Beclomethasone

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Generic Name: Beclomethasone Brand Name(s): Generics only. No brands available. Avability: Rx Pregnancy Category: N

Uses

What is Beclomethasone used for?

Beclomethasone is used to prevent and control symptoms (wheezing and shortness of breath) caused by asthma. This medication belongs to a class of drugs known as corticosteroids. It works directly in the lungs to make breathing easier by reducing the irritation and swelling of the airways.

This medication must be used regularly to prevent breathing problems (attacks of wheezing/shortness of breath). It does not work right away and should not be used to relieve an asthma attack. If an attack occurs, use your quick-relief inhaler as prescribed.

How should I take Beclomethasone?

Follow the instructions for priming the inhaler if you are using a canister for the first time or if you have not used it for 10 days or more. There is no need to shake the inhaler. Avoid getting the medication in your eyes when priming or using the inhaler.

Inhale this medication by mouth, usually 2 times a day or as directed by your doctor. The dosage is based on your age, medical condition and response to treatment.

If your prescribed dose is 2 puffs, wait at least one minute between them. If you are using other inhalers at the same time, wait at least 1 minute between the use of each medication, and use this drug (the corticosteroid) last.

To prevent dry mouth, hoarseness, and oral yeast infections from developing, gargle and rinse your mouth with water after each use. Do not swallow the rinse water.

Keep track of the number of inhalations used. Discard the canister after using the labeled number of inhalations on the package, even if it feels as though there is medication left in the canister. Follow the instructions for cleaning the inhaler. Do not wash the inhaler or put any part of it in water.

Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time(s) each day. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase.

Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.

Learn which of your inhalers you should use every day (controller drugs) and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor ahead of time what you should do if you have new or worsening cough or shortness of breath, wheezing, increased sputum, worsening peak flow meter readings, waking up at night with trouble breathing, if you use your quick-relief inhaler more often (more than 2 days a week), or if your quick-relief inhaler does not seem to be working well. Learn when you can treat sudden breathing problems by yourself and when you must get medical help right away.

If you are regularly using a different corticosteroid taken by mouth (such as prednisone), you should not stop using it unless directed by your doctor. You may have withdrawal symptoms if the drug is suddenly stopped. Some conditions (such as asthma, allergies) may become worse when the drug is suddenly stopped. To prevent withdrawal symptoms (such as weakness, weight loss, nausea, muscle pain, headache, tiredness, dizziness), your doctor may direct you to slowly lower the dose of your old medication after you are using beclomethasone. Consult your doctor or pharmacist for more details, and report any withdrawal reactions right away.

You may begin to feel this medication working within 24 hours, but it may take 3 weeks or longer before the full benefit of this drug takes effect. Tell your doctor if your condition does not improve or if it worsens.

How do I store Beclomethasone?

Beclomethasone is best stored at room temperature away from moisture and heat. Store the inhaler device with the canister upright and the mouthpiece on top. Keep the canister away from open flame or high heat, such as in a car on a hot day. The canister may explode if it gets too hot. Do not puncture or burn an empty inhaler canister.

There may be different brands of Beclomethasone that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Beclomethasone down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Beclomethasone?

Before using beclomethasone, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: eye disease (such as cataracts, glaucoma), liver disease, thyroid problems, diabetes, stomach/intestinal problems (such as diverticulitis, ulcer), bone loss (osteoporosis), current/past infections (such as tuberculosis, positive tuberculosis test, herpes, fungal), bleeding problems, mental/mood conditions (such as psychosis, anxiety, depression).

If you have switched from a corticosteroid taken by mouth (such as prednisone tablets) to this inhaler within the past 12 months, or if you have been using this product in higher-than-usual doses for a long time, it may be more difficult for your body to respond to physical stress. Therefore, before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used a corticosteroid taken by mouth within the past 12 months. Tell your doctor right away if you develop unusual/extreme tiredness or weight loss. Carry a warning card or medical ID bracelet that says you use (or have used) corticosteroid medications.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This medication may mask signs of infection. It can make you more likely to get infections or may worsen any current infections. Therefore, wash your hands well to prevent the spread of infection. Avoid contact with people who have infections that may spread to others (such as chickenpox, measles, flu). Consult your doctor if you have been exposed to an infection or for more details.

Beclomethasone may cause vaccines not to work as well. Therefore, do not have any immunizations/vaccinations while using this medication without the consent of your doctor. Avoid contact with people who have recently received live vaccines (such as flu vaccine inhaled through the nose).

This medication may slow down a child’s growth if used for a long time, but poorly controlled asthma can also slow down growth. The effect on final adult height is unknown. See the doctor regularly so your child’s height can be checked.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Is it safe during pregnancy or breast-feeding?

There are no adequate studies in women for determining risk when using this Beclomethasone during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Beclomethasone. Beclomethasone is pregnancy risk category N according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk,
  • B=No risk in some studies,
  • C=There may be some risk,
  • D=Positive evidence of risk,
  • X=Contraindicated,
  • N=Unknown

Side effects

What side effects can occur from Beclomethasone?

Dry/sore throat, hoarseness, a bad taste in the mouth, headache, or voice changes may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Infrequently, this medication may cause severe sudden worsening of breathing problems/asthma immediately after use. If you have sudden worsening of breathing, use your quick-relief inhaler and seek immediate medical attention.

Because this drug works by weakening the immune system, it may lower your ability to fight infections. This may make you more likely to get a serious (rarely fatal) infection or make any infection you have worse. Tell your doctor right away if you have any signs of infection (such as ear pain, sore throat, fever, chills). Use of this medication for prolonged or repeated periods may result in oral thrush (yeast infection). Contact your doctor if you notice white patches in your mouth or on your tongue.

Tell your doctor right away if any of these rare but very serious side effects occur: unusual tiredness, vision problems, easy bruising/bleeding, puffy face, unusual hair growth, mental/mood changes (such as depression, mood swings, agitation), muscle weakness/pain, thinning skin, slow wound healing, increased thirst/urination.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Beclomethasone?

Some products that may interact with this drug include: aldesleukin, other drugs that weaken the immune system (such as azathioprine, cyclosporine, cancer chemotherapy), mifepristone.

This product may interfere with certain lab tests (such as skin tests). Make sure laboratory personnel and all your doctors know you use this drug.

Beclomethasone may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Beclomethasone?

Beclomethasone may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Beclomethasone?

Beclomethasone may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using this Beclomethasone.

What is the dose of Beclomethasone for an adult?

Usual Adult Dose for Asthma – Maintenance

Initial doses should be based on previous asthma therapy and disease severity, including current control and risk of future exacerbations:

For patients not previously receiving inhaled corticosteroid (ICS): Initial dose: 40 to 80 mcg via oral inhalation twice a day

For patients switching from another ICS: Initial dose selection should be based on the previous ICS strength: 40 to 320 mcg via oral inhalation twice a day

-Maintenance dose: After 2 weeks, may increase dose for additional asthma control; after asthma stability has been achieved, titrate to the lowest effective dose to reduce the possibility of side effects

-Maximum dose: 320 mcg twice a day

Comments:

-Onset and degree of improvement in asthma control is variable; improvements may occur within 24 hours, but may take 1 to 2 weeks; maximum benefit is usually achieved within 3 to 4 weeks.

-If asthma symptoms arise, a fast acting inhaled bronchodilator should be used for immediate relief; this drug should not be used for the relief of acute bronchospasm.

-In the US, the dose delivered from the actuator is the labeled dose; in some countries, the dose delivered from the valve (ex-valve) is the labeled dose; actuator doses of 80 and 40 mcg are equivalent to ex-valve doses of 100 and 50 mcg, respectively.

Use: For the maintenance treatment of asthma as prophylactic therapy.

Renal Dose Adjustments

No adjustment recommended

Liver Dose Adjustments

No adjustment recommended

Dose Adjustments

Caution is advised on discontinuation.

For Patients on Systemic Corticosteroids:

-Oral corticosteroids should be weaned slowly; allow at least 1 week after starting inhaler before initiating taper of oral corticosteroid.

What is the dose of Beclomethasone for a child?

Usual Pediatric Dose for Asthma – Maintenance

Initial doses should be based on previous asthma therapy and disease severity, including current control and risk of future exacerbations:

Age: 4 to less than 5 years:

QVAR(R) Redihaler:

-Initial dose: 40 mcg via oral inhalation twice a day

-Maintenance dose: After 2 weeks, may increase dose to 80 mcg twice daily for additional asthma control; after asthma stability has been achieved, titrate to the lowest effective dose to reduce the possibility of side effects

-Maximum dose: 80 mcg twice a day

Age: 5 to 11 years:

QVAR(R) and QVAR(R) Redihaler:

-Initial dose: 40 mcg via oral inhalation twice a day

-Maintenance dose: After 2 weeks, may increase dose to 80 mcg twice daily for additional asthma control; after asthma stability has been achieved, titrate to the lowest effective dose to reduce the possibility of side effects

-Maximum dose: 80 mcg twice a day

Age: 12 years or older:

QVAR(R) and QVAR(R) Redihaler:

For patients not previously receiving inhaled corticosteroid (ICS): Initial dose: 40 to 80 mcg via oral inhalation twice a day

For patients switching from another ICS: Initial dose selection should be based on the previous ICS strength: 40 to 320 mcg via oral inhalation twice a day

-Maintenance dose: After 2 weeks, may increase dose for additional asthma control; after asthma stability has been achieved, titrate to the lowest effective dose to reduce the possibility of side effects

-Maximum dose: 320 mcg twice a day

Comments:

-Onset and degree of improvement in asthma control is variable; improvements may occur within 24 hours, but may take 1 to 2 weeks; maximum benefit is usually achieved within 3 to 4 weeks.

-If asthma symptoms arise, a fast acting inhaled bronchodilator should be used for immediate relief; this drug should not be used for the relief of acute bronchospasm.

-In the US, the dose delivered from the actuator is the labeled dose; in some countries, the dose delivered from the valve (ex-valve) is the labeled dose; actuator doses of 80 and 40 mcg are equivalent to ex-valve doses of 100 and 50 mcg, respectively.

Use: For the maintenance treatment of asthma as prophylactic therapy.

Precautions

Safety and efficacy have not been established in patients younger than 5 years.

-Use of this drug with a spacer device in children less than 5 years of age is not recommended.

How is Beclomethasone available?

Beclomethasone is available in the following dosage forms and strengths:

  • Inhalation aerosol with adapter,
  • Inhalation aerosol,
  • Compounding powder.

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Beclomethasone, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Review Date: August 29, 2018 | Last Modified: August 29, 2018

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