Pulmicort 500mcg/ml Respule
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Prescription Required
Overview
Pulmicort 500mcg/ml Respule contains budesonide 500mcg/mL (0.5mg/mL), an inhaled corticosteroid supplied as a single-use nebule (respule) of liquid suspension for nebulised inhalation. It is used for the long-term control of asthma, particularly in patients (including young children) who have difficulty using a metered-dose inhaler or dry powder inhaler correctly.
Budesonide works directly in the airway lining to reduce inflammation, swelling, and mucus production associated with asthma. Regular use over time reduces airway sensitivity and the frequency of asthma flare-ups, though it does not relieve a sudden asthma attack in progress.
How it Works
Budesonide is a corticosteroid that, once deposited in the airway lining by nebulised inhalation, binds to glucocorticoid receptors in airway cells. This switches off the production of inflammatory chemicals and reduces swelling, mucus secretion, and the sensitivity of the airways to asthma triggers, calming inflammation over time rather than providing immediate bronchodilation.
Directions for Use
Shake the respule gently, then open and empty its full contents into the nebuliser chamber of a suitable jet nebuliser (not an ultrasonic nebuliser, which can inactivate budesonide); it should not be mixed with other medicines in the same nebule unless your doctor or pharmacist has specifically advised this. Breathe the mist in through a mouthpiece or well-fitted face mask as instructed, and rinse the mouth (and wash the face if a mask was used) with water afterwards to reduce the risk of oral thrush and skin irritation.
Dosage
The dose of Pulmicort 500mcg/ml Respule is individualised by your doctor based on age, asthma severity, and response to treatment, and is usually given once or twice daily via a jet nebuliser. Your doctor will advise the correct dose, frequency, and how to adjust it during periods of worsened symptoms – do not change the dose on your own.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Headache
- Nausea or upset stomach
- Throat irritation (with inhaled forms)
- Cough or hoarseness
- White patches in the mouth (oral thrush)
- Increased risk of infections
- Dizziness
- Acne or skin thinning (with prolonged use)
Contraindications
- Known hypersensitivity to budesonide or any ingredient in this product
- Active, untreated respiratory tract infections such as tuberculosis or fungal/viral lung infections, unless specifically directed by a doctor
Drug / Food Interactions
- Ketoconazole, itraconazole, ritonavir, and other strong CYP3A4 inhibitors can significantly increase systemic budesonide exposure
- Other corticosteroids (oral, injected, or inhaled) taken together may increase the total steroid load and side-effect risk
- Grapefruit juice may modestly increase budesonide absorption
Quick Tips
- Rinse your mouth with water (and spit it out) after every nebulisation to prevent oral thrush
- Wash and dry the face if a mask is used, to reduce skin irritation
- Use only with a jet nebuliser, not an ultrasonic device, unless advised otherwise
- Continue regular use even when asthma is well controlled – this medicine is for prevention, not for relieving a sudden attack
- Keep a fast-acting reliever inhaler available for sudden breathing difficulty, as advised by your doctor
- Clean the nebuliser equipment as instructed to prevent contamination
Frequently Asked Questions
What is Pulmicort 500mcg/ml Respule used for?
Pulmicort 500mcg/ml Respule contains budesonide, an inhaled corticosteroid delivered via nebuliser for the long-term control and prevention of asthma symptoms, particularly in patients who cannot use a standard inhaler.
Can I use this to relieve a sudden asthma attack?
No, this is a preventer medicine that reduces airway inflammation over time – it does not act quickly enough to relieve a sudden attack. Use your prescribed fast-acting reliever inhaler for sudden symptoms and seek medical help if breathing difficulty is severe.
Why do I need to rinse my mouth after each dose?
Rinsing the mouth (and gargling, then spitting out the water) after each nebulisation removes leftover medicine from the mouth and throat, which significantly reduces the risk of developing oral thrush and hoarseness.
Can I use an ultrasonic nebuliser instead of a jet nebuliser?
No, ultrasonic nebulisers can break down and inactivate the budesonide suspension. Use only the type of nebuliser recommended by your doctor or pharmacist.
Is it safe to use this medicine for young children?
Nebulised budesonide is commonly used in children when prescribed by a doctor, as it does not require the coordination needed for a metered-dose inhaler; the dose and mask fit should always be guided by your child’s doctor.
Can I buy Pulmicort 500mcg/ml Respule from DoctorOnCall?
Yes, Pulmicort 500mcg/ml Respule is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Pulmicort 500mcg/ml Respule according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Pulmicort 500mcg/ml Respule?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Pulmicort 500mcg/ml Respule cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Pulmicort 500mcg/ml Respule?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Pulmicort 500mcg/ml Respule?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Budesonide 500mcg/mL (0.5mg/mL)
Safety Advice
Pregnancy
This medicine should be used cautiously during pregnancy. Monitoring may be required.
Breastfeeding
Use with caution. Monitor infant for potential adverse reactions.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
This medicine is generally safe and should not impair your driving ability.
Medical Review
