Nebzmart Smartules 7x2ml

• For maintenance treatment of asthma and to prevent the occurrence of asthma, where dry powder medicines do not show satisfactory results.
• Treatment of respiratory infection caused by a virus (Croup) in infants and children, characterised by a barking cough, noisy breathing and hoarseness.

• If you are allergic to budesonide or any of the ingredient of Nebzmart Smartule
• If you are allergic to milk proteins
• It should not be used for the treatment of Status asthmaticus, an extreme form of asthma in which asthma attacks follow one another without pause and asthma attacks which require medical emergency

• Oral fungal infection
• Pneumonia
• Hoarseness in voice
• Cough
• Throat irritation
• Change of taste

Other General Warnings

• You have a problem of difficulty in breathing or severe asthma problem, the doctor may adjust the dose accordingly
• You have or had a serious infection that affects mainly lungs (pulmonary tuberculosis)
• You are suffering from liver disease, as it may lead to increased levels of budesonide in your blood. Such patients need to be checked at regular intervals
• If you experience any allergic reactions like rashes, urge to scratch, swelling, the doctor may discontinue the treatment
• You should not take more than the recommended for effective control of asthma and maintanance
• You are experiencing any visual disturbance, your doctor may refer you to an eye specialist for evaluation of possible causes which may include cataract, high pressure inside the eye (glaucoma)
• You may develop oral fungal infection and an increase in wheezing after using this medicine, the doctor may discontinue the treatment or suggest an alternate
• This medicine may impair the growth of children. The doctor may re-evaluate the dose make sure you dont give an extra dose to your kids
• This medicine can suppress the actions of adrenal glands and certain physiological changes you may not be able to perceive. Discuss with your doctor

• Take Nebzmart Smartule exactly as per indications from your physician.
• Carefully read the instructions for the use of nebulizers from the leaflet which comes with the nebulizer.
• Do not stop taking Nebzmart without consulting your doctor, even if you feel relieved after taking a few doses.
• Rinse your mouth after every use to prevent fungal infection & wash your face to avoid any facial irritation.
• Clean the nebulizer after every use as per the instructions mentioned.

• Store the Nebzmart Smartule in the original packing, away from light and moisture.
• Keep the device tightly closed, in order to protect from moisture.
• Keep it away from children & pets.

Overdose

Missed a Dose

• If you missed any dose of Nebzmart Smartule take it as soon as you remember
• If it's time for your next dose, skip the missed dose and continue with your regular dose schedule
• Do not take a double dose of medicine to compensate for the missed one

How Does It Work?

Interactions with other medicines

• Antifungal medicines such as Ketoconazole, Itraconazole should not be taken along with Nebzmart Smartule, and if the treatment is a must there be a sufficient gap between the administration of two medicine.
• Concomitant use of Anti-HIV medicines such as Nelfinavir, Ritonavir, Indinavir and antibiotics like Clarithromycin with Nebzmart Smartule should be avoided.
• The use of Medicines that reduce immunity such as cyclosporine should be done with a lot of precautions as concomitant use can increase the risk of infections in children.
• Other medicines containing steroids and medicines used for asthma management like salbutamol should be used cautiously.

Interactions with food items