Budesonide 9mg ER MMX Tablet, 2mg Rectal Foam
Brand and Other Names:
Uceris
Mechanism of Action:
Budesonide has a high topical glucocorticosteroid (GCS) activity and substantial first-pass elimination. The formulation contains budesonide in an extended-release tablet core. The tablet core is enteric coated to protect dissolution in gastric juice which delays budesonide release until exposure to a pH ≥7 in the small intestine. Upon disintegration of the coating, the core matrix provides extended release of budesonide in a time dependent manner.
Indications:
UCERIS (budesonide) is a glucocorticosteroid indicated for the induction of remission in patients with active, mild to moderate ulcerative colitis
Route:
Oral
Dose:
The recommended dosage for the induction of remission in adult patients with active, mild to moderate ulcerative colitis is one 9 mg tablet to be taken once
daily in the morning with or without food for up to 8 weeks.
Adverse Reactions:
Most common adverse reactions (incidence ≥2%) are headache, nausea, decreased blood cortisol, upper abdominal pain, fatigue, flatulence, abdominal
distension, acne, urinary tract infection, arthralgia, and constipation.
Contraindication:
Known hypersensitivity to budesonide or any of the ingredients in UCERIS tablets
Warnings and Precautions:
Hypercorticism and adrenal suppression: Since UCERIS is a glucocorticosteroid, follow general warnings concerning glucocorticoids.
• Transferring patients from systemic glucocorticoids: Risk of impaired adrenal function when transferring from glucocorticoid treatment with higher systemic effects to glucocorticoid treatment with lower systemic effects, such as UCERIS. Taper patients slowly from systemic corticosteroids if transferring to UCERIS.
• Immunosuppression: Potential worsening of infections (e.g., existing tuberculosis, fungal, bacterial, viral, or parasitic infection; or ocular herpes simplex). Use with caution in patients with these infections. More serious or even fatal course of chickenpox or measles can occur in susceptible patients.
See package insert for full prescribing information.