide. This belongs to a group of
medicines called ‘corticosteroids’. It works by reducing and preventing swelling and inflammation in your lungs.
Your doctor has prescribed this medicine to treat asthma. Your doctor will prescribe two asthma inhalers:
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Pulmicort Turbohaler and a separate ‘reliever inhaler’.
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 Use Pulmicort Turbohaler every day, as your doctor has told you to. This helps to prevent asthma symptoms
from happening.
 Use your ‘reliever inhaler’ when you get asthma symptoms, to make it easier to breathe again.
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2. BEFORE YOU USE PULMICORT TURBOHALER
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Do not use Pulmicort Turbohaler if:
 You are allergic (hypersensitive) to budesonide (the only ingredient in this medicine).
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Take special care with Pulmicort Turbohaler
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Before you use Pulmicort Turbohaler , tell your doctor or pharmacist if:
 You have a lung infection.
 You have a cold or chest infection or any problems with your breathing.
 You have or have ever had tuberculosis (TB).
 You have liver problems.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes
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medicines that you buy without a prescription and herbal medicines. This is because Pulmicort Turbohaler can
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affect the way some medicines work and some medicines can have an effect on Pulmicort Turbohaler .
In particular, tell your doctor or pharmacist if you are taking any of the following medicines:
 Steroid medicines.
 Medicines to treat fungal infections (such as itraconazole and ketoconazole).
 HIV protease inhibitors (such as ritonavir and nelfinavir).
Pregnancy and breast-feeding
 If you are pregnant, or planning to get pregnant, talk to your doctor before using Pulmicort - do not use
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Pulmicort Turbohaler unless your doctor tells you to.
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 If you get pregnant while using Pulmicort Turbohaler , do not stop using Pulmicort Turbohaler but talk to your
doctor immediately.
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 If you are breast-feeding, talk to your doctor before using Pulmicort Turbohaler .
Driving and using machines
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Pulmicort Turbohaler is not likely to affect you being able to drive or use any tools or machines.
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Information you may have to carry while you are using Pulmicort Turbohaler
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If you are using a high dose of Pulmicort Turbohaler your doctor may ask you to carry a steroid warning card.
This explains to others about your medication.
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3. HOW TO USE PULMICORT TURBOHALER
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 Always use Pulmicort Turbohaler exactly as your doctor, nurse or pharmacist has told you. Ask one of them
for advice if you are not sure.
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 If Pulmicort Turbohaler is to be used by your child, make sure they use it correctly as your doctor has told
you.
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 It is important to use Pulmicort Turbohaler every day, even if you have no asthma symptoms at the time.
 Your breathing may improve within 2 days. However it can take up to 4 weeks for the medicine to have its full
effect.
Important information about your asthma symptoms
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If you feel you are getting breathless or wheezy while using Pulmicort Turbohaler , you should continue to use
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Pulmicort Turbohaler but go to see your doctor as soon as possible, as you may need additional treatment.
Contact your doctor immediately if:
 Your breathing is getting worse or you often wake up at night with asthma.
 Your chest starts to feel tight in the morning or your chest tightness lasts longer than usual.
These signs could mean that your condition is not being properly controlled and you may need different or
additional treatment immediately.
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Use your Pulmicort Turbohaler every day. This helps to prevent asthma symptoms from happening.
Your doctor will advise you of the correct dose to treat your asthma. Your doctor will reduce your medication to the
lowest dose needed to control your asthma.
If your doctor has told you to use your Turbohaler twice a day:
Adults and children (13 years and above)
 The usual dose is 1 or 2 inhalations, twice a day (in the morning and in the evening).
 Your doctor may increase this to a maximum of 1600 micrograms a day.
 If your asthma is getting worse and you are using your ‘reliever inhaler’ more often or you have more symptoms:
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- double your dose of Pulmicort Turbohaler immediately and talk to your doctor as soon as possible
- double your dose by taking twice as many inhalations each time.
Children (5 - 12 years of age)
 The usual dose is 1 or 2 inhalations, twice a day (in the morning and in the evening).
 The doctor may increase this to a maximum of 800 micrograms a day.
If your doctor has told you to use your Turbohaler once a day:
 Only use your Turbohaler once a day if your doctor has told you to.
 Use your Turbohaler at the same time each evening.
Adults and children (13 years and above)
 The usual dose is 1 or 2 inhalations, in the evening.
 If your asthma is getting worse and you are using your ‘reliever inhaler’ more often or you have more symptoms:
- double your dose immediately and talk to your doctor as soon as possible
- double your dose by taking the same number of inhalations your doctor has told you twice a day (once in
the morning and once in the evening).
Children (5 - 12 years of age)
 The usual dose is 1 or 2 inhalations, in the evening.
 The maximum dose is 400 micrograms a day.
Use your separate ‘reliever inhaler’ to treat asthma symptoms when they happen. Always keep your ‘reliever
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inhaler’ with you to use when you need it. Do not use Pulmicort Turbohaler to treat asthma symptoms - use your
‘reliever inhaler’.
How to prepare a new Turbohaler for use
Before using Pulmicort Turbohaler for the first time you need to prepare the
Turbohaler for use.
Unscrew the white cover and lift it off.
Hold your Turbohaler upright with brown base at the bottom. Do not hold the
mouthpiece when you turn the grip. Turn the brown base as far as it will go in one
direction. Then turn it back as far as it will go in the other direction. It does not
matter which way you turn first. You should hear a click sound.
The Turbohaler is now ready for use, and you should not repeat the above
procedure again. To take a dose, please follow the instructions below.

How to take an inhalation
Every time you need to take an inhalation, follow the instructions below.
1. Unscrew the white cover and lift it off.
2. Hold your Turbohaler upright with the brown base at the bottom.
3. Do not hold the mouthpiece when you load your Turbohaler. To load your Turbohaler with a dose, turn the
brown base as far as it will go in one direction. Then turn it as far as it will go in the other direction. It
does not matter which way you turn it first. You should hear a click sound. Your Turbohaler is now loaded and
ready to use. Only load your Turbohaler when you need to use it.
4. Hold your Turbohaler away from your mouth. Breathe out gently (as far as is comfortable). Do not breathe out
through your Turbohaler.
5. Place the mouthpiece gently between your teeth. Close your lips. Breathe in as deeply
and as hard as you can through your mouth. Do not chew or bite on the mouthpiece.
6. Remove your Turbohaler from your mouth. Then breathe out gently. The amount
of medicine that is inhaled is very small. This means you may not be able to taste it
after inhalation. If you have followed the instructions, you can still be confident that you
have inhaled the dose and the medicine is now in your lungs.
7. If you are to take a second inhalation, repeat steps 2 to 6.
8. Replace the cover by screwing it back on tightly after use.
9. Rinse your mouth out with water after inhaling your prescribed dose.
Do not try to remove or twist the mouthpiece. It is fixed to your Turbohaler and must not be
taken off. Do not use your Turbohaler if it has been damaged or if the mouthpiece has
come apart from your Turbohaler.
Cleaning your Turbohaler
Wipe the outside of the mouthpiece once a week with a dry tissue. Do not use water or liquids.
When to start using a new Turbohaler
When you first see a red mark in the indicator window, there are about 20 doses left. You
will then need to see your doctor for another prescription. When the red mark has reached
the bottom of the indicator window, you must start using your new Turbohaler.
Note:
 The brown base will still twist and ‘click’ even when your Turbohaler is empty.
 The sound that you hear as you shake your Turbohaler is produced by a drying
agent and not the medicine.
Therefore the sound does not tell you how much medicine is left in your Turbohaler.
 If you load your Turbohaler more than once by mistake before taking your dose, you will still only receive one
dose.
If you use more Pulmicort® Turbohaler® than you should
It is important that you take your dose as stated on the pharmacist’s label or as advised by your doctor. You should
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not increase or decrease your dose without seeking medical advice. If you use more Pulmicort Turbohaler than
you should, contact your doctor or pharmacist for advice.
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If you forget to use Pulmicort Turbohaler
If you forget to take a dose, skip the missed dose and take the next dose as usual.
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If you stop using Pulmicort Turbohaler
Do not stop using this medicine even when your asthma gets better, unless your doctor tells you to.
4. POSSIBLE SIDE EFFECTS
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Like all medicines, Pulmicort Turbohaler can cause side effects, although not everybody gets them.
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If either of the following happen to you, stop using Pulmicort Turbohaler and talk to your doctor
immediately:
 Swelling of your face, particularly around your mouth (with possible swelling of the lips, tongue, eyes and ears),
rash, itching, contact dermatitis (a skin problem), hives and bronchospasm (tightening of the muscles in the
airways which causes wheezing). This may mean that you are having an allergic reaction. This happens rarely,
affecting less than 1 in 1,000 people.
 Sudden wheezing after inhaling your medicine. If this happens, also use your ‘reliever’ inhaler straight away.
This happens very rarely, affecting less than 1 in 10,000 people.
Other possible side effects:
Common (affects less than 1 in 10 people)
 Thrush (a fungal infection) in the mouth. This is less likely if you rinse your mouth out with water after using your
Turbohaler.
 Mild sore throat, coughing and a hoarse voice.
Rare (affects less than 1 in 1,000 people)
 Sleeping problems, depression or feeling worried, restless, nervous, overexcited or irritable. These effects are
more likely to occur in children.
 Bruising of the skin.
 Loss of voice.
 Hoarse voice (in children).
Inhaled corticosteroids can affect the normal production of steroid hormones in your body, particularly if you use
high doses for a long time. The effects include:
 changes in bone mineral density (thinning of the bones).
 cataract (clouding of the lens in the eye)
 glaucoma (increased pressure in the eye)
 a slowing of the rate of growth of children and adolescents (rare).
 an effect on the adrenal gland (a small gland next to the kidney) (rare).
These effects are much less likely to happen with inhaled corticosteroids than with corticosteroid tablets.
If any of the side effects get serious or if you notice any side effects not listed in this leaflet, please tell your doctor or
pharmacist.
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5. HOW TO STORE PULMICORT TURBOHALER
 Keep out of the sight and reach of children.
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 Pulmicort Turbohaler should be stored, with the cover screwed on, at room temperature (below 30°C) in a dry place.
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 Do not use after the expiry date printed on the Turbohaler label or carton.
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If your doctor tells you to stop using the Turbohaler , please take it back to the pharmacist for safe disposal. Only
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keep the Turbohaler if your doctor tells you to.
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If the Turbohaler does not work properly, you should consult a pharmacist.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of
medicines that are no longer required. This will help to protect the environment.
6. FURTHER INFORMATION
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What Pulmicort Turbohaler contains
The active substance is budesonide. Each actuation or puff contains 400 micrograms of the active ingredient Budesonide.
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Pulmicort Turbohaler does not contain any propellants, lubricants, preservatives or any other additives.
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What Pulmicort Turbohaler looks like and contents of the pack
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Pulmicort Turbohaler is an inhaler containing your medicine. Pulmicort Turbohaler contains 50 actuations or puffs.
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Your Turbohaler is a breath-actuated, metered dose dry powder inhaler.
PL No: 15814/0093
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This product is manufactured by AstraZeneca AB, Sodertalje, Sweden and procured from within the EU and
repackaged by the Product Licence holder: O.P.D. Laboratories Ltd, Watford, Herts WD2 4PR.
Pulmicort and Turbohaler are trademarks of the AstraZeneca AB, Sodertalje, Sweden.
Leaflet revision and issue date (Ref.) 22.03.2013.
To request a copy of this leaflet in Braille, large print or audio please call 01923 332 796.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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