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Solved2.20K viewsInfectious Diseases

Is pulmicort not indicated in pneumonia?

Hossam Elgnainy Selected answer as best April 12, 2024
1

After some digging for more evidence I found that some studies supported the possible benefits of budesonide for treatment of pneumonia in children.

  • Li B, Han S, Liu F, Kang L, Xv C. Budesonide Nebulization in the Treatment of Neonatal Ventilator Associated Pneumonia. Pak J Med Sci. 2017 Jul-Aug;33(4):997-1001. doi: 10.12669/pjms.334.12907. PMID: 29067081; PMCID: PMC5648980.
  • Shen H, Zhao X, Xu L. Meta-analysis of the efficacy of budesonide and ambroxol hydrochloride inhalation in children with pneumonia and their effects on inflammatory response. Heliyon. 2023 Oct 19;9(11):e21105. doi: 10.1016/j.heliyon.2023.e21105. PMID: 37954384; PMCID: PMC10637922.
Hossam Elgnainy Selected answer as best April 12, 2024
1

Budesonide (Pulmicort) is indicated for asthma, not for pneumonia.

Actually it can cause respiratory infections in more than 30% of the patients.

So, yes, don’t give pulmicort for pneumonia.

Hossam Elgnainy Answered question March 28, 2024