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ASTROCAST (PULMICORT) INDICATIONS

Astrocast contains budesonide which is a corticosteroid. Budesonide prevents the release of substances in the body that cause inflammation.

Astrocast is used to prevent asthma attacks. It will not treat an asthma attack that has already begun. It works by decreasing irritation and swelling in the airways, which helps to control or prevent asthma symptoms.

Astrocast may also be used for purposes other than those listed.

ASTROCAST (PULMICORT) INSTRUCTIONS

Use Astrocast exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label.

Do not use Astrocast to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use only a fast-acting inhalation medicine to treat an asthma attack.

Astrocast comes with patient instructions for safe and effective use, and directions for priming the inhaler device. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

To reduce the chance of developing a yeast infection in your mouth, rinse your mouth with water after using Astrocast. If you are using a nebulizer with a face mask, wash the mask area of your face after each use.

If you also use a steroid medication, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about taking less and less of the steroid before stopping completely.

Contact your doctor if your asthma symptoms do not improve after using Astrocast for 2 weeks.

Asthma is usually treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor.

Your dosage needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks.

Call your doctor right away if you feel that Astrocast makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.

To be sure Astrocast is not causing harmful effects, your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

Using a steroid can lower the blood cells that help your body fight infections. This can make it easier for you to get sick from being around others who are ill.

Store Astrocast at room temperature away from moisture and heat. Keep the cover on your inhaler device while not in use.

Keep the strip of Astrocast Respules in the foil envelope, protected from light until you are ready to use the medication. After tearing off one ampule, return the strip to the envelope to protect the remaining ampules from light. Store the foil envelope upright. Once you have opened an envelope, you must use the ampules within 2 weeks.

The Astrocast Flexhaler device has indicator marks to show you how many doses are left inside. These dose-counter marks show increments of 20 doses. The indicator may not appear to move until about 5 doses have been used.

>Do not use an extra dose just because the Flexhaler indicator has not visibly moved to a lower number after one use. Ask your pharmacist if you have questions about using your inhaler device.

Get your Astrocast prescription refilled before you run out of medicine completely. Throw the old inhaler device away. It is a disposable container and cannot be refilled with budesonide.

ASTROCAST (PULMICORT) STORAGE

Always replace the cover. Store inhaler at room temperature between 59 and 86 degrees F (15 and 30 degrees C) in a dry place away from moisture.

ASTROCAST (PULMICORT) MORE INFO:



Active Ingredient: budesonide

Do not use Astrocast to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use only a fast-acting inhalation medicine to treat an asthma attack.

Contact your doctor if your asthma symptoms do not improve after using Astrocast for 2 weeks.

Call your doctor right away if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack.

Your dosage of Astrocast may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks.

If you also use an oral steroid medication, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about taking less and less of the steroid before stopping completely.

Important safety information:

You should not take Astrocast if you are allergic to budesonide, or if you are having an acute asthma attack.

Before using Astrocast, tell your doctor if you are allergic to any drugs, or if you have:
liver disease;

osteoporosis;

herpes simplex infection of your eyes;

any type of bacterial, fungal, or viral infection; or

a history of tuberculosis.

FDA pregnancy category B. Astrocast is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Budesonide can pass into breast milk and may harm a nursing baby. Do not use Astrocast without telling your doctor if you are breast-feeding a baby.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication.

Get emergency medical help if you have any of these signs of an allergic reaction to Astrocast:

hives;

difficulty breathing;

swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any of these serious side effects:

weakness, tired feeling, nausea, vomiting, feeling like you might pass out;

wheezing or breathing problems after using Astrocast;

worsening respiratory symptoms;

ear pain with fever;

vision problems; or

changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).

Less serious Astrocast side effects may include:

white patches or sores inside your mouth or on your lips;

runny or stuffy nose, sneezing;

sore throat, cough;

nausea, vomiting, diarrhea, stomach pain;

nosebleed; or

headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.



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