Pulmicort Warnings and Precautions

There are many important Pulmicort warnings and precautions to be aware of before taking the medication. In some cases, Pulmicort can immediately cause your asthma symptoms to become worse, it may suppress the immune system, and can also cause glaucoma or cataracts. In addition, you should not take Pulmicort if you are allergic to any of the ingredients used to make the medication.

Pulmicort: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking Pulmicort® (budesonide inhalation) if you have:
Also, let your healthcare provider know if you are:
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
Make sure to tell your healthcare provider about all of the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

Some Pulmicort Warnings and Precautions

Some warnings and precautions to be aware of with Pulmicort include the following:
  • If you are switching from an oral steroid to Pulmicort (which is an inhaled steroid), your healthcare provider should decrease your dose of the oral steroid very slowly. Stopping an oral steroid too quickly can be very dangerous.
  • Pulmicort is not a fast-acting asthma medication and cannot replace fast-acting rescue inhalers. Do not use Pulmicort to treat an asthma attack. Everyone taking Pulmicort should also have a rescue asthma medication available at all times. Let your healthcare provider know if you need to use your rescue inhaler more frequently than usual, as this may be a sign of worsening asthma.
  • Pulmicort can immediately cause your asthma symptoms to become worse. If this happens, use your rescue inhaler (such as albuterol) as needed and contact your healthcare provider for further instruction.
  • Pulmicort is a steroid and may suppress the immune system. Although this is more likely to occur with oral steroids, it is still possible with inhaled steroids (such as Pulmicort). Therefore, you may be at a higher risk for infections. Certain infections (such as chickenpox or the measles) may be more dangerous if you are taking Pulmicort. Let your healthcare provider know right away if you are exposed to chickenpox or the measles (if you have not had these infections and have not been vaccinated against them).
  • Like all steroids, Pulmicort may slow the growth in children and teenagers. Usually, this slowing of growth is small, with children growing about one centimeter less per year. Contact your child's healthcare provider if you are concerned about slow growth in your child.
  • Inhaled steroids (including Pulmicort) can cause glaucoma or cataracts (conditions of the eyes).
  • Before starting Pulmicort, be sure to tell your healthcare provider if you currently have any type of infection. Also, let your healthcare provider know if you have ever had tuberculosis or a herpes infection of the eye, as Pulmicort may weaken the immune system, allowing these infections to worsen.
  • Pulmicort can interact with other medications (see Pulmicort Drug Interactions).
  • Pulmicort is considered a pregnancy Category B medication. This means that Pulmicort is probably safe for use in pregnant women, although the full risks are not known. Talk to your healthcare provider about the risks and benefits of using Pulmicort during pregnancy (see Pulmicort and Pregnancy for more information).
  • It is not known if inhaled budesonide (the active ingredient of Pulmicort) passes through breast milk. Therefore, if you are breastfeeding or plan to start, be sure to talk with your healthcare provider about using Pulmicort (see Pulmicort and Breastfeeding for more information).
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