Indications
Beclometasone (Beclomethasone) is a corticosteroid, a medicine that calms inflammation. Depending on the form, it is used as an inhaler to prevent asthma attacks and control COPD, as a nasal spray for allergic rhinitis (hay fever) and nasal polyps, and as a cream or ointment, often combined with an antifungal or antibiotic, for inflamed skin conditions such as eczema and dermatitis.
How It Works
It acts on cells in the airways, nose or skin to reduce the release of substances that cause swelling, redness, itching and mucus. It works where it is applied, so only small amounts reach the rest of the body at normal doses.
Dosage and Administration
Use exactly as prescribed; the dose depends on the form and the condition. Inhalers are used every day, even when you feel well, and do not relieve a sudden attack; rinse your mouth with water after each use. Nasal sprays are used daily and may take several days to work fully. Creams are applied thinly to the affected skin, usually once or twice a day, for the shortest time needed. Do not stop an inhaler suddenly without advice.
Interactions
Strong liver enzyme blockers such as Ritonavir, Cobicistat, Ketoconazole and Itraconazole may increase the amount in the body. Using several steroid products together (for example tablets, inhaler and cream) adds up the effect; tell your doctor about all of them.
Contraindications
- Allergy to Beclometasone
- Inhaler: as the only treatment for a sudden asthma attack
- Skin forms: untreated bacterial, viral (such as cold sores or chickenpox) or fungal skin infections unless combined with suitable treatment, acne, rosacea and rash around the mouth
Side Effects
Inhaler: hoarse voice, sore throat and oral thrush (white patches in the mouth). Nasal spray: dryness, irritation and nosebleeds. Skin: burning, thinning of the skin, stretch marks or lighter skin with long use.
Get urgent medical help if breathing suddenly gets worse straight after using the inhaler, or if you have swelling of the face, lips or throat, severe rash, or blurred vision.
Pregnancy and Lactation
Inhaled and nasal forms are commonly used in pregnancy and breastfeeding when needed, because good asthma control is important for mother and baby; use the lowest effective dose. Skin forms should be used on small areas for short periods; do not apply to the breast before feeding. Ask your doctor.
Precautions and Warnings
Long-term high doses may affect growth in children, bone strength, eyes (cataract, glaucoma) and the body’s own steroid production; your doctor will review the dose. Do not use skin forms on the face, under bandages or in children for long periods unless advised. Tell your doctor about tuberculosis or other infections.
Overdose
A single large dose is unlikely to cause harm. Long-term overuse can cause steroid side effects such as weight gain, high blood sugar and adrenal suppression. Seek advice from your doctor.
Therapeutic Class
Corticosteroid (inhaled, nasal or topical).
Storage
Store below 30°C in a dry place, away from light and out of the reach of children. Do not puncture or burn inhaler canisters, even when empty.
Prepared by the Oshud Alo team from standard drug references. For information only; always follow your doctor's advice.