Beclomethasone Inhaler: Uses, Dosage, and Common Side Effects

Summary of Key Points

Beclomethasone is a corticosteroid commonly used to manage conditions such as asthma, allergic rhinitis, and skin disorders like eczema and psoriasis. It works by reducing inflammation in the body. Beclomethasone is available in several forms, including inhalers, nasal sprays, and topical creams. Always follow your healthcare provider’s instructions when using this medication, and consult them before making any changes to your dosage.

Names of Medication

US Brand Name: Qvar RediHaler (Beclomethasone)

US Brand Name: Beconase AQ (Beclomethasone)

US Brand Name: Qnasl (Beclomethasone)

The generic name refers to the active ingredient in the medication, listed in parentheses after the brand name.

Pharmacologic Category

Fluticasone

Budesonide

Mometasone

Triamcinolone

Beclomethasone Dosage

Beclomethasone is prescribed for various conditions, with the dosage and frequency tailored to the specific condition being treated. Always consult your doctor before adjusting your dose. You can schedule a telemedicine appointment with one of our providers for personalized advice.

Beclomethasone for Asthma (Adults)

Inhaler: 40-80 mcg per puff, 1-2 puffs twice daily. The maximum dose is 320 mcg twice daily. Treatment duration depends on symptom control.

Beclomethasone for Allergic Rhinitis (Adults)

Nasal Spray: 1-2 sprays (42 mcg per spray) in each nostril once or twice daily. Treatment typically continues as long as symptoms persist.

Beclomethasone for Chronic Obstructive Pulmonary Disease (COPD)

Inhaler: 40-80 mcg per puff, 1-2 puffs twice daily. The maximum dose is 320 mcg twice daily. Treatment is ongoing to manage symptoms.

Beclomethasone for Nasal Polyps

Nasal Spray: 1-2 sprays (42 mcg per spray) in each nostril twice daily. Treatment may continue for several weeks or until symptoms improve.

Beclomethasone for Eczema and Psoriasis

Topical Cream: Apply a thin layer to the affected area 1-2 times daily. The duration of treatment depends on the severity of the condition.

Beclomethasone for Inflammatory Bowel Disease (Crohn’s Disease, Ulcerative Colitis)

Oral Form: 5 mg to 10 mg daily, depending on symptom severity. Treatment duration varies based on symptom control and response to therapy.

Beclomethasone for Rheumatoid Arthritis

Oral Form: 5 mg to 10 mg daily. Treatment is typically long-term to manage chronic inflammation.

Dosage Forms and Strengths of Beclomethasone

Inhaler: 40 mcg/puff, 80 mcg/puff

Nasal Spray: 42 mcg/spray

Topical Cream: 0.025%, 0.05%

Oral Form: 5 mg, 10 mg

How to Use Beclomethasone

Use Beclomethasone exactly as prescribed by your healthcare provider. For inhalers, shake well before use and rinse your mouth after inhalation to prevent oral infections. Nasal sprays should be gently shaken and sprayed into each nostril while keeping your head upright. For topical creams, apply a thin layer to clean, dry skin, and avoid covering the area with tight bandages unless instructed by your doctor. If you have any questions about how to use your medication, consult your healthcare provider.

Beclomethasone Side Effects

Like all medications, Beclomethasone may cause side effects. Some are more common, while others are rare but potentially serious. If you experience any severe side effects, contact your healthcare provider immediately. You can also schedule a telemedicine consultation with one of our providers for further guidance.

Common Beclomethasone Side Effects

1. Headache – mild discomfort in the head or neck area.
2. Sore throat – irritation or pain in the throat.
3. Hoarseness – temporary changes in voice quality.
4. Nasal irritation – dryness or discomfort in the nasal passages.

Less Common Beclomethasone Side Effects

1. Oral thrush – a fungal infection in the mouth, often caused by improper inhaler use.
2. Skin rash – redness or irritation on the skin.
3. Difficulty breathing – shortness of breath or wheezing.

Serious Beclomethasone Side Effects (Rare)

1. Vision problems – blurred vision or eye pain.
2. Severe allergic reactions – swelling of the face, lips, or tongue, and difficulty breathing.
3. Adrenal suppression – fatigue, weakness, or dizziness due to reduced hormone production.

Contraindications for Beclomethasone

A contraindication is a specific situation or condition where a medication should not be used because it may cause harm. If you have any of the following conditions, discuss them with your healthcare provider before starting Beclomethasone.

Allergy to Beclomethasone: If you have had an allergic reaction to Beclomethasone or any of its ingredients, you should not take this medication. Allergic reactions can include rash, itching, swelling, or difficulty breathing.

Untreated Infections: Beclomethasone can weaken your immune system, making it harder for your body to fight infections. If you have a bacterial, viral, or fungal infection that is not being treated, taking Beclomethasone could worsen the infection.

Active Tuberculosis (TB): If you have active TB, Beclomethasone can make it more difficult for your body to fight the infection. Your healthcare provider may recommend treating the TB before starting Beclomethasone.

Severe Liver Disease: The liver helps process medications, and severe liver disease can affect how Beclomethasone is metabolized, leading to increased side effects or reduced effectiveness.

Drug Interactions with Beclomethasone

Beclomethasone can interact with other medications, which may increase the risk of side effects or reduce the effectiveness of either drug. Be sure to inform your healthcare provider about all the medications you are taking, including over-the-counter drugs and supplements. Some known interactions include:

Ritonavir (Norvir): This antiviral medication can increase the levels of Beclomethasone in your body, leading to a higher risk of side effects such as weakened immune function or adrenal suppression.

Ketoconazole (Nizoral): This antifungal medication can also increase the levels of Beclomethasone in your system, potentially causing more severe side effects.

Other Corticosteroids: Taking multiple corticosteroids, such as Prednisone, can increase the risk of side effects like weakened bones (osteoporosis), high blood pressure, and adrenal gland problems.

Beclomethasone in Pregnancy

If you are pregnant or planning to become pregnant, it’s important to discuss the potential risks and benefits of using Beclomethasone with your healthcare provider. While some studies suggest that inhaled corticosteroids like Beclomethasone may be safe during pregnancy, the safety depends on factors such as dosage and duration of use. Your provider will carefully weigh the benefits of managing your symptoms against any possible risks to your baby. Always consult your healthcare provider before making any changes to your medication during pregnancy.

Beclomethasone While Breastfeeding

Using Beclomethasone while breastfeeding is generally considered safe, particularly in its inhaled form. However, small amounts of the medication may pass into breast milk. If you are breastfeeding, it’s essential to discuss this with your healthcare provider to ensure that the benefits of using Beclomethasone outweigh any potential risks to your baby. Your provider may recommend monitoring your baby for any side effects, such as changes in feeding patterns or irritability.

Estimated Cost of Beclomethasone Inhaler

The cost of a 30-day supply of a Beclomethasone inhaler without insurance can vary depending on the pharmacy and location. However, with a GoodRx coupon, the estimated cost for a 30-day supply of a Beclomethasone inhaler (Qvar) typically ranges from $30 to $50. Prices may fluctuate, so it’s a good idea to check with your local pharmacy or use a coupon service like GoodRx to find the best available price.

Possible Alternatives to Beclomethasone

If Beclomethasone is not suitable for you, there are alternative treatments and lifestyle adjustments that may help manage your condition. Always consult your healthcare provider before making any changes to your treatment plan. You can also schedule a telemedicine appointment with one of our providers to explore these options further.

Asthma

Alternatives to Beclomethasone for asthma management include other inhaled corticosteroids like Fluticasone (Flovent) or Budesonide (Pulmicort). Lifestyle changes, such as avoiding asthma triggers, using air purifiers, and practicing breathing exercises, may also be beneficial.

Allergic Rhinitis

Nasal sprays like Fluticasone (Flonase) or antihistamines such as Loratadine (Claritin) can be effective alternatives. Reducing exposure to allergens like pollen, dust, and pet dander can also help alleviate symptoms.

Chronic Obstructive Pulmonary Disease (COPD)

Other inhaled corticosteroids, bronchodilators like Tiotropium (Spiriva), or combination inhalers such as Fluticasone/Salmeterol (Advair) may be used. Quitting smoking and participating in pulmonary rehabilitation can also significantly improve COPD management.

Nasal Polyps

Alternatives include nasal corticosteroid sprays like Mometasone (Nasonex) or surgical removal of polyps. Reducing exposure to allergens and irritants may also help prevent the growth of polyps.

Eczema

Topical corticosteroids like Hydrocortisone or non-steroidal creams such as Tacrolimus (Protopic) can be used. Regular moisturizing and avoiding harsh soaps can also help manage eczema flare-ups.

Psoriasis

Topical treatments like Calcipotriene (Dovonex) or systemic medications such as Methotrexate may be alternatives. Light therapy and stress management techniques can also help control psoriasis symptoms.

Inflammatory Bowel Disease (IBD)

Alternatives include oral corticosteroids like Prednisone or biologics such as Infliximab (Remicade). Dietary changes, such as avoiding trigger foods, may also help manage IBD symptoms.

Rheumatoid Arthritis

Disease-modifying antirheumatic drugs (DMARDs) like Methotrexate or biologics such as Adalimumab (Humira) are common alternatives. Physical therapy and regular exercise can also help maintain joint function and reduce symptoms.

Crohn’s Disease

Alternatives include immunosuppressants like Azathioprine or biologics such as Ustekinumab (Stelara). Dietary modifications and stress management can also help reduce symptoms.

Ulcerative Colitis

Aminosalicylates like Mesalamine (Asacol) or biologics such as Vedolizumab (Entyvio) may be alternatives. A low-residue diet and regular exercise can also help manage symptoms.

Recent Updates on Beclomethasone Research

Recent studies have examined the long-term safety of inhaled corticosteroids like Beclomethasone, particularly in patients with asthma and COPD. Research indicates that while Beclomethasone is effective in managing symptoms, prolonged use may be associated with a small risk of bone density loss and adrenal suppression. However, these risks are generally outweighed by the benefits of controlling respiratory symptoms, especially when the medication is used at the lowest effective dose. Ongoing studies are also exploring new formulations of Beclomethasone that may further reduce these risks.

If you have concerns about the long-term use of Beclomethasone, we encourage you to schedule a telemedicine appointment with one of our providers to discuss your treatment plan and any recent research that may be relevant to your condition.

James Kingsley

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