
The following information is a summary about Entocort. It is not intended to replace a doctor's instructions.
What is budesonide?
Budesonide is in a class of drugs called corticosteroids. Budesonide works in the intestines to
reduce inflammation, tissue damage, and diarrhea.
Budesonide is used to treat mild to moderate Crohn's disease.
Budesonide may also be used for purposes other than those listed in this medication guide.
What is the most important information I should know about budesonide?
Do not drink grapefruit juice or eat grapefruit during treatment with budesonide.
Do not crush, break, or chew the capsules. Swallow them whole. They are specially
formulated to release the medication after they have passed through the stomach.
What should I discuss with my healthcare provider before taking
budesonide?
Do not take budesonide if you have a serious bacterial, viral, or fungal infection.
Budesonide weakens the body's immune response and thus its ability to fight infection.
Before taking this medication, tell your doctor if you have
You may not be able to take budesonide, or you may require a dosage
adjustment or special monitoring during treatment if you have any of the conditions listed above.
Budesonide is in the FDA pregnancy category B. This means that it is not expected to be
harmful to an unborn baby. Do not take budesonide without first talking to your doctor if you are
pregnant or could become pregnant during treatment.
Budesonide passes into breast milk. Do not take budesonide without first talking to your
doctor if you are breast-feeding a baby.
How should I take budesonide?
Take budesonide exactly as directed by your doctor. If you do not understand these directions,
ask your pharmacist, nurse or doctor to explain them to you.
Take each dose with a full glass of water.
Budesonide can be taken with or without food or milk.
Do not crush, break, or chew the capsules. Swallow them whole. They are specially
formulated to release the medication after they have passed through the stomach.
Do not drink grapefruit juice or eat grapefruit during treatment with budesonide.
Store budesonide at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. However, if it is almost time for the next dose,
skip the dose you missed and take only the next regularly scheduled dose. Do not
take a double dose of this medication.
What happens if I overdose?
Seek emergency medical attention. A single large dose of this medication is unlikely to
cause symptoms or death. An overdose is more likely to be caused by a chronic overdose--large
doses taken over a period of time.
Symptoms of a chronic overdose include obesity (especially around the stomach); a round face;
increased hair growth (especially around the face); acne; bruising; increased blood pressure; swollen
hands, feet, or ankles (fluid retention); and sore or weak muscles.
What should I avoid while taking budesonide?
Do not drink grapefruit juice or eat grapefruit during treatment with budesonide.
Budesonide can lower the activity of the immune system making you more susceptible to
infection. Avoid contact with people who have colds, the flu, or other contagious illnesses. In addition,
do not receive vaccines that contain a live strain of the virus (e.g., live oral polio vaccine) and avoid
contact with individuals who have recently been vaccinated with a live virus.
Budesonide side effects
If you experience any of the following serious side effects, stop taking budesonide and seek
emergency medical attention or contact your doctor immediately:
-
an allergic reaction (difficulty breathing; closing of your throat;
swelling of your lips, tongue, or face; or hives);
-
increased blood pressure (severe headache or blurred
vision); or
-
sudden weight gain (more than 2 pounds in one day or 5
pounds in a week).
Other, less serious side effects may be more likely to occur. Continue to
take budesonide and talk to your doctor if you experience
-
insomnia;
-
nausea, vomiting, or stomach upset;
-
fatigue or dizziness;
-
respiratory infection;
-
hyperglycemia (increased blood sugar);
-
flatulence; or
-
headache.
Other side effects may occur rarely, usually with high doses or long-term use
of steroids. Talk to your doctor if you experience any of the following side effects:
-
acne;
-
obesity (especially around the stomach);
-
increased hair growth (especially around the face);
-
thinning of the skin and easy bruising;
-
cataracts;
-
glaucoma;
-
swollen hands, feet, or ankles (fluid retention);
-
sore or weak muscles;
-
osteoporosis;
-
roundness of the face; and
-
changes in behavior.
Side effects other than those listed here may also occur. Talk to your doctor
about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect budesonide?
Before taking budesonide, tell your doctor if you are taking any of the following medicines:
-
the stomach medicine cimetidine (Tagamet, Tagamet HB);
-
an antifungal medicine such as ketoconazole (Nizoral) or
itraconazole (Sporanox);
-
an AIDS or HIV medicine such as amprenavir (Agenerase),
ritonavir (Norvir), indinavir (Crixivan), nelfinavir (Viracept), or saquinavir (Fortovase,
Invirase); or
-
the antibiotic erythromycin (ESS Granules, ESS-200,
ESS-400, E-Mycin, Eryc, Ery-Tab, Ilosone, MY-E, Robimycin, others).
You may not be able to take budesonide, or you may require a dosage
adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with budesonide. Talk to your doctor and
pharmacist before taking any prescription or over-the-counter medicines, including herbal products.
Where can I get more information?
-
Your pharmacist has additional information about budesonide written for health professionals
that you may read.
What does my medication look like?
Budesonide is available with a prescription under the brand name Entocort EC. Other brand or
generic formulations may also be available. Ask your pharmacist any questions you have about this
medication, especially if it is new to you.
-
Remember, keep this and all other medicines out of the reach of children, never share your
medicines with others, and use this medication only for the indication prescribed.