{"id":54354,"date":"2023-09-20T09:58:06","date_gmt":"2023-09-20T09:58:06","guid":{"rendered":"https:\/\/medsname.com\/budesal-respules\/"},"modified":"2026-04-30T14:22:10","modified_gmt":"2026-04-30T14:22:10","slug":"budesal-respules","status":"publish","type":"product","link":"https:\/\/medsbase.com\/el\/budesal-respules\/","title":{"rendered":"Budesal Respules"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 28px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:18px;color:#1a1a1a;\">\u26a1 Quick Answer \u2014 What is Budesal Respules?<\/h3>\n<p><strong>Budesal Respules<\/strong> contain <strong>budesonide 0.5\/1 mg + levosalbutamol 1.25 mg in 2.5 ml<\/strong>, an unusual combination preservative-free nebuliser solution. The product delivers <strong>\u03bc\u03c0\u03bf\u03c5\u03b4\u03b5\u03c3\u03bf\u03bd\u03af\u03b4\u03b7<\/strong> (an inhaled corticosteroid that reduces airway inflammation over 1\u20132 weeks of consistent dosing) plus <strong>\u03bb\u03b5\u03b2\u03bf\u03c3\u03b1\u03bb\u03b2\u03bf\u03c5\u03c4\u03b1\u03bc\u03cc\u03bb\u03b7<\/strong> (a short-acting \u03b22 agonist that begins bronchodilation in 1\u20135 minutes and lasts 4\u20136 hours). Used for moderate-to-severe acute asthma exacerbations and in patients who benefit from same-time anti-inflammatory + reliever delivery via nebulisation. Manufactured by <strong>Cipla<\/strong>.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>\u0391\u03c5\u03c4\u03cc \u03c0\u03bf\u03c5 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b5 \u03bc\u03b5 \u03c4\u03b7\u03bd MedsBase:<\/strong> \u03a0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae\u03c2 WHO-GMP \u00b7 \u0394\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u00b7 \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae \u00b7 1,400+ \u03b5\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03b5\u03c2 <a href=\"https:\/\/medsbase.com\/el\/reviews\/\">\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03bb\u03b1\u03c4\u03ce\u03bd<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/strong><\/a> \u2014 \u03b5\u03ac\u03bd \u03c4\u03bf \u03b4\u03ad\u03bc\u03b1 \u03c3\u03b1\u03c2 \u03b4\u03b5\u03bd \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 20 \u03b5\u03c1\u03b3\u03ac\u03c3\u03b9\u03bc\u03c9\u03bd \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd, \u03c4\u03bf \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03c5\u03bc\u03b5.<\/p>\n<h3>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>\u03a4\u03b1 \u03b3\u03b5\u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03ac \u03bc\u03b1\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd WHO-GMP \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03b3\u03ba\u03bf\u03c3\u03bc\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae, \u03b1\u03c0\u03bb\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u2014 \u03c7\u03c9\u03c1\u03af\u03c2 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03b4\u03ad\u03bc\u03b1\u03c4\u03bf\u03c2. \u039f\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u03b4\u03c1\u03bf\u03bc\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae (\u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03ad\u03c2 \u03b5\u03ba\u03ba\u03b1\u03b8\u03ac\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ce\u03bd \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u2014 \u03c0\u03bf\u03c4\u03ad \u201cMedsBase\u201d \u03ae \u03bf\u03c0\u03bf\u03b9\u03bf\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5). \u0393\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b5\u03ba\u03c4\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03c1\u03c5\u03c0\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03c1\u03b1\u03c0\u03b5\u03b6\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac SEPA. \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u0395\u03be\u03b1\u03c3\u03c6\u03b1\u03bb\u03af\u03c3\u03b5\u03ce\u03c2 \u03bc\u03b1\u03c2.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 \u039a\u03c1\u03c5\u03c0\u03c4\u03bf\u03b3\u03c1\u03b1\u03c6\u03b7\u03bc\u03ad\u03bd\u03b7 \u039f\u03bb\u03bf\u03ba\u03bb\u03ae\u03c1\u03c9\u03c3\u03b7 \u0391\u03b3\u03bf\u03c1\u03ac\u03c2<\/strong> \u00b7 <strong>\ud83d\udcb3 \u0395\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03bf\u03c2 \u0395\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c2<\/strong> \u00b7 <strong>\ud83d\ude9a \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u0391\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae<\/strong> \u00b7 <strong>\u2b50 4.9\/5 \u03b1\u03c0\u03cc 1,400+ \u03c0\u03b5\u03bb\u03ac\u03c4\u03b5\u03c2<\/strong>\n<\/div>\n<h2>What Is Budesal Respules?<\/h2>\n<p>Budesal Respules combine an inhaled corticosteroid (budesonide) with a short-acting \u03b22 agonist (levosalbutamol) in a single nebuliser respule. This unusual ICS-SABA combination is mainly an Indian-market formulation by Cipla. Most international ICS-LABA nebules use formoterol (long-acting) rather than levosalbutamol (short-acting).<\/p>\n<h2>How Does Budesal Respules Work?<\/h2>\n<ul>\n<li><strong>Budesonide<\/strong> binds glucocorticoid receptors, suppresses inflammatory cytokines, reduces eosinophil and lymphocyte recruitment, and stabilises airway mucosa. Effect builds over 1\u20132 weeks of consistent dosing.<\/li>\n<li><strong>\u039b\u03b5\u03b2\u03bf\u03c3\u03b1\u03bb\u03b2\u03bf\u03c5\u03c4\u03b1\u03bc\u03cc\u03bb\u03b7<\/strong> activates \u03b22-adrenergic receptors, raising cyclic AMP and producing rapid bronchodilation. Onset 1\u20135 minutes; duration 4\u20136 hours. The R-isomer offers similar bronchodilation to racemic salbutamol with potentially less tremor and tachycardia.<\/li>\n<li><strong>Combined:<\/strong> simultaneous symptom relief and anti-inflammatory dosing in one nebulisation \u2014 useful when a patient needs both, especially in moderate-to-severe acute attacks.<\/li>\n<\/ul>\n<h2>\u03a7\u03c1\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>Moderate-to-severe acute asthma exacerbations<\/strong> \u2014 combination ICS + reliever nebulisation<\/li>\n<li><strong>Acute COPD exacerbations<\/strong> with significant inflammatory component<\/li>\n<li><strong>Bronchospasm in young children and elderly<\/strong> who cannot use inhalers<\/li>\n<li><strong>Step-down from hospital nebulisation<\/strong> to home use<\/li>\n<\/ul>\n<h2>Budesal Dosage<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0394\u03cc\u03c3\u03b7<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Adults \u2014 moderate exacerbation<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 respule (1 mg \/ 1.25 mg)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Twice daily<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Adults \u2014 acute severe (hospital)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 respule<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Up to 4\u00d7 daily under supervision<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u03a0\u03b1\u03b9\u03b4\u03b9\u03ac 6\u201312 \u03b5\u03c4\u03ce\u03bd<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>0.5 mg \/ 1.25 mg respule<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Twice daily<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Children &lt;6 yr<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u0395\u03c0\u03af\u03b2\u03bb\u03b5\u03c8\u03b7 \u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reduced dose<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>How to Use Budesal Respules<\/h3>\n<ul>\n<li>Wash hands; assemble a clean dry nebuliser machine, cup, and mask or mouthpiece.<\/li>\n<li>Twist off the respule top; squeeze contents into the cup. Do not dilute.<\/li>\n<li>Switch on the compressor \u2014 fine mist appears within seconds.<\/li>\n<li>Breathe normally with occasional deep breaths; ensure tight mask seal in children.<\/li>\n<li>Continue 5\u201310 minutes until the cup sputters.<\/li>\n<li><strong>Rinse mouth, gargle, and spit out<\/strong>; wipe child&#8217;s face after a mask session.<\/li>\n<li>Discard any unused respule (preservative-free); rinse cup and mouthpiece, air-dry.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>Rinse mouth after every use.<\/strong> The budesonide ICS component requires post-nebulisation oral rinsing to prevent thrush and hoarseness.<\/div>\n<h2>\u03a0\u03b1\u03c1\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2<\/h2>\n<ul>\n<li>Mild tremor and palpitations (\u03b22 effect from levosalbutamol)<\/li>\n<li>Oral thrush, hoarseness (ICS effect \u2014 minimised by rinsing)<\/li>\n<li>Throat irritation, cough on inhalation<\/li>\n<li>\u039a\u03b5\u03c6\u03b1\u03bb\u03b1\u03bb\u03b3\u03af\u03b1<\/li>\n<li>\u039e\u03b7\u03c1\u03bf\u03c3\u03c4\u03bf\u03bc\u03af\u03b1<\/li>\n<li>Hypokalaemia at high doses (with diuretics, theophylline, oral steroids)<\/li>\n<\/ul>\n<p><strong>\u03a3\u03bf\u03b2\u03b1\u03c1\u03cc \u2014 \u03b4\u03b9\u03b1\u03ba\u03cc\u03c8\u03c4\u03b5 \u03ba\u03b1\u03b9 \u03b6\u03b7\u03c4\u03ae\u03c3\u03c4\u03b5 \u03b2\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1:<\/strong><\/p>\n<ul>\n<li>\u03a3\u03bf\u03b2\u03b1\u03c1\u03ae \u03b1\u03bb\u03bb\u03b5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03af\u03b4\u03c1\u03b1\u03c3\u03b7<\/li>\n<li>\u03a0\u03b1\u03c1\u03b1\u03b4\u03bf\u03be\u03b9\u03ba\u03cc\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03cc\u03c3\u03c0\u03b1\u03c3\u03bc\u03bf\u03c2<\/li>\n<li>Severe palpitations or arrhythmia<\/li>\n<\/ul>\n<h2>\u03a0\u03c1\u03bf\u03b5\u03b9\u03b4\u03bf\u03c0\u03bf\u03b9\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03c5\u03bb\u03ac\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>Modern guidelines<\/strong> increasingly favour ICS-formoterol SMART\/MART (long-acting \u03b22) over ICS-SABA combinations. Discuss with your prescriber whether a switch to Foracort Respules (ICS-LABA) is appropriate.<\/li>\n<li><strong>Rinse mouth, gargle, spit<\/strong> after every dose to prevent thrush and hoarseness.<\/li>\n<li><strong>Do not co-nebulise antibiotics<\/strong> (DNase, colistin, hypertonic saline) in the same cup \u2014 separate sessions.<\/li>\n<li><strong>\u039a\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf\u03c2:<\/strong> caution with arrhythmias, severe coronary disease.<\/li>\n<li><strong>\u0395\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03b8\u03b7\u03bb\u03b1\u03c3\u03bc\u03cc\u03c2:<\/strong> budesonide has the most pregnancy data of any ICS; levosalbutamol is reasonable in pregnancy. Use lowest effective dose.<\/li>\n<li><strong>\u03a0\u03b1\u03b9\u03b4\u03b9\u03ac:<\/strong> wipe face after mask use to remove drug residue.<\/li>\n<\/ul>\n<h2>\u0391\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li>Hypersensitivity to budesonide, levosalbutamol, or excipients<\/li>\n<li>Untreated active fungal, bacterial, mycobacterial, or viral respiratory infection<\/li>\n<li>Uncontrolled tachyarrhythmias (relative)<\/li>\n<\/ul>\n<h2>\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03a6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf \u03b1\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7\u03c2<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0391\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a4\u03b9 \u03bd\u03b1 \u03ba\u03ac\u03bd\u03b5\u03c4\u03b5<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Strong CYP3A4 inhibitors (ritonavir, ketoconazole, clarithromycin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Raise budesonide systemic exposure \u2192 adrenal suppression risk<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Avoid prolonged co-prescription<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Non-selective beta-blockers (propranolol, timolol)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Block levosalbutamol effect \u2014 risk of severe bronchospasm<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Avoid; switch to cardioselective if essential<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u0394\u03b9\u03bf\u03c5\u03c1\u03b7\u03c4\u03b9\u03ba\u03ac \u03b2\u03c1\u03cc\u03b3\u03c7\u03bf\u03c5 \u03ae \u03b8\u03b5\u03b9\u03b1\u03b6\u03af\u03b4\u03b7\u03c2<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u03a0\u03c1\u03bf\u03c3\u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03c5\u03c0\u03bf\u03ba\u03b1\u03bb\u03b9\u03b1\u03b9\u03bc\u03af\u03b1<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitor potassium with high doses<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">\u0398\u03b5\u03bf\u03c6\u03c5\u03bb\u03bb\u03af\u03bd\u03b7 \/ \u03b1\u03bc\u03b9\u03bd\u03bf\u03c6\u03c5\u03bb\u03bb\u03af\u03bd\u03b7<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u03a0\u03c1\u03bf\u03c3\u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03c4\u03b1\u03c7\u03c5\u03ba\u03b1\u03c1\u03b4\u03af\u03b1 \u03ba\u03b1\u03b9 \u03c5\u03c0\u03bf\u03ba\u03b1\u03bb\u03b9\u03b1\u03b9\u03bc\u03af\u03b1<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u03a0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae\u03c2 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03bb\u03af\u03bf\u03c5<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">MAOI \u03ba\u03b1\u03b9 \u03c4\u03c1\u03b9\u03ba\u03c5\u03ba\u03bb\u03b9\u03ba\u03ac \u03b1\u03bd\u03c4\u03b9\u03ba\u03b1\u03c4\u03b1\u03b8\u03bb\u03b9\u03c0\u03c4\u03b9\u03ba\u03ac<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Potentiate \u03b2-agonist cardiovascular effects<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u03a0\u03c1\u03bf\u03c3\u03bf\u03c7\u03ae \u2014 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03c0\u03af\u03b5\u03c3\u03b7\u03c2\/\u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae\u03c2 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7<\/h2>\n<ul>\n<li>\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7 \u03ba\u03ac\u03c4\u03c9 \u03b1\u03c0\u03cc <strong>25\u00b0C<\/strong>, protected from direct light.<\/li>\n<li>Keep respules in their original foil overwrap until immediately before use.<\/li>\n<li>Once a respule is opened, use immediately; discard any remainder.<\/li>\n<li>Do not refrigerate. Keep out of reach of children.<\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2 \u039b\u03cd\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03bf MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/budecort-respules\/\"><strong>Budecort Respules \u2014 budesonide alone<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/levolin-respules\/\"><strong>Levolin Respules \u2014 levosalbutamol alone<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/foracort-respules\/\"><strong>Foracort Respules \u2014 budesonide + formoterol (long-acting alternative)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/duolin-respules\/\"><strong>Duolin Respules \u2014 ipratropium + levosalbutamol combination<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/asthalin-respules\/\"><strong>Asthalin Respules \u2014 salbutamol nebuliser<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u0395\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<h3>How is Budesal different from Foracort Respules?<\/h3>\n<p>Budesal = budesonide + levosalbutamol (short-acting \u03b22 agonist). Foracort = budesonide + formoterol (long-acting \u03b22 agonist). Foracort has 12-hour bronchodilation; Budesal has 4\u20136 hour bronchodilation but faster onset for acute relief.<\/p>\n<h3>When is Budesal preferred?<\/h3>\n<p>For acute moderate-to-severe asthma where you want simultaneous fast bronchodilation + ICS dosing. For maintenance, Foracort Respules (ICS-LABA) is generally preferred for sustained 12-hour control.<\/p>\n<h3>Why must I rinse my mouth?<\/h3>\n<p>The budesonide ICS component can cause oral thrush and hoarseness without post-nebulisation rinsing.<\/p>\n<h3>Can I co-nebulise Budesal with ipratropium?<\/h3>\n<p>In severe acute exacerbations, adding ipratropium (Ipravent Respules) for triple bronchodilation + ICS is standard. Empty all respules into the same cup.<\/p>\n<h3>How fast does Budesal work?<\/h3>\n<p>Levosalbutamol begins bronchodilation in 1\u20135 minutes. Budesonide preventer effect builds over 1\u20132 weeks of consistent dosing.<\/p>\n<h3>Can children use Budesal?<\/h3>\n<p>Yes from 6 years in age-appropriate strength under medical guidance.<\/p>\n<h3>Is Budesal safe in pregnancy?<\/h3>\n<p>Yes \u2014 budesonide has the most pregnancy data of any ICS; levosalbutamol is reasonable in pregnancy. Use lowest effective dose.<\/p>\n<h3>How long does the effect last?<\/h3>\n<p>Levosalbutamol bronchodilation: 4\u20136 hours. Budesonide anti-inflammatory effect on airways persists much longer with twice-daily dosing.<\/p>\n<h3>Should I switch to a maintenance ICS-LABA?<\/h3>\n<p>For chronic management, Foracort Respules (ICS-LABA) offers 12-hour cover and SMART\/MART option. Budesal is more useful for acute episode management. Discuss with your prescriber.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>\u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03b1\u03c0\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03b5\u03c5\u03b8\u03cd\u03bd\u03b7\u03c2:<\/strong> \u0391\u03c5\u03c4\u03ae \u03b7 \u03c3\u03b5\u03bb\u03af\u03b4\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03ba\u03c0\u03b1\u03b9\u03b4\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03b1\u03b8\u03b9\u03c3\u03c4\u03ac \u03c4\u03b7\u03bd \u03b5\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03c3\u03c5\u03bc\u03b2\u03bf\u03c5\u03bb\u03ae. \u03a3\u03c5\u03bc\u03b2\u03bf\u03c5\u03bb\u03b5\u03c5\u03c4\u03b5\u03af\u03c4\u03b5 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03ad\u03bd\u03b1\u03bd \u03ba\u03b1\u03c4\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03c2 \u03b5\u03be\u03bf\u03c0\u03bb\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03af\u03b1 \u03c5\u03b3\u03b5\u03af\u03b1\u03c2 \u03c0\u03c1\u03b9\u03bd \u03be\u03b5\u03ba\u03b9\u03bd\u03ae\u03c3\u03b5\u03c4\u03b5, \u03c3\u03c4\u03b1\u03bc\u03b1\u03c4\u03ae\u03c3\u03b5\u03c4\u03b5 \u03ae \u03b1\u03bb\u03bb\u03ac\u03be\u03b5\u03c4\u03b5 \u03bf\u03c0\u03bf\u03b9\u03bf\u03bd\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03b5\u03b9\u03c3\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03ae\u03c1\u03b1 \u03ae \u03b1\u03bd\u03b1\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03b9\u03ba\u03ae \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03bd \u03ad\u03c7\u03b5\u03c4\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2, \u03c0\u03b1\u03af\u03c1\u03bd\u03b5\u03c4\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03c3\u03c5\u03bd\u03c4\u03b1\u03b3\u03ad\u03c2, \u03b5\u03af\u03c3\u03c4\u03b5 \u03ad\u03b3\u03ba\u03c5\u03bf\u03c2 \u03ae \u03b8\u03b7\u03bb\u03ac\u03b6\u03b5\u03c4\u03b5, \u03ae \u03b5\u03af\u03c3\u03c4\u03b5 \u03ac\u03bd\u03c9 \u03c4\u03c9\u03bd 65 \u03b5\u03c4\u03ce\u03bd.<\/div>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Effective asthma management<br \/>\n\u2705 Convenient respule format<br \/>\n\u2705 Easy inhalation method<br \/>\n\u2705 \u0392\u03b5\u03bb\u03c4\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7 \u03b1\u03bd\u03b1\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03b9\u03ba\u03ae \u03ac\u03bd\u03b5\u03c3\u03b7<\/h5>\n<p><span style=\"color: #999999;\">Contains Budesonide and Levalbuterol Sulphate<\/span><\/p>","protected":false},"featured_media":54355,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3718,3700,3719],"class_list":{"0":"post-54354","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-asthma-copd-treatment","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-budesal-respules","10":"product_tag-budesonide","11":"product_tag-levalbuterol-sulphate","13":"first","14":"outofstock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product\/54354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/comments?post=54354"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media\/54355"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media?parent=54354"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_brand?post=54354"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat?post=54354"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_tag?post=54354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}