Pulmicort for laryngotracheitis in children, reviews about inhalation

Side effects for children and adults

When using the drug, 10% of patients experienced some side effects:

headache;
allergic reactions;
dry mouth;
hoarseness;
bronchospasms;
candidiasis of the pharynx and oral cavity;
excitability, increased irritability, depression;
in exceptional cases: redness on the face from the use of a nebulizer.

Pulmicort does not cause symptoms in acute overdose. If the drug is used for a long time, and the doses significantly exceed the prescribed ones, the functioning of the adrenal glands is disrupted, and hypercortisolism may appear.

There are some recommendations to reduce side effects:

after each procedure, rinse your mouth with warm water;
wash your hands and face to avoid skin irritation;
Clean the nebulizer thoroughly after each procedure.

If Pulmicort is used for a long time to treat a child, it may somewhat inhibit his growth. Given this, parents should constantly monitor the baby's growth indicators.

Bronchitis: definition, etiopathogenesis, forms

Inflammatory disease of the bronchi, affecting their mucous membrane and the entire thickness of the wall, is called bronchitis in medicine. Infections play a major role in the formation of bronchitis: influenza, whooping cough, staphylococcal, pneumococcal lesions of the respiratory tract. Hypothermia, inhalation of dust and dry air are also causes of the disease.

Inflammation of the bronchi can be an independent process or a complication against the background of other chronic pathologies or previous infections. When the cells lining the surface of the bronchi are damaged, the production of secretions, the function of cilia, and the process of self-cleaning of the bronchi are disrupted.

Most often, the disease is classified according to its clinical course. There are acute and chronic bronchitis. There is another form - obstructive, although many doctors consider it a complication of chronic inflammation of the bronchi. The acute form of the disease is often observed in childhood. Chronic is characterized by structural changes in the bronchial tree.

Pulmicort for nebulizer

Pulmicort is also on the list of medications that a doctor can prescribe for asthma. It belongs to hormonal drugs (glucocorticosteroids) and has antiallergic, analgesic and anti-inflammatory effects.

This medicine is produced by the manufacturer in two forms: suspension and powder for inhalation. Thanks to inhalation administration, the risk of overdose and side effects is reduced compared to taking drugs orally. Only Pulmicort suspension is suitable for the nebulizer.

Indications for use

It is prescribed by specialists for the following diseases:

obstructive pulmonary disease;
allergies with a tendency to obstruction;
bronchial asthma;
stenosing laryngotracheitis.

Typically, inhalations of this medicine are used to prevent attacks, since a noticeable effect occurs a few hours after the procedure, and the maximum effect occurs after 7-14 days. In some cases, before using pulmicort for a nebulizer, the introduction of other bronchodilators with a faster effect is required.

Dosage

The dosage is selected individually for each patient, taking into account age, severity of the disease, frequency of exacerbations, and concomitant diseases. The attending doctor must explain in detail how to breathe pulmicort through a nebulizer in order to get results from the procedure.

Approximate doses are approximately as follows:

for adults - 200 - 800 mcg. per day, no more than 400 mcg at a time.
for children over 6 years old - 100 - 800 mcg per day.

Usually 2-4 inhalations per day are prescribed.

Contraindications

The drug is contraindicated in the following cases:

patient age less than 6 months;
individual intolerance was identified.

When prescribing pulmicort, special attention should be paid to patients with acute microbial infections of the respiratory tract, tuberculosis, and cirrhosis of the liver. The use of any glucocorticosteroids (hormonal drugs) reduces the body's immune response and can worsen the course of the disease.

How the drug works

During inhalation, the active substance enters the inner surface of the bronchi and is absorbed through it into the general bloodstream, exerting a local and general effect on the body.

Result of use:

Gradual removal of swelling of the mucous membrane.
Reduced sputum production.
Reduced reaction to allergens.

All these processes help reduce the frequency and severity of shortness of breath attacks and normalize the patient’s usual rhythm of life.

The use of therapeutic inhalations with a nebulizer for asthma allows you to quickly stop emerging attacks at home, enhance the effect of taking drugs orally and improve physical and emotional well-being.

Operating principle

The steroid hormonal drug Pulmicort belongs to the group of antiallergic and anti-inflammatory drugs. The main active ingredient is budesonide. When inhaled with it, the swelling of the mucous membranes of the respiratory tract is reduced, the production of secretions is reduced and the pronounced reaction of the respiratory organs to various types of irritants is reduced.

Literally from the first time of use, the drug helps protect the respiratory system from the constant accumulation of harmful bacteria and fungi, which contribute to the growth of the inflammatory process. Over time, the inflammation goes away. Also, the active substance prevents the penetration into cells and the accumulation of liquids there. In adult patients, Pulmicort is well accepted even with long-term therapy.

The use of Pulmicort must be strictly agreed with your doctor. Independent use of a hormonal substance as a medicine is not allowed.

The first positive dynamics are visible just a few hours after the start of treatment. The maximum therapeutic effect occurs on days 10-14.

Features of inhalation in children

Depending on the type of current disease and the child’s personal characteristics, the drug can be used according to a single scheme, but with different dosages:

Pulmicort can be prescribed to children over six months old. In this case, the permissible dose of the drug is from 0.25 to 0.5 milligrams of the drug per day;
a child whose age exceeds twelve years can count on a dosage ranging from 1 to 2 milligrams of the drug per day.

During treatment, it is enough for the child to take 2 to 4 breaths of the drug. To achieve the greatest effect from inhalation, it is recommended to use a special nebulizer device through a mouthpiece, so that the vapors of the drug penetrate directly into the lungs.

The effect may be enhanced if the medicine is inhaled correctly, namely: slowly and measuredly. As for very young children, a special mask is included with the nebulizer, which greatly facilitates the inhalation process.

It is important to note that the use of Pulmicort has a beneficial effect on a large number of different diseases in children:

the drug has an effect on any type of cough (allergic, wet and dry), and the positive effect can be noticeable within 10 minutes after using the product; Pulmicort for inhalation for children is simply irreplaceable for asthma. The specific scheme and course of the upcoming treatment is determined by the doctor on a personal basis; thanks to the action of the active substance in the composition of the medication, it is possible to relieve swelling and inflammation that has formed as a result of the appearance of adenoids; for laryngitis, children are prescribed a daily dose of no more than 1 mg per day. However, this dose can be evenly distributed over several sessions per day; for pneumonia, the permissible dose of the drug per day is determined by the attending doctor depending on the stage of the pathology and the child’s personal indicators;

inhalations will be no less effective for bronchitis and bronchopulmonary dysplasia

It is very important: in this case, the procedure can be done at least 2 hours after the last meal, and after inhalation you should refrain from eating and drinking for another half hour;

if a child has a disease such as false croup, then pulmicort is perfect for relieving spasms and attacks, especially if the use of inhalation is combined with antihistamines; for whooping cough, along with antibacterial therapy, it is also necessary to carry out inhalations with pulmicort, which helps to quickly eliminate wheezing, and also helps to remove sputum and get rid of cough; if a “barking” cough is observed during the course of the disease laryngotracheitis, then pulmicort is considered simply irreplaceable during remissions. It is very important that after the procedure, the child refrains from overstraining the vocal cords;

during the treatment of tracheitis, the active component of the drug has a suppressive effect on mucus production and has a positive effect on the removal of swelling; during stenosis, when the cough may intensify, treatment with inhalations is a course of 2 times a day with an interval of about 12 hours until a noticeable improvement in the child’s condition occurs.

As for carrying out procedures in children during an increase in temperature, this factor is a prerequisite for canceling inhalations. However, the medication can be used at fever in the treatment of bronchospasm and stenosis. Moreover, if Pulmicort is prescribed as a prophylaxis, then it is not recommended to stop inhaling a child, even at an elevated temperature, since this can only worsen his condition.

The duration of treatment and the specific dosage for children are established only by the attending physician, depending on the age of the little patient, the current illness and the absence of contraindications.

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How to use it correctly

For proper irrigation of the upper respiratory tract, several rules should be followed:

maintain a calm sitting position when inhaling;
Gently shake the capsule with the suspension and open it, smoothly pouring the contents into the nebulizer container;
It is recommended to dilute the drug sodium with chlorine (saline) at the rate of 2 ml per 1 ml of pulmicort;
an open container can be stored for 12 hours until the next inhalation.

Relevant: How and with what to treat your hands during coronavirus

After each procedure, all parts of the nebulizer that came into contact with the patient and the drug are washed in warm water.

For treatment

The drug is prescribed individually in accordance with medical indications. Liquid inhaler formulas are widely used in therapy. The adult dose in this case in the initial stages should not exceed 1-2 mg per day. Moreover, it can be administered once, and in large dosages it can be distributed into 2 doses. Maintenance dosage is from 0.5 to 4 mg per day.

For children over 6 months of age, the dose of medication is 0.25-0.5 mg per day, and the maintenance rate is 0.25-2 mg per day. The drug for inhalation is diluted with two milliliters of saline before use. Aerosol spraying using a nebulizer is considered more effective due to the low risk of systemic effects.

The diluted suspension retains its therapeutic effect for half an hour.

For prevention

The active ingredient of Pulmicort, budesonide, has shown high effectiveness in preventing bronchospasms and reducing the severity of symptoms. To do this, it is enough to prevent the patient with a drug 1-2 times a day. However, interaction with other drugs that inhibit the bronchodilator and anti-inflammatory effects of Pulmicort should be taken into account.

Many patients are interested in whether pulmicort can be used for coronavirus, for example, for preventive purposes. Experts recommend improving the condition of the mucous membranes in various ways to increase local immunity, including using medications. But, first of all, it is necessary to comply with quarantine conditions in order to reduce the pace of development of the pandemic.

Pulmicort for bronchitis in children

Pulmicort is used to treat bronchitis in children. The drug is contraindicated for use in children under 6 months. Once you reach this age, in case of particularly severe diseases, you can prescribe the drug, starting with minimal dosages. Only the doctor should calculate the dose. The initial dosage may vary up or down depending on the severity of symptoms and how treatable the disease is.

Should be used with caution and only as prescribed by a doctor, since this is a hormonal drug.

After inhalation, you must rinse your mouth thoroughly. This should be done for children in order to avoid the appearance of candidiasis, stomatitis and other manifestations of oral dysbacteriosis. For small children, drinking water is enough. Also, after the procedure, children must wash their face, which is necessary in order to prevent irritation. It must be taken into account that the drug is ineffective in the treatment of bronchitis of viral etiology.

The drug improves immunity, which is especially important for children, and stimulates their natural defense mechanisms. In addition, it helps reduce the amount of mucus in the body, promotes the removal of fluid and phlegm.

Inflammation is reduced and swelling is eliminated, making it one of the most popular treatment methods in pediatrics.

Nebulizer therapy

Nebulizer is an inhalation device for respiratory diseases.
Nebulizer is an inhalation device designed to spray an aerosol with particularly fine particles. There are two types of devices - ultrasonic and compressor. The compressor type is suitable for the use of suspensions and oil solutions.

The use of a nebulizer does not require coordination of inhalation with breathing and allows you to create high concentrations of the substance in the lungs. For children it is used from the first months of life. Administration of high doses of medication through the device does not lead to increased systemic side effects.

Benefits of nebulizer therapy:

use of high doses of the drug;
continuous supply using a compressor;
lack of freon, which enhances bronchial reactivity;
rapid entry of medication into the bronchial tree;
portability of the device.

With nebulizer therapy, a mixture of several drugs can be inhaled. When using the device, there is no need for the mask to fit tightly to the face. This makes it easier to treat a child who does not agree to understand and accept the procedure.

Indications and use

The main symptom of tracheitis is cough. It occurs due to severe irritation of the nerve endings in which the respiratory tract is rich. At the very beginning of the disease, it is dry, paroxysmal in nature, and then, on the contrary, it can change to wet.

In addition, the following symptoms may indicate the need to visit a doctor who may prescribe you Pulmicort:

Feeling of soreness and tingling in the throat.
Pain or burning sensation in the chest.
Difficulty breathing, especially at night.
Headache, hoarseness and fever.

Coughing attacks usually begin to torment the baby during physical activity, loud laughter, crying or screaming, and this is another feature of tracheitis.

To use Pulmicort, you will need a special device - a nebulizer, which turns the medicinal substance into a fine dispersion, which your child inhales. With a sigh, small particles of the medicine penetrate deep into the trachea and bronchi, where they exert their therapeutic effect. There are two main types of nebulizers: compression and ultrasonic.

For inhalation with Pulmicort, only a compression nebulizer is suitable, since the active substance is destroyed in the ultrasonic device, which is why the drug will not have any effect.

The device itself is equipped with a special mouthpiece, through which the drug enters the lungs when inhaling. For very young children who cannot yet breathe properly through a mouthpiece, masks are additionally available in different sizes.

It is Pulmicort that is suitable for use in a nebulizer, and not Pulmicort Turbuhaler, which is a powder in a compact inhaler. This dosage form can also be used in children, but only from the age of six.

Pulmicort (suspension for inhalation): instructions for use

How to dilute Pulmicort for inhalation for adults

At the initial stage of therapy, a dosage of 1-2 mg of budesonide per 24 hours (2-4 ml of suspension) is provided. It should be diluted with solutions with a concentration of 0.9% in equal proportions. Suitable: saline solution, terbutaline, acetylcysteine, fenoterol.

Dosage for children

The initial dose according to the instructions should be 0.25 - 0.5 mg per day. It can be increased to 1 mg per 24 hours, no more!

Children under 12 years of age receive up to 3 inhalations per day with 1 ml of pulmicort 0.25 mg/ml, and since a single dose is less than 2 ml, for inhalations it is diluted with saline 1:1.

Pulmicort for tracheitis

For tracheitis, inhalation using Pulmicort eliminates painful coughs, spasms, relieves swelling, and restores respiratory function. Pulmicort therapy improves the condition of a patient with tracheitis after one and a half weeks of treatment. And since Pulmicort goes well with Berodual, this tandem easily eliminates choking attacks.

Doses and frequency of procedures are determined by a specialist.

Pulmicort for whooping cough

Rarely used for whooping cough. But if the attending physician recommended inhalations, there is no need to neglect them: the drug copes quite effectively with the disease.

Pulmicort for laryngitis

Since the drug is often prescribed for the treatment of the lower respiratory tract and is not recommended for the treatment of infectious diseases of the respiratory system (possible aggravation of the disease), it is not recommended to treat laryngitis with it (with the exception of obstructive laryngitis).

Pulmicort for laryngotracheitis

It is often included in a scheme for getting rid of laryngotracheitis along with medications, a therapeutic diet and exercise. It improves the effect of bronchodilators. If traditional treatment methods do not produce a positive effect, Pulmicort becomes the only “helper”.

It is especially worth noting that after the inhalation procedure the patient is not recommended to talk to avoid straining the ligaments.

Pulmicort for bronchitis in children (instructions for use)

Inhalations with Pulmicort are indicated for childhood bronchitis. This is a fairly effective remedy that reduces the symptoms of the disease, alleviates the child’s condition with bronchial asthma, relieves inflammation of the bronchial mucosa and its swelling.

Inhalations are carried out after meals, 2 hours later. It is better to carry out procedures before daytime or nighttime sleep.

Pulmicort for dry cough

The drug is highly effective for all types of coughs and eliminates dry, persistent coughs well. Blocks bronchospasms and helps improve mucus discharge.

Pulmicort for bronchitis

Inhalations are prescribed after meals, 2 hours later. After the procedure, it is recommended to wait another hour before eating or drinking.

Doctors' recommendations on what to do and how to treat tinnitus and head noise. The main causes of noise in the head.

How many days to do inhalations

Usually the first procedure already gives a positive effect. The maximum effect of Pulmicort is achieved after 1 to 3 hours.

Most often it is recommended to complete the full course within a week. There is no point in carrying out a one-time inhalation procedure. For some diseases (bronchial asthma), Pulmicort is treated for at least 30 days.

Effect of Pulmicort on the body

Pulmicort is absolutely safe for children even with prolonged use. The main active component, budesonide, is quickly absorbed by the mucous membranes of the respiratory tract during inhalation; the process of its elimination is carried out by the genitourinary system. It is worth noting that the effectiveness of the drug can be assessed after several hours after inhalation.

Pulmicort helps relieve coughing attacks during tracheitis, as it relieves swelling of the larynx, relieves spasms, and restores the respiratory process.

The main advantage of the drug is that it can be used together with mucolytics and antihistamines. Only with long-term use of Pulmicort (1-2 weeks) can the expected therapeutic effect be observed. Thanks to the combination with Berodural, it will be possible to stop an attack of shortness of breath in children.

Contraindications

There are general contraindications to GCS therapy:

acute adrenal insufficiency;
severe forms of infectious disease;
Itsenko-Cushing's disease;
some chronic diseases in the stage of exacerbation or decompensation (peptic ulcer, hypertension, osteomyelitis, tuberculosis, diabetes, etc.);
pregnancy.

In case of bronchitis, taking GCS should be avoided in case of severe infection or bacterial complications.

Inhalation drugs of this group

The use of inhaled forms of corticosteroids (ICS) for bronchitis is one of the modern methods of pathogenetic therapy. The following drugs are often prescribed: “Beclomet”, “Aldecin”, “Pulmicort”, etc.

The advantage of drugs for inhalation is their local effect on the respiratory tract with minimal systemic side effects, which is especially important when treating children

Budesonide (Pulmicort) is a long-acting drug, so it is enough to use it 1-2 times a day. It has a pronounced anti-inflammatory and anti-allergic effect, therefore effectively eliminating bronchial obstruction. “Pulmicort” is available in a convenient package containing a single dose.

Efficiency comparison

According to research, among this group of drugs, budesonide (Pulmicort), fluticasone, and mometasone are the most effective and safe. "Pulmicort" is a suspension for inhalation through a nebulizer, which makes it possible to use it in children under 2 years of age and minimizes side effects. Other ICS (Azmacort, Bekotide, etc.), produced in the form of metered-dose inhalers, have less therapeutic effect, a shorter period of action, and more often cause complications. Pulmicort is safe for long-term use in children and does not cause growth retardation.

You should strictly adhere to the dose and frequency of use of the drug prescribed by your doctor. The specialist selects the dose individually, taking into account the age, body weight of the patient and the severity of the disease. For example, the dose of the drug "Pulmicort" for children from 6 months at the time of treatment is 250-500 mcg per day, the initial dosage for adults is 1-2 mg/day. Maintenance doses are established based on the clinical picture and respiratory function. “Pulmicort” can be prescribed for a long time as maintenance therapy after a follow-up examination.

Flixotide is available in the form of an aerosol in dosages of 50, 125 and 250 mcg, and is not prescribed to children under one year of age. This drug has better safety characteristics in comparison with budesonide and beclomethasone, and is twice as effective as these drugs.

One of the latest GCSs can be called mometasone (Asmanex Twistheiler), the effectiveness of which is 1.5 times higher than that of fluticasone and 5 times higher than that of budesonide (Pulmicort). Therefore, a lower dose is necessary to achieve disease control. The drug is available in dosages of 200 and 400 mcg.

Side effects

With inhaled use of the drug “Pulmicort” and other corticosteroids, systemic side effects rarely develop (hypofunction of the adrenal glands, hypertensive crisis, steroid diabetes mellitus, etc.). The most common effects of local action are:

oral candidiasis;
dry mouth and hoarseness of voice;
contact dermatitis, urticaria;
infectious complications.

Dosage and method of administration

The spraying time and dosage of the drug are calculated by the doctor individually for each patient. Data may depend on the severity of the process, the weight and age of the patient, as well as on the spray equipment.

During exacerbation of bronchial asthma or obstructive bronchitis, the doctor may prescribe Pulmicort 1-2 mg twice a day. Instructions for use for children starting from 6 months allow the use of the drug in a dose of 0.5-1 mg. During maintenance therapy, the amount of the drug is halved.

How to dilute the medicine: the contents of the disposable container are shaken and squeezed into the bowl of a special nebulizer. The device is connected to an air compressor, and the medicine is introduced into the body using a breathing mask or a special nozzle. For wet coughs, the drug is often combined with Lazolvan, acetylcysteine, and salbutamol for inhalation.

In a ready-made, factory-produced Pulmicort inhaler, one portion of aerosol contains 200 mcg of budesonide. The number of required breaths is determined by the doctor.

The official instructions allow the use of Pulmicort during pregnancy.

How many days can you breathe Pulmicort? The duration is determined by the doctor individually. For bronchitis, the drug is taken until the clinical picture improves. After Pulmicort, coughing should become more effective and breathing should become easier. If the cough intensifies, this may indicate temporary discomfort that appears from a good discharge of accumulated sputum.

How to use Pulmicort correctly for bronchitis

Pulmicort for bronchitis is a hormonal drug that is prescribed for inhalation. The product can only be used as prescribed by a doctor. Efficacy and safety depend on accurate dosage and correct use. This is due to the fact that Pulmicort is necessary only in cases of complications arising from bronchitis, asthma, and chronic lung disease. In the treatment of serious diseases in both adults and children, inhalations are often used. How is the drug used?

Operating principle

Pulmicort has an effect that is necessary for the treatment of complex cases of bronchitis and complications of bronchial asthma. The main active ingredient of the drug is budesonide. It is able to penetrate through tissues into the organ and have an anti-inflammatory effect. The effect of use is noticeable within a few hours.

For children, the remedy is prescribed for barking cough and laryngitis.

The drug has the following effects:

removal of puffiness;
reduction of the inflammatory process;
antiallergic effect;
maintaining immunity.

Inhalation procedures help relieve swelling from the bronchial mucosa. Inhalations can only be done using a nebulizer. A prerequisite is that it should not be ultrasonic. Thanks to this method of application, the active components easily penetrate the lungs and bronchi.

Special masks are used for children. Be sure to make sure that they are in close contact with your face!

In medical practice, Pulmicort is used for bronchitis only in emergency cases. In all other situations, they try to replace it with Berodual, which effectively eliminates cough and relieves shortness of breath.

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You lead a healthy lifestyle and you are not at risk of bronchitis

You are a fairly active person who cares and thinks about your respiratory system and health in general, continue to play sports, lead a healthy lifestyle, and your body will delight you throughout your life, and no bronchitis will bother you

But do not forget to undergo examinations on time, maintain your immunity, this is very important, do not overcool, avoid severe physical and strong emotional overload

It's time to think about what you are doing wrong...

You are at risk, you should think about your lifestyle and start taking care of yourself. Physical education is required, or even better, start playing sports, choose the sport that you like most and turn it into a hobby (dancing, cycling, gym, or just try to walk more). Do not forget to treat colds and flu promptly, they can lead to complications in the lungs. Be sure to work on your immunity, strengthen yourself, and be in nature and fresh air as often as possible. Do not forget to undergo scheduled annual examinations; it is much easier to treat lung diseases in the initial stages than in advanced stages. Avoid emotional and physical overload; if possible, eliminate or minimize smoking or contact with smokers.

We also recommend that you familiarize yourself with the material on the prevention and treatment of bronchitis.

It's time to sound the alarm! In your case, the likelihood of getting bronchitis is huge!

You are completely irresponsible about your health, thereby destroying the functioning of your lungs and bronchi, have pity on them! If you want to live a long time, you need to radically change your entire attitude towards your body. First of all, get examined by specialists such as a therapist and a pulmonologist; you need to take radical measures, otherwise everything may end badly for you. Follow all the doctors’ recommendations, radically change your life, perhaps you should change your job or even your place of residence, completely eliminate smoking and alcohol from your life, and reduce contact with people who have such bad habits to a minimum, toughen up, strengthen your immunity as much as possible spend more time in the fresh air. Avoid emotional and physical overload. Completely eliminate all aggressive products from everyday use and replace them with natural, natural remedies. Do not forget to do wet cleaning and ventilation of the room at home.

We also recommend that you familiarize yourself with the material on the prevention and treatment of bronchitis.

Pulmicort

The drug is a white suspension, which is available in single dosage packages. It has an anti-inflammatory, glucocorticoid effect, helps relieve an allergic reaction .

Active ingredient and composition

The main active ingredient of Pulmicort is micronized budesonide. It is its presence that explains the effect of the drug. It relieves inflammation, helps eliminate symptoms in a short time, relieves swelling of the mucous membrane of the throat, trachea and bronchi .
Well tolerated by many patients during long-term treatment. Auxiliary components:

sodium chloride and citrate;
sodium and disodium salts;
polysorbate;
citric acid, water.

This composition helps to ensure the possibility of carrying out therapy by inhalation , as well as to preserve the active substance unchanged.

When can it be used

The use of Pulmicort should be carried out according to the dosage prescribed by the doctor in the presence of certain diseases. The drug is prescribed for bronchial asthma, which requires the use of glucocorticosteroids, as well as chronic obstructive pulmonary disease and stenosing laryngotracheitis .

Contraindications

The medicine has some contraindications, in the presence of which treatment with this remedy is prohibited.
There are few of them, but they still exist, and this should be taken into account when choosing a product. When a drug is absolutely prohibited:

intolerance to budesonide or hypersensitivity to it;
children under six months old.

Particular caution should be exercised if the patient has a history of active pulmonary tuberculosis, acute infectious diseases of the respiratory system, or cirrhosis of the liver..

How to use

The recommended dose of the drug is selected together with a pulmonologist. This precaution will help to timely diagnose serious diseases that do not allow the use of Pulmicort. It is not recommended to determine the dosage yourself .

Pulmicort for inhalation for laryngitis or asthma is used as follows:

children use no more than 0.5 mg per day;
adults are prescribed 1-2 mg.

The medicine must be used using any inhaler ; the recommended dosage can be taken at one time or divided into two doses. It is not recommended to reduce the minimum dosage, as effectiveness will not be achieved.

Pulmicort for laryngitis in children (laryngotracheitis, false croup) is recommended after 6 months, the dosage is about 2 mg. This dose can be used once or divided into 2 doses with a break of half an hour.

Use of Pulmicort for tracheitis in children

More information about tracheitis can be found here.

When to start treatment

When the mucous membrane of the trachea becomes inflamed, severe irritation of the nerve receptors occurs, which leads to coughing attacks. This is a symptom of tracheitis.

A child's cough is painful, intense, usually dry and deep. Along with this, accompanying symptoms are observed:

Slight sputum production
Chest pain
Feeling of soreness and tingling in the throat
Headache
Difficulty breathing
Increased body temperature.

A coughing attack occurs when the child is physically active, during intense crying or laughter, or during conversation.

The highest frequency of coughing attacks occurs during the first four days of illness. Then there is a mitigation of the existing symptoms, a smooth transition from a dry cough to a wet one occurs.

If a child has such signs, it is worth contacting a pediatrician and starting effective treatment. In addition to taking medications, other methods of therapy should be used, for example, rubbing, wrapping, and inhalation procedures.

Effect of Pulmicort on the body

Pulmicort helps relieve coughing attacks during tracheitis, as it relieves swelling of the larynx, relieves spasms, and restores the respiratory process.

Features of therapy

For children with tracheitis, inhalations are quite effective, which can be carried out as early as six months.
The daily dosage is from 0.25 to 0.5 mg. Due to the nature of the course of the disease, the dose can be increased, but it should not be more than 1 mg. This method of treatment is used for a short time - for 2-3 days. Typically, inhalations with the drug Pulmicort are carried out in the evening; if necessary, the daily dose is divided by half and two inhalation procedures are performed (in the morning and evening).

For children under 12 years of age, it is recommended to carry out 1-3 inhalations per day. A bottle of Pulmicort is diluted with the same amount of saline solution.

If the drug is prescribed as maintenance therapy, the daily dosage for children is 0.25-2 mg.

The daily dose for inhalation procedures of 0.25 ml is equal to 1 ml of Pulmicort 250, if necessary it is diluted with 0.9% saline solution.

For inhalation at a daily dosage of 1 mg, you should use 4 ml of the drug Pulmicort 250 or half as much as Pulmicort 500.

Inhalation via nebulizer

Pulimicort for inhalation via a nebulizer is not used in its pure form; it must first be diluted with salbutanol, saline, terbutaline or sodium cromoglycate.

Before use, shake the container with the drug well and then open it in a vertical position.

After opening, the contents of the bottle are poured into the appropriate nebulizer container and the inhalation procedure begins.

Immediately after completing the inhalation, you should rinse your mouth with a soda solution to avoid the development of candidiasis, and wash your face with running water.

The opened bottle of medicine should be completely used over the next 12 hours.

Method of use of the drug

Before treating tracheitis with Pulmicort, you need to make sure the diagnosis is correct. To do this, you should make an appointment with a pulmonologist and undergo all the necessary tests. Based on them, the dosage of the drug will be selected, taking into account the patient’s age and weight, as well as the stage of the disease.

For inhalation with Pulmicort, a compression nebulizer is used, which turns the liquid drug into a fine dispersion, facilitating its penetration into the respiratory system.

Before carrying out the procedure in children, it is recommended to dilute Pulmicort with a solution of sodium chloride. The concentration of the mixture is determined by the pediatrician individually for each patient. When treating adults in severe cases, Pulmicort is used without prior dilution.

If the doctor has prescribed a minimum dose (from 0.25 to 0.5 mg) of Pulmicort, then it is used in one inhalation. It is advisable to do it in the evening to relieve a coughing attack before going to bed.

In the case where the daily dosage is more than 2 mg, it is divided into two or three procedures . The approximate duration of one inhalation is about 15 minutes.

Despite the fact that after the first inhalations of Pulmicort, the patient feels relief, treatment for tracheitis must be continued for at least 10-12 days so that the symptoms of the disease do not reappear.

To increase the effectiveness of treatment, Pulmicort can be used for tracheitis together with other drugs, in particular Berodual. Alternating these medications is usually used in complex therapy in adults and children over 6 years of age. However, in minimal doses and under medical supervision, Berodual can be used even for infants.