Bunase 400mcg Rotacap is used to prevent the symptoms of asthma (wheezing and shortness of breath). It is a steroid and is known as a "preventer". You need to have a fast-acting “reliever” as well because this medicine will not stop an asthma attack that has already started.
Your doctor will tell you how often you need to use Bunase 400mcg Rotacap. It is important that you take the lowest dose needed to effectively control your asthma. The effect of this medicine may be noticeable after a few days but will only reach its maximum after a few weeks. This medicine must be used regularly to be effective, so go on taking it even if you do not have any symptoms. No symptoms mean that the medicine is doing its job. If you stop taking it your asthma may get worse. It should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler "reliever". To get the benefit from this medicine you need to make sure you get your inhaler technique right, otherwise, it will not work as well.
The most common side effects are irritation in the throat, difficulty swallowing, headache, and indigestion. If you get these, do not stop taking it but do talk to your doctor. You can help prevent these symptoms by rinsing your mouth and throat with water or brushing your teeth after using your inhaler. There are other rare, side effects that can be serious. Talk to your doctor if you are worried about them. In general, you should be trying to avoid situations that make your asthma worse (your triggers) and try not to smoke.
Before taking Bunase 400mcg Rotacap, you should tell your doctor if you have tuberculosis, any infections in your mouth or lungs, or liver disease. While taking it you may be more at risk of getting infections so stay away from people with colds and flu. If you use Bunase 400mcg Rotacap for a long time it may cause weak bones (osteoporosis) and damage to your eyes (glaucoma or cataracts). You might need tests for bone density and eye pressure. Ask your doctor whether it’s safe to take this medicine if you are pregnant or breastfeeding.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Bunase
Difficulty in swallowing
Headache
Increased risk of infection
Muscle pain
Muscle weakness
Muscle twitching
Irritability
Abdominal pain
Depression
Joint pain
How to use Bunase Rotacap
Rotacaps must not be swallowed. Check the label for directions before use. Place the capsule at the base of rotahaler, not in the mouthpiece. Twist the mouthpiece completely until your hear a click and breathe in deeply through the mouthpiece. Hold your breath for up to 10 seconds. If some powder remains in the rotahaler repeat the process.
How Bunase Rotacap works
Bunase 400mcg Rotacap is a steroid. It prevents the cells in the lungs and breathing passages from releasing chemical messengers that cause inflammation (swelling) of the airways. This makes breathing easier.
Safety advice
Alcohol
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Bunase 400mcg Rotacap. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Bunase 400mcg Rotacap may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Bunase 400mcg Rotacap is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
No interaction found/established
Kidney
No interaction found/established
Liver
No interaction found/established
What if you forget to take Bunase Rotacap?
If you miss a dose of Bunase 400mcg Rotacap, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Bunase 400mcg Rotacap ‘dampens down’ inflammation in the lungs to provide long-term (maintenance) treatment of asthma and prevent disease progression.
Bunase 400mcg Rotacap will not work for an ongoing asthma attack. Use your rescue inhaler to control sudden difficulty in breathing.
Take it at the same time every day to prevent asthma attacks.
Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.
Never breathe out into the mouthpiece.
Only minuscule amounts of Bunase 400mcg Rotacap may get absorbed into the bloodstream after inhalation. Hence, serious side effects such or weight gain are unlikely.
Fact Box
Chemical Class
Inhalational Corticosteriods
Habit Forming
No
Therapeutic Class
RESPIRATORY
Action Class
Inhalational Corticosteroids
Interaction with drugs
Taking Bunase with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may increase the risk of high blood sugar levels. Budesonide may reduce the efficacy of Gliclazide.
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Glibenclamide may raise blood levels of the active form of Budesonide.
If concurrent use is essential, your doctor may monitor your treatment and diabetic control and adjust the d... More
Bunase 400mcg Rotacap helps relieve cough if it is caused due to asthma. In children, it is used to relieve cough which sounds like ‘dog bark’. This cough is caused due to irritation and swelling of the airways which further makes the airways narrow. As a result, when your child tries to breathe through the narrow passage, it becomes hard to breathe and causes coughing. Bunase 400mcg Rotacap helps to reduce this irritation and swelling of the airways.
Is Bunase 400mcg Rotacap safe?
Bunase 400mcg Rotacap is safe if used in the dose and duration advised by your doctor. Take it exactly as directed and do not skip any dose. Follow your doctor's instructions carefully and let your doctor know if any of the side effects bother you.
Does Bunase 400mcg Rotacap raise blood sugar?
Yes, if you are taking Bunase 400mcg Rotacap orally, your blood sugar levels may increase. However, with Bunase 400mcg Rotacap inhalers, an increase in the blood sugar levels is very rare but may increase only if very high doses are taken for a very long time.
Does Bunase 400mcg Rotacap cause bone loss?
Bunase 400mcg Rotacap being a steroid tends to decrease bone density, but this is usually seen in patients who take Bunase 400mcg Rotacap in high doses and for a very long time. Take Bunase 400mcg Rotacap as per the doctor’s advice to decrease the chances of developing decreased bone density.
Is Bunase 400mcg Rotacap effective?
Bunase 400mcg Rotacap is effective if used in the dose and duration advised by your doctor. Do not stop taking it even if you see improvement in your condition. If you stop using Bunase 400mcg Rotacap too early, the symptoms may return or worsen.
What if I forget to take a dose of Bunase 400mcg Rotacap?
If you forget a dose of Bunase 400mcg Rotacap, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose in the prescribed time. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.
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References
Mayo Clinic. Budesonide. [Accessed 04 Apr. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 04 Apr. 2019] (online) Available from:
CiplaMed. Budesonide [Prescribing Information]. [Last Reviewed: July 2019]. [Accessed 15 Jun. 2023]. (online) Available from:
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