Beclomethasone
(Vanceril, Beconase, Vancenase, Beconase AQ, Vancenase AQ, Vancenase AQ
Double Strength) |
Category:
Description:
Indications:
Contraindications:
-
Primary
treatment of status asthmaticus, nonasthmatic bronchial disease
-
Bacterial,
fungal, or viral infections of the mouth, throat, or lungs; children
<3 years
Precautions:
-
Pregnancy
category C; excretion in breast milk unknown, but considered to be
compatible with breast feeding
-
Nasal
disease/surgery, children <12 years, nasal ulcers, recurrent
epistaxis
-
Systemic
effects such as mental disturbances, increased bruising, weight gain,
cushingoid features, and cataracts
Adverse
Reactions (Side Effects):
-
CNS:
headache, paresthesia
-
EENT:
burning, candidal infection, dryness, earache, nasal irritation,
perforation at nasal septum, nasal ulcers, secretions with blood,
sneezing, sore throat
-
GI:
dry mouth, dysphonia
-
METAB:
adrenal suppression
-
RESP:
bronchospasm
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Dosage:
Administered
by oral inhalation and nasally
-
Adult: INH 2-4 puffs 3-4 times daily, not to exceed 20 INH/day; NASAL
1-2 sprays in each nostril 2-4 times daily; double strength (DS) NASAL
1-2 sprays each nostril daily
-
Child
2-12 years: INH 1-2 puffs 3-4 times daily, not to exceed 10 INH/day
-
Child
>12 years: NASAL 1-2
sprays each nostril 2-4 times daily
Special
Considerations:
-
Rinse
mouth with water following INH to decrease possibility of fungal
infections, dysphonia
-
Response
to nasal steroids seen in 3 days to 2 weeks; discontinue if no
improvement in 3 weeks
-
For
prophylactic use, no role in acute treatment of asthma/allergy
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Source: Operational Medicine 2001, Health
Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau
of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington,
D.C., 20372-5300
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