Proper Use

Drug information provided by: Merative, Micromedex®

Use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. Do not stop using this medicine without telling your doctor. To do so may make your condition worse.

This medicine comes with a patient information leaflet or patient instructions. Read the instructions carefully before using this medicine. If you do not understand the directions or you are not sure how to use the inhaler, have your doctor show you what to do. Also, ask your doctor to check how you use the inhaler to make sure you are using it properly.

When you use the inhaler for the first time, it may not deliver the right amount of medicine with the first puff. Therefore, before using the inhaler, prime it by spraying the medicine 4 times into the air away from the face, and shaking it well before each spray. If you have not used it for 7 days or longer, if you've dropped it, or after cleaning it, re-prime by spraying the medicine 2 times into the air away from the face, and shaking it well before each spray.

To use the inhaler:

  • This medicine comes in a sealed foil pouch. Do not open the foil pouch until you are ready to use a dose of this medicine.
  • Remove the cap off and look at the mouthpiece to make sure it is clean.
  • To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. Put your lips tightly around the mouthpiece and breathe in slowly and deeply while spraying a puff of medicine.
  • Hold your breath for about 10 seconds, then breathe out slowly.
  • Immediately repeat these steps for the second puff, starting with shaking the inhaler.
  • When you have finished all of your doses, rinse your mouth with water. Do not swallow.
  • Clean the actuator at least once a week with warm water for 30 seconds. Shake off the excess water. Let the actuator air-dry overnight. Do not use soap and do not dry with towel or tissue. Do not let the canister get wet.

Throw away this medicine 12 months after opening the foil pouch, when the dose counter reaches "0", whichever comes first.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For inhalation dosage form (aerosol):
    • For treatment and prevention of asthma and asthma attacks:
      • Adults—Two puffs as needed. Each puff contains 180 micrograms (mcg) albuterol and 160 mcg budesonide. Do not take more than 6 doses (12 puffs) in a 24 hour period.
      • Children—Use is not recommended.

Storage

Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Portions of this document last updated: June 01, 2024

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