Respiratory allergies significantly complicate a person’s life. Flowering plants, contact with animals, and even inhalation of pungent odors can lead to a severe cold. The drug "Budoster" helps to stop the manifestations of rhinitis. In reviews, patients report on the effectiveness of this tool and the convenience of its use. This is an aerosol based on corticosteroids, which doctors prescribe for the treatment and prevention of allergic rhinitis. How safe is hormone spray treatment? And what are the contraindications to its use? We will answer these questions in the article.
Composition and action
The active component of the drug is budesonide. This substance belongs to glucocorticoids. It is a synthetic analogue of the hormones of the adrenal cortex.
Budesonide suppresses the body's immune response to the penetration of an irritating substance. The active component of the drug stops the flow of leukocytes into the area of allergic inflammation. In addition, it inhibits the production of cytokines - proteins that are responsible for the immune response to allergen invasion.
Budesonide has the following effects on the body:
- anti-allergic;
- anti-inflammatory;
- immunosuppressive.
This medication is a topical nasal product. It facilitates breathing, reduces mucus formation and eliminates inflammation in the airways. However, about 20% of the active ingredient is absorbed into the bloodstream. Therefore, budesonide is able to exert a systemic effect on the body.
The drug is produced in the form of a nasal spray. The medicine is a white suspension. It is packaged in bottles with a metering valve. This device controls the flow of the treatment composition into the nasal cavity.
One dose of the drug contains 50 or 100 μg of the active component. This amount of medicine enters the nasal passage with a single tap on the cap. The volume of one bottle is designed for 200 doses.
The composition of the spray includes additional ingredients: cellulose, hydrochloric acid, carmellose, edetate disodium, sorbic acid salts, glucose and water. These substances are necessary for better absorption of the active component.
Indications
Most often, this drug is prescribed for a cold with an allergic origin. Nasal spray is used in conjunction with other drugs as part of complex therapy. It is used both for the treatment of rhinitis and for the prevention of exacerbations of allergic rhinitis.
There are other indications for the appointment of the drug "Budoster". The instructions for use and reviews report on the effectiveness of the spray for vasomotor rhinitis and nasal polyps.
In addition, the drug helps to ease breathing in chronic sinusitis and sinusitis. However, in such cases, the spray should be used with caution. It is applicable only for protracted and edematous forms of sinus inflammation. In acute sinusitis or sinusitis, this remedy is not prescribed.
Contraindications
This medicine refers to hormonal drugs. Its action is based on the suppression of immunity. The spray can not be used for any runny nose. It can not be used for rhinitis of infectious origin. The use of the drug with active forms of tuberculosis is strictly prohibited.
Bacterial and viral pathologies of the respiratory tract are absolute contraindications to the appointment of the drug "Budoster". In the reviews you can find information about the negative experience of using the spray with ARVI. This tool helped only for a while to eliminate nasal congestion and improve breathing. But in the future, viral rhinitis has become protracted. This is due to the suppression of immunity by glucocorticoids. Therefore, before using the medicine, it is necessary to undergo an examination and establish the exact cause of the common cold.
The drug is contraindicated in people who are allergic to glucocorticoids and additional suspension ingredients. In pediatric practice, this tool is allowed to be prescribed to children over six years old. At an earlier age, the use of hormonal sprays is undesirable.
There are also relative contraindications to treatment with this tool:
- tuberculosis in remission;
- pregnancy;
- lactation;
- injuries to the nose;
- operations on the nasal cavity.
In these cases, reduced dosages of the drug are used, and treatment is carried out under close medical supervision. During pregnancy and lactation, a hormone spray is prescribed only in extreme cases, when other drugs are ineffective. The doctor assesses the possible benefits of the medicine to the patient and the likely risk to the child.
Unwanted effects
Not all patients tolerate the effect on the body of the Budoster spray. The instructions and reviews report on local side effects of the drug:
- burning in the nose;
- the appearance of dried crusts in the nasal cavity;
- sore throat;
- sneezing
- temporary exacerbation of the common cold;
- a feeling of dryness in the nasopharynx;
- nosebleeds.
The hormone spray can have a systemic effect on the body, which leads to the appearance of the following undesirable symptoms:
- nausea
- tachycardia;
- pain in the stomach;
- drowsiness
- rash and itching;
- headache;
- myalgia;
- dizziness.
With prolonged use of a corticosteroid drug, the patient's immunity decreases. This can lead to the activation of conditionally pathogenic fungal microflora and the occurrence of candidiasis (thrush) of the nasopharynx.
The use of excessively high doses of the drug adversely affects the state of the endocrine system. An overdose of the drug can cause the following symptoms:
- slow bone growth in children;
- adrenal insufficiency;
- increase in intraocular pressure;
- bone density reduction;
- menstrual disorders;
- weight gain;
- the appearance of acne and stretch marks (striae) on the skin.
All this suggests that the hormone spray should be used very carefully. It can be used only as directed by the doctor, carefully observing the recommended dosage.
How to use a spray
The spray is applied intranasally. The suspension is injected into the nostrils. With a single click on the cap, one dose of the drug (50 or 100 μg) is delivered to the nose. The amount of the drug is limited by a special valve.
In the acute period of the disease, 100 μg of the drug is prescribed in each nasal passage. The frequency of application of the spray is twice a day.
During the day, it is allowed to use no more than 400 mcg of the drug. A single dose should not exceed 200 mcg.
After improvement of the patient's condition, they are transferred to maintenance therapy. The dosage is reduced to 200 mcg per day. This amount of the drug is consumed once a day or divided into two doses.
The course of therapy should not exceed three months. The therapeutic effect develops on the fifth or seventh day of use.
Application features
Doctors do not recommend abruptly interrupting the course of therapy. With a sudden cessation of the use of the drug, health may worsen. Withdrawal syndrome is accompanied by lethargy, depression, pain in the bones and muscles. The danger of the occurrence of such symptoms is reported by the instructions for use and reviews. The nasal spray "Budoster" should be abolished gradually, daily reducing the daily dosage.
If the medicine is used in pediatric practice, then with a long course of therapy it is necessary to constantly monitor the growth of the child. If there is a delay in bone development, then the treatment regimen should be reviewed and the dosage reduced.
It is also important to consider the compatibility of the drug with other medicines. Some drugs may enhance the effect of the spray. These include:
- antifungal agents;
- estrogens;
- anabolic steroid;
- antibiotics of the macrolide group.
There are also drugs that reduce the effectiveness of the hormone spray. During the course of therapy, the following medications should be avoided:
- "Phenobarbital."
- "Phenytoin" ("Diphenin").
- "Rifampicin."
If previously the patient used oral or injectable glucocorticoids, then the transition to the Budoster spray should be very careful. In the first weeks of therapy, it is necessary to monitor the patient's condition. With this change of medicine, the risk of adrenal insufficiency increases.
Storage, price and analogues
It is recommended to store packaging with a spray at a temperature of no more than +25 degrees. The bottle should not be refrigerated, as the suspension may freeze. The medicine can be stored for two years. If the bottle is already opened, then the drug is suitable for use within three months.
The drug is dispensed from pharmacies with a prescription. This tool can not be used on its own. The cost of the spray is from 580 to 730 rubles.
Often patients are interested in drugs of similar action at a lower price. The most common analogs include the Tafen Nazal aerosol. Its active component is also budesonide. This remedy has the same indications for use as the Budoster nasal spray. Testimonials from patients indicate that Tafen Nasal also helps to quickly eliminate the manifestations of allergic rhinitis and facilitate breathing. This tool is no less effective, but costs a little cheaper. Its price is from 360 to 430 rubles.
There are other drugs based on budesonide (Benacort, Budenite). However, they are produced in the form of powders and solutions for inhalation and are intended primarily for the treatment of bronchial asthma.
Positive reviews
Most people have a positive opinion about the Budoster drug. In the reviews, patients report that the use of the spray helped them quickly get rid of the respiratory manifestations of allergies. The therapeutic effect occurred within three to four days after the start of use. It became much easier for patients to breathe, and sneezing and constant secretion of mucus from the nose stopped.
Buyers also note the convenience of using the drug "Budoster". In the reviews, patients report that using the valve, you can accurately dose the required amount of suspension. This allows you to prevent accidental overdose. In addition, the composition has a pleasant smell.
Patients consider the preventive use of the Budoster drug to be effective. In the reviews of people you can find information about the use of the spray before the upcoming contact with the allergen. This prevented the occurrence of a runny nose and other negative reactions when interacting with an irritating substance (animal hair, plant pollen, etc.).
Negative reviews
Not all allergy sufferers were helped by the Budoster spray. Patient reviews sometimes report a lack of therapeutic effect. Runny nose did not decrease even after prolonged use of the spray. Often in such cases, the drug was used independently, without preliminary examination and consultation with a doctor. It is important to remember that this medicine is effective only for rhinitis of an allergic nature. If a runny nose is of a viral or bacterial origin, then this drug should not be used.
Even in negative reviews, practically no systemic side effects of the spray are reported. Some patients complained only of a slight burning sensation in the nose during the injection of the medicine. The drug "Budoster" refers to a new generation of glucocorticoids. It is much less likely to cause unwanted effects than older hormones.