Budesonide

Budesonide is a potent local-acting glucocorticoid corticosteroid with high anti-inflammatory activity but low systemic availability due to extensive first-pass metabolism. It is widely used for maintenance therapy in asthma, allergic rhinitis, and localized inflammatory bowel diseases.

Dosage by Body Weight

Dosage varies significantly based on formulation, age, and severity of the condition. For asthma maintenance, standard nebulization in children is 0.25 mg to 0.5 mg twice daily. Oral capsules for Crohn's disease are typically dosed at 9 mg once daily in the morning for adults. Always consult a healthcare professional as budesonide is a prescription-only medication.

  1. Body Weight
    Below 5 kg
    Dose
    Not established
    Frequency
    Use only if prescribed by a specialist
    Tracking Notes
    Safety and efficacy in infants under 12 months have not been established. Dosing is not standard.
  2. Body Weight
    5-7 kg
    Dose
    Individualized by specialist
    Frequency
    Usually 1 to 2 times daily (inhalation)
    Tracking Notes
    Corticosteroid dosing in infants is based on clinical severity and age, not strictly on body weight. Strict medical supervision required.
  3. Body Weight
    8-10 kg
    Dose
    0.25 mg (Nebulizer Suspension)
    Frequency
    Once or twice daily
    Tracking Notes
    For pediatric asthma nebulization. Oral capsules are not suitable for this weight/age group.
  4. Body Weight
    11-15 kg
    Dose
    0.25 mg to 0.5 mg (Nebulizer Suspension)
    Frequency
    Once or twice daily
    Tracking Notes
    Inhalation suspension dose is determined by clinical response and disease severity rather than weight.
  5. Body Weight
    16-20 kg
    Dose
    0.25 mg to 0.5 mg (Nebulizer Suspension)
    Frequency
    Once or twice daily
    Tracking Notes
    May be increased up to 1 mg daily in divided doses under medical supervision if the asthma is severe.

Formulation

InhalerNebulizer SuspensionCapsuleTablet (Extended Release)Nasal SprayRectal Foam

Purpose

Used to reduce inflammation in chronic asthma, allergic rhinitis, nasal polyps, Crohn's disease, and ulcerative colitis.

Generic Name

Budesonide

Branded Drug Names

Budesonide is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.