Budesonide capsules

What are budesonide capsules?
BUDESONIDE (Entocort EC�) is a corticosteroid. It is used in the treatment of Crohn’s disease, which is an inflammatory bowel disease. Generic budesonide capsules are not yet available.

What should my health care professional know before I take oral budesonide?
They need to know if you have any of these conditions:

  • cataracts or glaucoma
  • Cushing’s syndrome
  • diabetic
  • heart problems, or previous heart attack
  • high blood pressure
  • infection, such as herpes, measles, tuberculosis or chickenpox
  • liver disease
  • myasthenia gravis
  • osteoporosis
  • psychosis, or other mental health problems
  • recent surgery
  • stomach or intestinal disease, including colitis
  • an unusual or allergic reaction to budesonide, other corticosteroids, medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should I take this medicine?
Take budesonide capsules by mouth. Follow the directions on the prescription label. Swallow the capsules with a drink of water. If you are only taking budesonide once a day, take it in the morning, which is the time your body normally secretes cortisol. Take your doses at regular intervals. Do not take your medicine more often than directed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?
If you miss a dose and remember within an hour or so, use it as soon as you remember. If it is almost time for your next dose, use only that dose and continue with your regular schedule. Do not use double or extra doses.

What drug(s) may interact with oral budesonide?

  • anastrozole
  • antacids
  • barbiturates, medicines used for inducing sleep or treating seizures
  • bosentan
  • certain antifungals, like fluconazole, griseofulvin, itraconazole, ketoconazole, miconazole and oxiconazole
  • certain heart medicines like diltiazem, mibefradil, nicardipine and verapamil
  • cyclosporine
  • danazol
  • diltiazem
  • certain antibiotics like erythromycin, clarithromycin, nafcillin and troleandomycin
  • dexamethasone
  • ethosuximide
  • fosphenytoin or phenytoin
  • grapefruit juice
  • isoniazid, INH
  • medicines used for seizures such as carbamazepine, ethosuximide, fosphenytoin, phenytoin or primidone
  • medicines used for ulcers or stomach acid, such as cimetidine or omeprazole
  • modafinil
  • norfloxacin
  • phenytoin
  • quinidine
  • quinine
  • rifabutin
  • rifampin
  • rifapentine
  • some HIV medicines, for example indinavir, nelfinavir, ritonavir or saquinqvir
  • some medicines for depression, such as fluoxetine, fluvoxamine or nefazodone
  • St. John’s wort
  • troglitazone
  • vaccines
  • zafirlukast

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking oral budesonide?
Side effects that you should report to your prescriber or health care professional as soon as possible:

  • bloody or black, tarry stools
  • confusion, excitement, restlessness, a false sense of well-being
  • eye pain, decreased or blurred vision
  • fever, sore throat, sneezing, cough, or other signs of infection, wounds that will not heal
  • frequent passing of urine or painful passing of urine
  • hair loss
  • hemorrhoids
  • increased thirst
  • irregular heartbeat, chest pain or high blood pressure
  • menstrual problems
  • severe mood swings
  • muscle cramps or weakness
  • numbness or tingling in fingers, toes or other areas
  • pain in hips, back, ribs, arms, shoulders, or legs
  • rounding out of face
  • skin problems, acne, thin and shiny skin
  • stomach pain
  • swelling of feet or lower legs
  • unusual bruising
  • unusual tiredness or weakness
  • vomiting
  • weight gain or weight loss

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

  • dizziness or drowsiness
  • headache
  • increased or decreased appetite
  • increased sweating
  • nausea
  • nervousness or difficulty sleeping
  • upset stomach
  • increased growth of hair on the face or body

What should I watch for while taking oral budesonide?
If you are taking budesonide regularly, avoid contact with people who have an infection. You may have an increased risk from infection while taking budesonide. Tell your prescriber or health care professional if you are exposed to anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

People who are taking certain dosages of budesonide may need to avoid immunization with certain vaccines or may need to have changes in their vaccination schedules to ensure adequate protection from certain diseases. Make sure to tell your prescriber or health care professional that you are taking budesonide before receiving any vaccine.

If you are going to have surgery, tell your prescriber or health care professional that you are taking oral budesonide.

Your body may lose potassium while you are taking oral budesonide. Ask your prescriber or health care professional about your diet.

Corticosteroids like budesonide may affect your blood sugar. If you are diabetic check with your prescriber or health care professional if you need help adjusting the dose of your diabetic medicine.

Alcohol can increase the risk of getting serious side effects while you are taking budesonide. Avoid alcoholic drinks.

Where can I keep my medicine?
Keep out of the reach of children in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

Johns Hopkins patient information

Copyright 1996-2014 Cerner Multum, Inc. Version: 16.02.
Revision date: June 22, 2011
Last revised: by Dave R. Roger, M.D.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

The drug reference included in this section is provided by Cerner Multum, Inc., of Denver, Colorado. Armenian Medical Network receives monthly updates from Multum.