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Budesonide 2 mg Rectal Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Budesonide

Budesonide 2 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum, where it dissolves or melts to release medication for local or systemic absorption. This formulation is primarily used to treat inflammatory bowel diseases, such as ulcerative colitis and Crohn's disease, by delivering targeted anti-inflammatory effects directly to the affected area.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Budesonide
Suppository
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Budesonide is a corticosteroid with potent anti-inflammatory properties. The Budesonide 2 mg Rectal Suppository is a solid dosage form designed to deliver medication directly to the rectum and lower colon. This formulation is particularly beneficial for treating inflammatory bowel diseases affecting the distal parts of the gastrointestinal tract, such as ulcerative proctitis and Crohn's disease involving the rectum.

By administering budesonide rectally, the medication acts locally at the site of inflammation, reducing symptoms such as pain, bleeding, and discomfort. Budesonide works by inhibiting the release of inflammatory mediators and suppressing the immune response, thereby decreasing inflammation in the affected area.

The rectal suppository form allows for targeted therapy with reduced systemic absorption compared to oral corticosteroids. This localized delivery minimizes systemic side effects commonly associated with corticosteroids, making it a safer option for long-term management of chronic inflammatory conditions of the rectum and sigmoid colon.

Patients should insert the suppository into the rectum as directed by their healthcare provider, typically once daily. It is recommended to administer the suppository at bedtime to maximize retention time and effectiveness. Prior to insertion, hands should be washed thoroughly. The suppository should be gently inserted past the sphincter muscles to ensure it stays in place.

While budesonide rectal suppositories are generally well-tolerated, potential side effects may include local irritation, burning sensation, or discomfort at the site of administration. Systemic side effects are rare but can occur, especially with prolonged use. Patients should inform their healthcare provider of any unusual symptoms or if their condition does not improve.

Budesonide may interact with other medications, and certain medical conditions may affect its use. Therefore, it is important for prescribers to review the patient's medical history and current medications before prescribing this formulation. Patients should follow their healthcare provider's instructions carefully and report any concerns.

If you have any questions, please reach out to us.

Drug Interactions

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Budesonide 2 mg rectal suppository is a corticosteroid formulation designed for insertion into the rectum, where it dissolves or melts to release medication for local or systemic absorption. This formulation is primarily used to treat inflammatory conditions of the rectum and lower intestines, such as ulcerative colitis and Crohn's disease. By delivering budesonide directly to the site of inflammation, the suppository can help reduce symptoms such as pain, swelling, and irritation, while minimizing systemic side effects commonly associated with oral corticosteroids.

When considering the use of budesonide rectal suppositories, it is important to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. Budesonide is metabolized primarily by the cytochrome P450 3A4 (CYP3A4) enzyme. Therefore, drugs that inhibit or induce this enzyme can significantly alter budesonide plasma concentrations. Strong CYP3A4 inhibitors, such as ketoconazole, itraconazole, ritonavir, and clarithromycin, can increase budesonide levels, potentially leading to enhanced systemic corticosteroid effects and increased risk of side effects such as adrenal suppression, Cushing's syndrome, and immunosuppression. Patients using these inhibitors should be closely monitored, and dose adjustments of budesonide may be necessary.

Conversely, CYP3A4 inducers, such as rifampin, carbamazepine, phenytoin, and St. John's Wort, can decrease budesonide plasma concentrations, potentially reducing its therapeutic efficacy. In such cases, alternative treatments or dose adjustments may be required to achieve the desired therapeutic effect. Additionally, patients should be advised to avoid grapefruit juice, as it can inhibit CYP3A4 and increase budesonide levels.

Other medications that may interact with budesonide include nonsteroidal anti-inflammatory drugs (NSAIDs), which can increase the risk of gastrointestinal bleeding and ulceration when used concomitantly with corticosteroids. Patients should be advised to use NSAIDs with caution and under medical supervision. Furthermore, live vaccines should be avoided during budesonide treatment, as corticosteroids can suppress the immune response, potentially leading to inadequate vaccine efficacy or increased risk of infection.

Patients with a history of hypersensitivity to budesonide or any of the excipients in the suppository formulation should not use this medication. It is also important to consider the cumulative effects of corticosteroids when patients are receiving multiple forms of corticosteroid therapy, as this can increase the risk of systemic side effects.

For both patients and prescribers, it is crucial to review the patient's complete medication profile, including over-the-counter drugs and supplements, to identify potential interactions and adjust treatment plans accordingly. If you have any questions or concerns about drug interactions with budesonide 2 mg rectal suppositories, please reach out to us for further guidance and support.

How Does it Work

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Budesonide 2 mg rectal suppository is a specialized formulation designed to deliver medication directly to the rectal area, providing targeted treatment for conditions affecting the lower gastrointestinal tract. This solid dosage form is inserted into the rectum, where it dissolves or melts, allowing the active ingredient, budesonide, to be absorbed either locally or systemically. Budesonide is a potent corticosteroid with anti-inflammatory properties.

When the suppository is inserted into the rectum, the warmth of the body causes it to dissolve, releasing budesonide directly at the site of inflammation. This localized delivery is particularly beneficial for treating conditions such as ulcerative colitis, proctitis, and other inflammatory bowel diseases that affect the rectal and lower colon areas. By concentrating the medication at the site of inflammation, the suppository minimizes systemic absorption, thereby reducing the risk of systemic side effects commonly associated with oral corticosteroids.

The mechanism of action of budesonide involves the inhibition of multiple inflammatory cytokines and mediators, which helps to decrease the inflammatory response in the mucosal lining of the rectum and colon. This action not only alleviates symptoms such as pain, bleeding, and diarrhea but also promotes healing of the inflamed tissue. The rectal suppository form is particularly advantageous for patients who may have difficulty swallowing oral medications or for those who require direct treatment to the lower gastrointestinal tract.

For prescribers, it is important to consider the patient's specific condition and the extent of inflammation when determining the appropriateness of budesonide rectal suppositories. This formulation provides a targeted approach that can be used as a monotherapy or in conjunction with other treatments to manage symptoms effectively. Patients should be instructed on the proper insertion technique to ensure optimal absorption and therapeutic effect.

Patients using budesonide rectal suppositories should be aware of potential side effects, which may include local irritation, discomfort, or a sensation of urgency. However, due to the localized nature of this treatment, systemic side effects are generally minimized. It is crucial for patients to follow the prescribed regimen and consult their healthcare provider if they experience any adverse effects or if their symptoms do not improve.

If you have any questions or need further information about budesonide 2 mg rectal suppositories, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Frequently Asked Questions

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What is Budesonide 2 mg Rectal Suppository used for?

Budesonide 2 mg Rectal Suppository is used to treat inflammation in the rectum and lower part of the colon, often prescribed for conditions like ulcerative colitis or Crohn's disease.

How does Budesonide 2 mg Rectal Suppository work?

Budesonide is a corticosteroid that reduces inflammation by suppressing the immune response in the affected area, providing relief from symptoms such as pain and swelling.

How should I use Budesonide 2 mg Rectal Suppository?

Insert the suppository into the rectum as directed by your healthcare provider, usually once daily. It is important to follow the instructions carefully for optimal results.

What should I do if I miss a dose of Budesonide 2 mg Rectal Suppository?

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Budesonide 2 mg Rectal Suppository?

Common side effects may include mild irritation or discomfort at the site of insertion. If you experience severe side effects such as allergic reactions, contact your healthcare provider immediately.

Can I use Budesonide 2 mg Rectal Suppository if I am pregnant or breastfeeding?

Consult your healthcare provider before using Budesonide 2 mg Rectal Suppository if you are pregnant or breastfeeding to ensure it is safe for you and your baby.

How should I store Budesonide 2 mg Rectal Suppository?

Store the suppositories at room temperature, away from moisture and heat. Keep them out of reach of children and pets.

Can Budesonide 2 mg Rectal Suppository interact with other medications?

Yes, Budesonide can interact with other medications. Inform your healthcare provider about all the medications you are taking to avoid potential interactions.

How long does it take for Budesonide 2 mg Rectal Suppository to work?

The time it takes to notice improvement can vary. Some patients may experience relief within a few days, while others may take longer. Follow your healthcare provider's instructions for the best results.

Is Budesonide 2 mg Rectal Suppository suitable for children?

The use of Budesonide 2 mg Rectal Suppository in children should be determined by a healthcare provider. It is important to follow their guidance for pediatric use.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

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.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Budesonide 2 mg Rectal Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Once daily at bedtime