Respiratory allergies significantly complicate a person's life. Flowering plants, contact with animals, and even inhalation of pungent odors can lead to a severe runny nose. The drug "Budoster" helps to stop the manifestations of rhinitis. In the reviews, patients report on the effectiveness of this remedy and the convenience of its use. This is a corticosteroid-based aerosol that 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 ingredient 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 penetrationirritant. The active ingredient of the drug stops the flow of leukocytes into the area of allergic inflammation. In addition, it inhibits the production of cytokines - proteins responsible for the immune response to an allergen invasion.
Budesonide has the following effect on the body:
- antiallergic;
- anti-inflammatory;
- immunosuppressive.
This drug is a topical nasal remedy. It makes breathing easier, reduces mucus production and eliminates inflammation in the airways. However, about 20% of the active ingredient is absorbed into the bloodstream. Therefore, budesonide is able to have 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 dosing valve. This device regulates the flow of the therapeutic composition into the nasal cavity.
One dose of the drug contains 50 or 100 micrograms of the active ingredient. This amount of medicine enters the nasal passage with a single click on the cap. The volume of one vial is designed for 200 doses.
The spray contains additional ingredients: cellulose, hydrochloric acid, carmellose, disodium edetate, sorbic acid s alts, glucose and water. These substances are necessary for better absorption of the active ingredient.
Indications
Most often this drug is prescribed for a runny nose of allergic origin. The nasal spray is used in conjunction with other medicines inpart 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 prolonged and edematous forms of inflammation of the sinuses. In acute sinusitis or sinusitis, this remedy is not prescribed.
Contraindications
This medicine belongs to hormonal drugs. Its action is based on immune suppression. Spray can not be used for any runny nose. It can not be used for rhinitis of infectious origin. It is strictly forbidden to use the drug in active forms of tuberculosis.
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 for ARVI. This remedy helped only for a while to eliminate nasal congestion and improve breathing. But in the future, viral rhinitis acquired a protracted character. 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 ingredients of the suspension. In pediatric practice, this remedy is allowed to be prescribed to children older than six years. At an earlier age, the use of hormonal sprays is undesirable.
There are also relative contraindications to treatment with this remedy:
- tuberculosis in remission;
- pregnancy;
- lactation;
- injuries to the nose;
- surgery on the nasal cavity.
In these cases, reduced dosages of the drug are used, and the treatment is carried out under the close supervision of a physician. During pregnancy and lactation, a hormonal spray is prescribed only in extreme cases, when other means are ineffective. The doctor evaluates the possible benefit of the drug for the patient and the likely risk to the child.
Unwanted effects
Not all patients are well tolerated by the impact on the body spray "Budoster". The instructions and reviews report local side effects of the drug:
- burning nose;
- appearance of dried crusts in the nasal cavity;
- sore throat;
- sneeze;
- temporary increase in runny nose;
- feeling of dryness in the nasopharynx;
- nosebleed.
Hormonal spray can have a systemic effect on the body, resulting in the following unwanted symptoms:
- nausea;
- tachycardia;
- stomach pain;
- drowsy;
- rashes and pruritus;
- headache;
- myalgia;
- dizziness.
With long-term 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 medication adversely affects the state of the endocrine system. An overdose of the drug can cause the following symptoms:
- slowed bone growth in children;
- adrenal insufficiency;
- increased intraocular pressure;
- decrease in bone density;
- menstrual disorders;
- weight gain;
- appearance of acne and stretch marks (stretch marks) on the skin.
All this suggests that the hormonal spray should be used very carefully. It should only be used as directed by a doctor, carefully following the recommended dosage.
How to use the spray
Spray is applied intranasally. The suspension is injected into the nostrils. With a single click on the cap, one dose of medication (50 or 100 mcg) enters the nose. The amount of the drug is limited by a special valve.
In the acute period of the disease, 100 mcg of the drug is prescribed in each nasal passage. The frequency of application of the spray - twice a day.
During the day, it is allowed to use no more than 400 micrograms of medication. A single dose should not exceed 200 micrograms.
After the 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 taken 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 application.
Application features
Doctors do not recommend abrupt interruption of therapy. If you suddenly stop using the drug, you may feel worse. The withdrawal syndrome is accompanied by lethargy, depression, painful sensations in the bones and muscles. The danger of such symptoms is reported by instructions for use and reviews. The nasal spray "Budoster" should be canceled 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 medicines may increase the effect of the spray. These include:
- antifungals;
- estrogens;
- anabolic steroids;
- macrolide antibiotics.
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" ("Difenin").
- "Rifampicin".
If the patient has previously used oral or injectable glucocorticoids, then the transition to Budoster spray should be very careful. In the first weeks of therapy, it is necessary to monitor the patient's condition. This change in medication increases the risk of adrenal insufficiency.
Storage, price and analogues
Spray packaging is recommended to be stored at a temperature not exceeding +25 degrees. The vial should not be placed in the refrigerator, as the suspension may freeze. The medicine can be stored for two years. If the bottle has already been opened, then the drug is suitable for use within three months.
The drug is dispensed from pharmacies by prescription. This product cannot be used on its own. The cost of the spray is from 580 to 730 rubles.
Often, patients are interested in drugs of similar effect at a lower price. The most common analogues include the Tafen Nasal aerosol. Its active ingredient is also budesonide. This remedy has the same indications for use as the Budoster nasal spray. Patient reviews indicate that Tafen Nasal also helps to quickly eliminate the manifestations of allergic rhinitis and make breathing easier. This tool is no less effective, but costs a little less. Its price ranges from 360 to 430 rubles.
There are other drugs based on budesonide ("Benacort", "Budenit"). However, they are produced in the form of powders and solutions forinhalation and are intended primarily for the treatment of bronchial asthma.
Positive feedback
Most people have a positive opinion about Budoster. 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 came within three to four days after the start of the application. It became much easier for patients to breathe, sneezing and constant discharge of mucus from the nose stopped.
Buyers also note the convenience of using Budoster. In the reviews, patients report that the valve can accurately dose the required amount of suspension. This prevents accidental overdose. In addition, the composition has a pleasant smell.
Patients consider the prophylactic use of Budoster 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 made it possible to prevent 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 Budoster spray. Patient reviews sometimes report a lack of therapeutic effect. The runny nose did not decrease even after prolonged use of the spray. Often in such cases, the drug was used independently, without prior examination and consultation with a doctor. It is important to remember that this is a medicineeffective only with rhinitis of an allergic nature. If the runny nose is of a viral or bacterial origin, then this drug should not be used.
Even in the negative reviews, almost 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 the older hormones.
