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PULMICORT 200 MICROGRAM TURBOHALER

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Important information about your asthma symptoms

If you feel you are getting breathless or wheezy while using Pulmicort Turbohaler, you should continue
to use Pulmicort Turbohaler but go to see your doctor as soon as possible, as you may need additional
treatment.

Pulmicort® 200 microgram Turbohaler®
(budesonide)

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.

PATIENT INFORMATION LEAFLET
Your medicine is available using the name Pulmicort 200 microgram Turbohaler but will be referred to
as Pulmicort Turbohaler throughout this leaflet.
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
1.
2.
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4.
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6.
1.

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)




this leaflet:
What Pulmicort Turbohaler is and what it is used for
Before you use Pulmicort Turbohaler
How to use Pulmicort Turbohaler
Possible side effects
How to store Pulmicort Turbohaler
Further information

Children (5 - 12 years of age)



WHAT PULMICORT TURBOHALER IS AND WHAT IT IS USED FOR

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: Pulmicort Turbohaler and a separate ‘reliever inhaler’.
• 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.

2.







BEFORE YOU USE PULMICORT TURBOHALER
You are allergic (hypersensitive) to budesonide (the only ingredient in this medicine).




Always keep your ‘reliever inhaler’ with you to use when you need it. Do not use Pulmicort Turbohaler
to treat asthma symptoms - use your ‘reliever inhaler’.

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This
includes medicines that you buy without a prescription and herbal medicines. This is because Pulmicort
Turbohaler can affect the way some medicines work and some medicines can have an effect on
Pulmicort Turbohaler.

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.

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



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.

Taking other medicines



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)

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.



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)

Take special care with Pulmicort Turbohaler

In




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:

Do not use Pulmicort Turbohaler if:


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:
• 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.

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.

If you are pregnant, or planning to get pregnant, talk to your doctor before using Pulmicort
Turbohaler – do not use Pulmicort Turbohaler unless your doctor tells you to.
If you get pregnant while using Pulmicort Turbohaler, do not stop using Pulmicort Turbohaler but
talk to your doctor immediately.
If you are breast-feeding, talk to your doctor before using Pulmicort Turbohaler.

Driving and using machines

Pulmicort Turbohaler is not likely to affect you being able to drive or use any tools or machines.

Information you may have to carry while you are using Pulmicort Turbohaler
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.

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.

3.

How to take an inhalation






HOW TO USE PULMICORT TURBOHALER

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.
If Pulmicort Turbohaler is to be used by your child, make sure they use it correctly as your doctor
has told you.
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.

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.

Page 1 of 2

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.

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.

5.



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.








HOW TO STORE PULMICORT TURBOHALER

Keep the cover screwed tightly onto your Pulmicort Turbohaler when you are not using it.
Do not use your Pulmicort Turbohaler after the expiry date printed on the carton or the Turbohaler
label.
KEEP ALL MEDICINES OUT OF THE SIGHT AND REACH OF CHILDREN.
Do not store above 30°C.
Replace the cover properly after use.
If your inhaler fails to work properly or shows any signs of deterioration, take it to your pharmacist
who will advise you what to do.
If you have any left over/unused inhaler, please return this to your pharmacist or safe disposal.
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.

7.

If you are to take a second inhalation, repeat steps 2 to 6.

6.

8.

Replace the cover by screwing it back on tightly after use.

What Pulmicort Turbohaler contains

9.

Rinse your mouth out with water after inhaling your
prescribed dose.

Pulmicort Turbohaler does not contain any propellants, lubricants, preservatives or any other additives.

FURTHER INFORMATION

Each actuation contains 200 micrograms of the active ingredient budesonide.

What Pulmicort Turbohaler looks like and contents of the pack

Your Pulmicort Turbohaler is a breath actuated polyethylene container consisting of a cover screwed
onto a bottom plate. Inside this is the inhaler with its main parts: a mouthpiece, a dosing mechanism
and a substance store.

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.

Pulmicort Turbohaler contains 100 actuations.

Manufacturer

Cleaning your Turbohaler

Pulmicort Turbohaler is manufactured by: AstraZeneca GmbH, 22876 Wedel, Germany
or
AstraZeneca AB, SE-151 85 Sodertalje, Sweden.

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 (shown in grey on the diagram) 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 (shown in grey on the diagram) has reached the bottom of
the indicator window, you must start using your new Turbohaler.

Procured from within the EU and repackaged by: Doncaster Pharmaceuticals Group Ltd., Kirk Sandall,
Doncaster, DN3 1QR.
Product Licence holder: BR Lewis Pharmaceuticals Ltd., Kirk Sandall, Doncaster, DN3 1QR.
PL No: 08929/0514

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.

Leaflet revision and issue date: 13.09.13
Pulmicort® and Turbohaler® are registered trademarks of the AstraZeneca group of companies.
To request a copy of this leaflet in Braille, large font or audio format please contact 01302 552940 and
ask for the Regulatory Department.
Please be ready to give the following information:
Product name:
Pulmicort 200 microgram Turbohaler
Reference number:
08929/0514

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 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.

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.

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

Like all medicines, Pulmicort Turbohaler can cause side effects, although not everybody gets them.
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)





POM

Sleeping problems, depression or feeling worried, restless, nervous, over-excited 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.

Page 2 of 2

Expand Transcript

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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