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Budesonide is used for:

Budesonide is a glucocorticoid steroid for the treatment of asthma, non-infectious rhinitis (including hay fever and other allergies), and for treatment and prevention of nasal polyposis. Additionally, it is used for inflammatory bowel disease.

Preventing asthma symptoms. It may also be used for other conditions as determined by your doctor.

Budesonide is an inhaled corticosteroid. It works by decreasing irritation and swelling in the airways, which helps to control or prevent asthma symptoms.

Do NOT use Budesonide if:

  • you are allergic to any ingredient in Budesonide
  • you are having an acute asthma attack

Contact your doctor or health care provider right away if any of these apply to you.

Before using Budesonide :

Some medical conditions may interact with Budesonide. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have increased pressure in the eye; glaucoma; cataracts; a herpes infection of the eye; a bacterial, fungal, or parasitic infection; a viral infection (eg, chickenpox, shingles); diarrhea; measles; tuberculosis; or osteoporosis
  • if you have had a positive tuberculosis skin test or have recently been vaccinated

Some MEDICINES MAY INTERACT with Budesonide. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Barbiturates (eg, phenobarbital), carbamazepine, hydantoins (eg, phenytoin), or rifampin because they may decrease Budesonide 's effectiveness
  • Hormonal contraceptives (eg, birth control pills, patches, implants), imidazole antifungals (eg, ketoconazole, itraconazole), or macrolide antibiotics (eg, erythromycin, clarithromycin) because they may increase the risk of Budesonide 's side effects
  • Live vaccines or ritodrine because the risk of their side effects may be increased by Budesonide

This may not be a complete list of all interactions that may occur. Ask your health care provider if Budesonide may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Budesonide :

Use Budesonide as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with Budesonide. Talk to your pharmacist if you have questions about this information.
  • Budesonide is inhaled through the mouth.
  • You will need to prime a new inhaler before you use it for the first time. Twist the inhaler cover and lift it off. Hold the unit upright (mouthpiece on top) and turn the grip fully to the right, then fully to the left until it clicks. Repeat. Do not reprime the inhaler. You will only need to prime the inhaler once even if you do not use it for a long period of time. The inhaler is now ready for use.
  • To use a dose, twist the inhaler cover and lift it off. Hold the unit upright (mouthpiece on top) and turn the grip fully to the right, then fully to the left until it clicks. Do NOT shake the inhaler. Turn your head away from the inhaler and breathe out fully. Place the mouthpiece between your lips and inhale forcefully and deeply. You may not feel the medicine. Remove the inhaler from your mouth and breathe out. Do NOT breathe out through the inhaler. Do not bite or chew the mouthpiece.
  • Replace the mouthpiece cover after each use.
  • Rinse the mouthpiece with water after each use to help prevent mouth or throat infections. Do not swallow the rinse water. Spit it out.
  • Do not use Budesonide with a spacer.
  • Keep the inhaler clean and dry at all times.
  • Continue to use Budesonide even if you feel well. Do not miss any doses.
  • Use Budesonide on a regular schedule to get the most benefit from it.
  • If you miss a dose of Budesonide , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Budesonide.

Important safety information:

  • Improvement in asthma control can occur within 24 hours of beginning treatment; the maximum effect of Budesonide may take as long as 1 to 2 weeks, or longer. If symptoms do not improve within that period of time or if they become worse, contact your health care provider.
  • Do NOT take more than the recommended dose or stop using without checking with your doctor.
  • Do not decrease your dose or use for longer than prescribed without checking with your doctor.
  • Use caution if you switch from an oral steroid (eg, prednisone) to Budesonide. It may take several months for your body to make enough natural steroids to handle events that cause physical stress. Such events may include injury, surgery, infection, loss of blood electrolytes, or a sudden asthma attack. These may be severe and sometimes fatal. Contact your doctor right away if any of these events occur. You may need to take an oral steroid (eg, prednisone) again. Carry a card at all times that says you may need an oral steroid (eg, prednisone) if any of these events occur.
  • Tell your doctor at once if you switch from an oral corticosteroid to this medicine and you notice symptoms such as muscle and joint pain, exhaustion, depression, unusual weakness, or severe or persistent nausea or vomiting.
  • Budesonide may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
  • If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Tell your doctor right away if you are exposed to anyone who has these infections.
  • Do not receive a live vaccine (eg, measles, mumps) while you are taking Budesonide. Talk with your doctor before you receive any vaccine.
  • Tell your doctor or dentist that you take Budesonide before you receive any medical or dental care, emergency care, or surgery.
  • Budesonide will not stop an asthma attack once it has already started. Be sure to carry a short-acting bronchodilator with you at all times to treat any breathing problems that may occur between doses of Budesonide (eg, severe or sudden onset of wheezing or shortness of breath). If you have any questions about which medicines stop asthma attacks, check with your doctor or pharmacist.
  • Tell your doctor at once if you notice that your short-acting bronchodilator inhaler does not work as well, if you need to use it often (eg, 4 or more times a day for more than 2 days in a row; more than 1 canister in 8 weeks), or if you have a decrease in your peak flow meter results.
  • Budesonide may sometimes cause severe breathing problems right after you use a dose. When this problem occurs, it is often after the first use of a new canister or vial. If this happens, use your short-acting bronchodilator and seek medical care at once. Do not use any more doses of Budesonide unless instructed by your doctor.
  • Lab tests, including lung function, adrenal function, and bone density and eye exams, may be performed while you use Budesonide. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Budesonide.
  • Budesonide should be used with extreme caution in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Budesonide while you are pregnant. It is not known if Budesonide is found in breast milk. Do not breast-feed while taking Budesonide.

Possible side effects of Budesonide :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Nasal congestion; throat irritation.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); ear pain or discharge; new or worsening asthma symptoms (eg, increased wheezing); depression; mental or mood changes; severe or persistent diarrhea or stomach pain; shortness of breath after using Budesonide ; signs of infection (eg, fever, chills, or sore throat); vision changes; white patches in the mouth or throat.

What is the shelf life of the pills?

  • The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Erectile dysfunction (ED) affects the lives of many middle-aged men and their partners. The term erectile dysfunction covers a range of disorders, but usually refers to the inability to obtain an adequate erection for satisfactory sexual activity. Although erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections. Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment.

Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.

This Website discusses all about erectile dysfunction, physiology of the normal erection and the pathophysiology, and treatment of ED.

What is Erectile Dysfunction?

Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.

The causes may be physiological or psychological. Psychological impotence can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.

Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo for a long time, and is the subject of many urban legends. Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of perhaps the first pharmacologically effective remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by the news-worthiness of stories about it and heavy advertising.

The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms.

Signs and symptoms:

Erectile dysfunction is characterized by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other things leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).

Here are some causes of Erectile Dysfunction:

* Arousal: The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.

* Nervous system response: The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.

* Blood vessel response:. A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.

Physiology of normal erections:

Penile erections involve an integration of complex physiologic processes involving the CNS, peripheral nervous system, and hormonal and vascular systems. Any abnormality involving these systems, whether from medication or disease, has a significant impact on the ability to develop and sustain an erection, ejaculate, and experience orgasm. Tumescence, the vascular filling of the cavernous bodies, relies on neural and hormonal mechanisms operating at various levels of the neural axis. This is unique among visceral functions because it requires central neurological input.

Andersson et al summarized some of the information related to the pathways involved in erectile function. The degree of contraction of corpus cavernosal smooth muscle determines the functional state of the penis. The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems. At the cellular level, smooth muscle relaxation occurs following the release of acetylcholine from the parasympathetic nerves.

Pathophysiology of erectile dysfunction:

Erectile Dysfunction is essentially a vascular disease. It is often associated with other vascular diseases and conditions such as diabetes, hypertension, and coronary artery disease. Other conditions associated with Erectile Dysfunction include neurologic disorders, endocrinopathies, benign prostatic hyperplasia, and depression. Conditions associated with reduced nerve and endothelium function, such as aging, hypertension, smoking, hypercholesterolemia, and diabetes, alter the balance between contraction and relaxation factors. These conditions cause circulatory and structural changes in penile tissues, resulting in arterial insufficiency and defective smooth muscle relaxation. In some patients, sexual dysfunction may be the presenting symptom of these disorders.

Treatment:

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