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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Inhaled Budesonide Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 9 June 2022

⏱️ 15 minutes

🧾️ Download transcript

Summary

On this episode of the podcast, I cover budesonide (Pulmicort) pharmacology. Our sponsor (Pyrls.com/rlp) for this episode is providing a FREE PDF of their inhaled corticosteroid categorizations chart (i.e. low/medium/high dose ICS) when you sign up for a free account!



The onset of action of inhaled budesonide is several hours up to a few days. Patient education is critical to ensure that patients stick with its use.



Budesonide does have a nebulized formulation that is often used in pediatrics and geriatrics.



There aren't a ton of critical drug interactions, but you should think about medications that inhibit CYP3A4 and may have additive immunosuppressive effects.

Transcript

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0:00.0

Hey, all, welcome back to the Real Life Pharmacology podcast.

0:03.7

I'm your host pharmacist, Eric Christensen.

0:05.7

Thank you so much for listening today.

0:07.6

As always go check out RealLife Pharmacology.com.

0:10.6

Grab your free 31-page PDF.

0:13.3

It's a great study guide or review on the top 200 drugs and things that I've seen in clinical practice,

0:20.8

as well as things that often show up on

0:23.7

board exams, whether you're a nurse, pharmacy student, med student. Great resource there,

0:29.5

simply an email. We'll get you access to that. Then of course we'll also get you updates

0:34.2

when we've got a new podcast available as well as other new content.

0:39.0

The drug of the day today is inhaled budesinide.

0:44.8

And brand name of this medication is pulma court.

0:50.5

And budesinide, I have covered this a little bit in the past.

0:53.7

I've covered systemic budesinide use, have covered this a little bit in the past. I've covered systemic

0:55.0

budesinide use, but I haven't specifically focused on just inhaled budesinide.

1:02.0

Now, it should be noted that it does come in other combinations. So Bres tree and simbacort are combinations of budesinide with other inhaled agents that are typically going to be used in asthma and COPD, for example.

1:21.0

But I do see a fair amount of pomacourt use on its own.

1:27.2

And again, those indications, asthma, COPD.

1:30.7

And with recent GINA guidelines, recommendations,

1:36.1

we're seeing these inhaled cortico steroids used more and more in acute exacerbations

1:43.4

and getting that steroid on board and obviously trying to

1:47.1

prevent re-exasperation and obviously help acutely with the situation as much as we can. But I'll talk

...

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