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What are budesonide (Entocort EC®)
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 (Entocort
EC®) capsules are not yet available.
What
should my health care professional know before I take oral budesonide
(Entocort EC®)?
They need to know if you have any of these conditions:
•cataracts or glaucoma
•Cushing's syndrome
•diabetes
•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 (Entocort EC®), other
corticosteroids, medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
How
should I take Entocort?
Take budesonide (Entocort EC®) capsules by mouth. Follow the directions on the
prescription label. Swallow the capsules with a drink of water. Do not chew,
crush, or break open the capsules. The capsules need to be swallowed whole. If
you are only taking budesonide (Entocort EC®) 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 of Entocort?
If you miss a dose and remember within an hour or so, take it as soon as you
remember. If it is almost time for your next dose, take only that dose and
continue with your regular schedule. Do not take double or extra doses.
What
drug(s) may interact with oral budesonide (Entocort
EC®)?
•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
•grapefruit juice
•isoniazid, INH
•medicines used for seizures such as carbamazepine, ethosuximide, fosphenytoin,
phenytoin
•medicines used for ulcers or stomach acid, such as cimetidine or omeprazole
•modafinil
•norfloxacin
•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 doctor or health care professional about all other medicines you are
taking, including non-prescription medicines, nutritional supplements, or herbal
products. Also tell your doctor 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
(Entocort EC®)?
Side effects that you should report to your doctor 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
doctor 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 (Entocort
EC®)?
If you are taking budesonide (Entocort EC®) regularly, avoid contact with people
who have an infection. You may have an increased risk from infection while
taking budesonide (Entocort EC®). Tell your doctor 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 (Entocort EC®) 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 doctor or health care professional that you are taking
budesonide (Entocort EC®) before receiving any vaccine. If you are going to have
surgery, tell your doctor or health care professional that you are taking oral
budesonide (Entocort EC®).
Your body may lose potassium while you are taking oral budesonide (Entocort
EC®). Ask your doctor or health care professional about your diet.
Corticosteroids like budesonide (Entocort EC®) may affect your blood sugar. If
you have diabetes, check with your doctor or health care professional if you
need help adjusting the dose of your medicine for diabetes. Alcohol,
grapefruit, and grapefruit juice can increase the risk of getting serious side
effects while you are taking budesonide .(Entocort EC®) Avoid grapefruit,
grapefruit juice, and alcoholic drinks while taking budesonide (Entocort EC®).
Where
can I keep my medicine (Entocort EC®)?
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.
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