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Active pharmaceutical ingredient

Budesonide

Budesonide is a potent corticosteroid with anti-inflammatory properties, commonly utilized in compounded formulations to manage various inflammatory conditions.

Compounded to order
Prescription required

About this ingredient

Budesonide is a glucocorticoid steroid with anti-inflammatory properties, used in the management of a range of inflammatory conditions. FDA-approved uses include respiratory disorders such as asthma and chronic obstructive pulmonary disease (COPD), allergic rhinitis, and inflammatory bowel diseases such as Crohn's disease and ulcerative colitis.[1] Budesonide works by binding and activating glucocorticoid receptors, which prevents the production of inflammatory genes.[1]

In compounded preparations, Budesonide can be prepared on a prescriber's order in dosage forms or concentrations that are not available in commercially manufactured products. High-volume sinonasal budesonide irrigation is an off-label use that is commonly used to manage chronic rhinosinusitis.[1]

When budesonide is swallowed, it undergoes high first-pass metabolism (80 to 90%), mainly by CYP3A4, to metabolites with negligible glucocorticoid activity.[2] Adverse effects can still occur, including oral or throat candida infections with inhaled use, reduced growth velocity in children, and hypothalamic-pituitary-adrenal (HPA) axis suppression.[1]

Available formulations

Formulations and medications containing this ingredient

Each of these is compounded to order at our pharmacy and requires a prescription.

Compounding formulary

Formulas we compound with this ingredient

A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.

Common questions

Frequently asked questions

What are budesonide capsules for nasal irrigation?

They are compounded, prescription capsules that hold a measured dose of budesonide, a corticosteroid, in a dissolvable powder. You open a capsule and mix the powder into a saline sinus rinse, such as a NeilMed bottle, or a nebulizer, so the anti-inflammatory medication reaches the lining of your nose and sinuses. Bayview most often makes these at 0.6 mg.

Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

No items found.

Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.