BUDESONIDE ALDO-UNION 50 micrograms/actuation PRESSURED INHALER SUSPENSION

2. What you need to know before taking Budesonide Aldo-Union 50 micrograms

Do not useBudesonide Aldo-Union 50 micrograms:

• If you are allergic to the active substance or any of the other components of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor or pharmacist before starting to use Budesonide Aldo-Union 50 micrograms.

Be particularly careful with this medicine:

This medicine is used only as maintenance treatment and should not be used to treat acute asthma attacks (sudden shortness of breath and wheezing).

Do not stop treatment with budesonide suddenly.

You should be aware of the possibility of paradoxical bronchospasm with an increase in wheezing after administration. If wheezing appears suddenly after using this medicine, stop using it and consult your doctor immediately, as you may need to change treatment.

Contact your doctor if you experience blurred vision or other visual disturbances.

Important information about some of the components ofBudesonide Aldo-Union 50 micrograms:

Athletes are informed that this medicine contains a component that may result in a positive doping test.

Other medicines andBudesonide Aldo-Union 50 micrograms

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medicine.

Some medicines may increase the effects of budesonide, so your doctor will monitor you closely if you are taking these medicines (including some for HIV: ritonavir, cobicistat).

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, or think you may be pregnant or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

This medicine will only be administered during pregnancy or breastfeeding when, in the doctor's opinion, the expected benefit to the mother is greater than any possible risk to the fetus.

Driving and using machines

No effects on the ability to drive and use machines have been described.

Budesonide Aldo-Union 50 micrograms contains ethanol:

This medicine contains 0.5 mg of alcohol (ethanol) per inhalation. The amount per inhalation of this medicine is equivalent to less than 1 ml of beer or 1 ml of wine. The small amount of alcohol in this medicine does not produce any noticeable effect.

3. How to take Budesonide Aldo-Union 50 micrograms

Remember to use your medicine.

Follow your doctor's or pharmacist's instructions for administering this medicine exactly. If in doubt, consult your doctor or pharmacist again.

This medicine is administered by inhalation.

The dosage should be individualized.

Unless your doctor has given you different instructions, follow the recommended dosage:

Use in adults

Adults:200-1600 micrograms daily, divided into 2-4 administrations.

Use in children and adolescents

Children 2-7 years:200-400 micrograms daily, divided into 2-4 administrations.

Children from 7 years:200-800 micrograms daily, divided into 2-4 administrations.

Once the desired clinical effects are achieved, your doctor may gradually reduce the dose to the minimum amount necessary to control symptoms.

If you think the effect of this medicine is too strong or too weak, let your doctor know. Do not change your dose without talking to your doctor first.

Rinse your mouth with water after using the inhaler, do not swallow. This will make it less likely to produce side effects in the mouth or throat.

Instructions for correct administration of the preparation:

Before using the medicine, check the expiration date.

1. Remove the cap (fig. 1). If it is a new inhaler or has not been used for several days, shake the aerosol (fig. 2) and perform a puff to ensure the inhaler is working properly. If the inhaler is used regularly, proceed to the following instructions:
2. Shake the inhaler (fig. 2).
3. Eliminate as much air as possible from your lungs.
4. Attach the aerosol to your mouth according to the position indicated in the drawing (fig. 3).
5. Take a deep breath.

You should press the device, according to the arrows in the drawing (fig. 4), while taking this breath.

• Remove the aerosol from your mouth and try to hold your breath for a few seconds.

• You should periodically wash the oral adapter of the aerosol. To do this, remove the adapter from the aerosol and clean it with a cloth or paper towel.

• Store with the cap on to protect it from dust and dirt.

Your doctor should check that you know how to use the inhaler and synchronize your breath with the puff. Optionally, inhalation chambers can be used to achieve better use of the dose and facilitate the arrival of the medicine to the lungs.

The inhaler has a dose indicator that can be seen through a small hole or window on the actuator and indicates how many applications are left. In a new inhaler, the indicator can be read through the window of the actuator as "200". This number corresponds to the dose left in the inhaler. As the inhaler is used, the dose indicator rotates downward every 5-7 puffs until it reaches 0.

When there are approximately 40 doses left, the indicator changes from green to red (see figure 5) to remind the patient to consult their doctor if they need to continue treatment or need a new prescription. Discard the inhaler once the indicator reaches "0".

(Figure 5)

If you use moreBudesonide Aldo-Union 50 microgramsthan you should

It is important that you take your dose as indicated by your doctor. Do not increase or decrease your dose without medical supervision.

Although no toxic symptoms are expected in case of overdose or accidental ingestion, if you have inhaled more Budesonide Aldo-Union 50 micrograms than you should, consult your doctor or pharmacist immediately.

In case of overdose or accidental ingestion, consult the Toxicology Information Service. Phone 91 562 04 20.

If you observe symptoms such as edema, swelling of the face, or moon face, etc., you should inform your doctor so that the appropriate measures can be taken.

If you forget to useBudesonide Aldo-Union 50 micrograms

Do not use a double dose to make up for forgotten doses.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Occasional cases of mild throat irritation, cough, and hoarseness have been described. Similarly, cases of Candida overinfection in the oral, pharyngeal, and laryngeal cavities have been reported. In most cases, they respond to topical antifungal therapy without the need to interrupt treatment with budesonide. In exceptional cases, cutaneous allergic reactions (urticaria, dermatitis) associated with the use of topical corticosteroids have been described.

You should be aware of the possibility of paradoxical bronchospasm with an increase in wheezing after administration. If wheezing appears suddenly after using this medicine, stop using it and consult your doctor immediately, as you may need to change treatment.

Frequency not known (cannot be estimated from available data):

Sleep disturbances, depression or feeling of concern, restlessness, nervousness, excitability, or irritability (these effects are more likely to occur in children), and blurred vision (see also section 2: Warnings and Precautions).

If you experience side effects, consult your doctor or pharmacist or nurse, even if they are not listed in this leaflet.

Reporting of side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaRAM.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of Budesonide Aldo-Union 50 micrograms

Keep this medicine out of the sight and reach of children.

Store below 30°C, protect from direct sunlight, and do not freeze or chill.

The container contains a pressurized liquid. Do not expose to temperatures above 50°C. Do not puncture the container even if it appears to be empty.

Do not use this medicine after the expiration date stated on the carton after EXP:. The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the containers and medicines you no longer need in the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of containers and medicines you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition ofBudesonide Aldo-Union 50 micrograms.

• The active substance is budesonide.
• The other components (excipients) are oleic acid, ethanol, and Norflurane.

Appearance of the product and package contents

Budesonide Aldo-Union 50 micrograms is presented as an inhalation suspension in a pressurized container with a dose indicator in a 10 ml container format, allowing for 200 applications.

Marketing authorization holder and manufacturer

Laboratorio Aldo-Unión, S.L.

Baronesa de Maldá, 73

08950 Esplugues de Llobregat (Barcelona)

Spain

Date of last revision of this leaflet:March 2023

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es.