I'm really worried about my family member who is COVID positive and is using budecort through a nebulizer along with other medications. The oxygen level is usually around 98-97, but after taking budecort, they feel breathless for about 30 minutes and the oxygen level drops to 95 but then it recovers after a bit. They're also on meds like montair LC, medrol, zocef CV, pulmoclear, dolo 650, zincovit, vitamin C, and taking anticoagulant injections. They finished courses of ivermectin, doxycycline, and fabiflu. Can you help me understand why this breathlessness happens after using budecort? Are there any remedies or steps we can take to prevent this?

Dr Ranjith Darla

General Practitioner

• MBBS
• 3+ Yrs

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The breathlessness experienced after budecort nebulization may be due to bronchospasm, which can be a side effect of the medication. One remedy to alleviate this is to use a bronchodilator such as Salbutamol inhaler. You can use Salbutamol inhaler 100 mcg as needed to relieve the breathlessness symptoms. Additionally, you can consider reducing the dose of budecort to 0.25 mg for nebulization to see if it helps in reducing the side effects while still maintaining the therapeutic effect. It is important to monitor the oxygen levels closely during this adjustment. Remember to consult with your healthcare provider before making any changes to your medication regimen.

Answered 04/07/2025