Before prescribing inhalants, the patient should be instructed on the rules for their use, ensuring the most complete entry of the drug into the right areas of the lungs. The development of oral candidiasis is most likely in patients with a high level of precipitating antibodies in the blood against the Candida fungus, indicating a previously transferred fungal infection. After inhalation, rinse the mouth and throat with water.For the treatment of candidiasis, antifungal agents of local action can be used while continuing therapy with Beklazone Eco Light Breathing. If patients take GCS inside, then Beclason Eco Light Breathing is prescribed against the background of taking the previous dose of GCS, while patients should be in a relatively stable state. After about 1-2 weeks, the daily dose of oral glucocorticosteroids is gradually reduced. The dose reduction scheme depends on the duration of the previous therapy and on the initial dose of GCS. Regular use of inhaled glucocorticosteroids allows in most cases to cancel oral GCS (patients who need to take no more than 15 mg of prednisolone can be fully switched to inhalation therapy), and in the first months after the transition, the patient's condition should be carefully monitored until his pituitary-adrenal the system will not recover sufficiently to provide an adequate response to stressful situations (for example, trauma, surgery or infection).
When transferring patients from receiving systemic GCS to inhalation therapy, allergic reactions (for example, allergic rhinitis, eczema), which were previously suppressed by systemic drugs, may appear.
Patients with a reduced function of the adrenal cortex, transferred to inhalation treatment, should have a stock of GCS and always carry a warning card, which should indicate that they need additional systemic appointment of SCS in stressful situations (after a stressful situation, the dose of GCS can be again reduce). Sudden and progressive worsening of asthma symptoms is a potentially dangerous condition, often life-threatening patients, and requires an increase in the dose of GCS. An indirect indicator of the ineffectiveness of therapy is the more frequent, than before, use of short-acting β-2-adrenostimulators.
Beklazone Eco Light Breath is not designed to stop seizures, but for regular daily use. For relief of attacks, β-2-adrenostimulators of short action (for example,
salbutamol). In case of severe exacerbation of bronchial asthma or inadequate effectiveness of the therapy, increase the dose of Beclason Eco Light Breathing and, if necessary, prescribe a systemic SCS and / or antibiotic for the development of infection.
With the development of paradoxical bronchospasm should immediately stop using Beklazone Eco Light Breathing, assess the patient's condition, conduct a survey and, if necessary, prescribe therapy with other medications. With long-term use of any inhaled glucocorticosteroids, especially at high doses, systemic effects can be noted (see "Side Effects"), but the likelihood of their development is significantly lower than when ingesting GCS inside. Therefore, it is especially important that, when the therapeutic effect is achieved, the dose of inhaled glucocorticosteroids is reduced to the lowest effective dose controlling the course of the disease. At a dose of 1500 mcg / day, the drug in most patients does not cause significant suppression of the adrenal glands. In connection with a possible adrenal insufficiency, one should be extra careful and regularly monitor the indices of the function of the adrenal cortex when transferring patients taking SCS inwards to treatment with Beclason Eco Light Breathing.
It is recommended to regularly monitor the dynamics of growth in children receiving inhaled glucocorticosteroids for a long time.
It is not recommended to abruptly discontinue Beklazone Eco Light Breath.
Special care should be taken when treating inhaled GCS patients with active or inactive forms of pulmonary tuberculosis.
It is necessary to protect eyes from getting the drug. By washing after inhalation, it is possible to prevent damage to the skin of the eyelids and nose.
Balloon with Beclazone Eco Light Breathing can not be pierced, disassembled or thrown into the fire, even if it is empty. Like most other inhalation agents in aerosol packs, Beclason Eco Light Breathing can be less effective at low temperatures. When cooling the can, it is recommended to remove it from the plastic case and warm it with your hands for several minutes.