Before appointment inhalation medicines instruct the patient about the rules of application of the drug, ensuring the most complete entry of the drug in the right areas of the lungs. Beclomethasone It is not intended for relief of acute asthmatic attacks.Patients should be aware of the preventive nature of the drug and that to achieve the optimal effect, the inhaler should be used regularly, even in the absence of symptoms of asthma.
With regular inhalations of beclomethasone, improvement in breathing usually occurs after 1 week of treatment. The lack of effect is possible in patients with increased sputum and mucus in the respiratory tract and severe bronchospasm, preventing the drug from reaching the zone of action. In such cases, appoint inhalation adrenostimulyatorov for 15-30 minutes before inhalation beclomethasone or.inachayut treatment with systemic use of glucocorticosteroids.
The transfer of patients taking oral glucocorticosteroids on beclomethasone inhalation and subsequent treatment should be carried out with extreme caution, under daily control of the pyclofometry (pneumotachometry), since the suppression of the adrenal cortex caused by prolonged use of glucocorticosteroids is restored slowly.
Before the appointment of inhalation forms of beclomethasone, patients should be in a relatively stable state, and their very appointment should supplement the usual maintenance dose of the systemic glucocorticosteroid.Approximately after 1 week, the daily dose of steroids begins to gradually decrease - 1 mg / week (in terms of prednisolone). Deterioration of the condition against the background of a maintenance dose of 400 mcg / day means the need to transfer patients to oral administration of prednisolone. Regular use allows in most cases to cancel oral glucocorticosteroids (patients who need to take no more than 15 mg of prednisone, 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 system will be restored sufficiently to provide a response to stressful situations (eg trauma, surgery or infection).
Patients who have been transferred to inhalation treatment and have adrenal cortex disorder that have an impaired function should have a stock of glucocorticosteroids and a warning card with them, which should indicate that they need additional systemic administration of glucocorticosteroids in stressful situations (after a stressful situation the dose of steroids can be again reduce).Sometimes a transfer from the administration of systemic glucocorticosteroids to an inhalation administration may lead to the appearance of previously suppressed forms of allergy, for example, allergic rhinitis or eczema.
It is necessary to protect eyes from getting the drug.
It is advisable to rinse the mouth and throat after inhalation (prophylaxis of candidiasis), and when there are initial signs of fungal damage to the oral mucosa - the use of nystatin, fluconazole, amphotericin. By washing after inhalation, it is possible to prevent damage to the skin of the eyelids and nose.
The maximum daily dose of the drug in adults should not exceed 1 mg. In a dose of up to 1.5 mg / day in most patients does not significantly suppress the function of the adrenal glands. If this dose is exceeded, some patients may experience some oppression of the adrenal glands. Treatment in doses of more than 1 mg / day is carried out under the supervision of a doctor.
Beclomethasone in a dose of 250 mcg is not intended for use in pediatrics. It is recommended to regularly monitor the dynamics of the growth of children receiving inhaled glucocorticosteroids for a long period of time.
Infectious-inflammatory diseases of the respiratory system are not a specific contraindication for treatment with beclomethasone.
The drug should not be frozen and exposed to direct sunlight.
A balloon can not be pierced, disassembled or thrown into a fire, even if it is empty. When cooling the can, it is recommended to remove it from the plastic case and warm it with hands (at low temperatures, the effectiveness of the drug is reduced).