Budesal 0.5 Respules (Budesonide/Levalbuterol)

This medicine is prescribed for:

• Asthma
• Chronic obstructive pulmonary disease (COPD)
• Bronchospasm and wheezing
• Chest tightness and breathing difficulty
• Respiratory inflammation with narrowing of the airways
• Long-term control of breathing disorders

This medicine works in two ways:

• Budesonide reduces swelling and inflammation in the airways.
• Levalbuterol relaxes the muscles around the air passages and helps them stay open.

Together, they improve breathing, reduce wheezing, and help prevent asthma or COPD flare-ups.

• Use this medicine only with a nebulizer machine.
• Open one respule and pour the contents into the nebulizer cup.
• Do not swallow or inject the liquid.
• Breathe in the mist slowly through the mouthpiece or mask until the nebulizer cup is empty.
• Rinse your mouth with water after each use to help prevent mouth infections caused by Budesonide.
• Use this medicine regularly as prescribed by your doctor.

Usual Dose:

• The exact dose depends on the strength prescribed by your doctor and your medical condition.
• Usually 1 respule once or twice daily through a nebulizer.

Missed Dose:
If you miss a dose, use it as soon as you remember. If it is almost time for the next dose, skip the missed dose. Do not use two respules together.

Overdose:
Too much of this medicine may cause fast heartbeat, tremors, nervousness, headache, dizziness, or increased steroid-related side effects. Seek medical attention if overdose is suspected.

Minor Side Effects:

• Throat irritation
• Cough
• Hoarseness of voice
• Dry mouth
• Headache
• Tremors or shakiness
• Nervousness
• Fast heartbeat

Major Side Effects:

• Severe allergic reaction
• Swelling of face, lips, or throat
• Worsening breathing after use
• White patches in the mouth (oral thrush)
• Chest pain or irregular heartbeat
• Severe dizziness or fainting

Stop using this medicine and seek immediate medical help if serious side effects occur.

• Rinse your mouth after every use to reduce the risk of mouth infection.
• Do not use this medicine for sudden severe asthma attacks unless advised by your doctor.
• Tell your doctor if you have heart disease, high blood pressure, diabetes, liver disease, glaucoma, or infections.
• Use with caution during pregnancy and breastfeeding.
• Do not stop this medicine suddenly without consulting your doctor.
• Use a clean nebulizer to avoid infection.
• If your symptoms become worse or you need to use the medicine more often, contact your doctor.

Several similar medicines containing Budesonide with a bronchodilator are available, including:

• Budecort Respules + Levolin Respules
• Duolin Respules + Budecort Respules
• Budamate Respules
• Budenase-L Respules
• Budez-L Respules

The exact substitute depends on the strength and composition prescribed by your doctor.

1. Is this medicine a steroid?
This medicine contains Budesonide, which is a steroid, along with Levalbuterol, which is a bronchodilator.

2. Why should I rinse my mouth after using this medicine?
Rinsing helps prevent fungal infection and irritation in the mouth caused by Budesonide.

3. Can this medicine be used during an asthma attack?
It is mainly used for regular control of asthma. Ask your doctor whether you also need a quick-relief medicine.

4. Can children use this medicine?
Yes. It may be prescribed to children, but only under medical supervision.

5. What should I do if my breathing gets worse after using this medicine?
Stop using it and seek immediate medical attention.

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