If you suffer from asthma, you may have two types of inhalers. One is the blue 'Reliever' inhaler, which you use when you suddenly feel tired. The other is the 'Controller' inhaler, which you use daily to prevent asthma attacks. So today we are going to talk about the second type of inhaler, the Beclomethasone MDI, which is a 'Controller' inhaler.
Simply put, what is Beclomethasone?
Beclomethasone is a medicine that reduces swelling and inflammation in your airways, or breathing passages. It belongs to a group of medicines called 'inhaled steroids'. More specifically, it works by widening your airways, reducing swelling, and making it easier to breathe.
Remember one very important thing: This inhaler is used to prevent asthma symptoms. It is not for use in the event of a sudden asthma attack. Your doctor may have prescribed a separate 'Reliever' inhaler for such emergencies.
Things you need to tell your doctor before taking this medicine
Before prescribing this inhaler to you, your doctor should be aware of your complete health history. Be sure to tell them about any of the conditions below, especially if you have any.
| Your situation | Why is notification important? |
|---|---|
| Eye diseases, for example glaucoma or cataracts | This medicine can sometimes affect eye pressure. |
| Immune system weaknesses | Because this can increase the risk of infection. |
| Current infections (e.g. tuberculosis (TB), other bacterial, fungal or viral infections) | Steroids can worsen existing infections. |
| Osteoporosis | Long-term steroid use can cause bone thinning. |
| If you are using other types of steroids (e.g. prednisone, dexamethasone tablets) | The doctor should be aware of the total amount of steroids the body is receiving. |
| If you are pregnant, trying to become pregnant, or breastfeeding | This is essential to consider the possible effects on the child. |
How exactly do you use the inhaler?
To get the most out of this medicine, it is very important to use it correctly.
- This is an inhaled medicine.
- Use it as directed by your doctor, at the same time every day . Do not use more than the prescribed amount.
- Read the INSTRUCTIONS FOR USE leaflet that comes with your inhaler carefully. If you don't understand it, ask your doctor for clarification.
- A must-do: When you are finished using your inhaler, rinse your mouth thoroughly with water and spit it out. Never swallow the water. This is to prevent thrush.
- If given to children: This medicine is sometimes given to children over 4 years of age. However, it requires special care. Therefore, follow the instructions given by your doctor exactly.
What if I miss a medication appointment?
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Do not take double or extra doses for any reason.
What if I take too much?
If you think you have accidentally taken too much of this medicine, immediately call the National Poisons Information Centre at the Colombo National Hospital or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
Things to be careful about when using the medicine
- Regular medical checkups: Visit your doctor on scheduled days to see if your symptoms are improving or worsening.
- Asthma Action Plan: Doctors usually give people with asthma an 'Asthma Action Plan'. It clearly states what to do when your asthma is severe (yellow zone) and when you need urgent medical attention (red zone). Be aware of this.
- Risk of infection: This medicine may slightly weaken your immune system. So tell your doctor if you develop symptoms like fever, cold, or sore throat. Try to stay away from people who have illnesses like measles or chickenpox.
- Bone health: Taking this medication at high doses for a long time may cause some loss of bone strength. Talk to your doctor about this as well.
- Child development: If a child takes this medicine for a long time, the doctor will regularly monitor the child's development.
What are the possible side effects?
Like any medicine, this one can cause side effects in some people. Some of them are serious, some are common.
| Type of side effect | Symptoms |
|---|---|
| Things to report to your doctor immediately | |
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. |
| Low adrenal gland function | Nausea, vomiting, loss of appetite, extreme fatigue, dizziness. |
| Thrush | White spots appear inside the mouth. |
| Increasing difficulty breathing | If you feel tired or have difficulty breathing after using the inhaler. |
| Tell your doctor if it persists or is bothersome. | |
| Common side effects | Change in taste in the mouth, cough, hoarseness, runny or stuffy nose, sore throat. |
Take-Home Message
- Beclomethasone is a controller inhaler for asthma, not one used for an emergency asthma attack.
- Always rinse your mouth with water after using the inhaler and spit it out.
- If you miss a dose, never take two doses at once.
- Tell your doctor about any other illnesses you have and any other medications you are taking.
- If you experience serious side effects such as facial swelling or difficulty breathing, seek medical advice immediately .
- Always follow your doctor's instructions and Asthma Action Plan exactly.
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