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Drug interactions

Budesonide + Cholestyramine

Severity: Moderate

Budesonide and Cholestyramine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Cholestyramine binds drugs in the gut and may reduce absorption of oral budesonide, lowering its local and systemic effect. This could compromise disease control.

What this interaction means in plain words

Budesonide and Cholestyramine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Budesonide belongs to Respiratory; Cholestyramine belongs to Cardiovascular.

Evidence level: Low

Why it happens

Bile acid sequestrant binds budesonide in the gastrointestinal lumen, reducing absorption.

What to do

Separate administration, giving budesonide at least 1 hour before or 4 to 6 hours after cholestyramine, and monitor response.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Budesonide with Cholestyramine?

MediHelp rates the interaction as moderate. Budesonide and Cholestyramine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Cholestyramine binds drugs in the gut and may reduce absorption of oral budesonide, lowering its local and systemic effect. This could compromise disease control.

How serious is the interaction between Budesonide and Cholestyramine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate administration, giving budesonide at least 1 hour before or 4 to 6 hours after cholestyramine, and monitor response.

What other medicines interact with Budesonide?

MediHelp also lists interactions of Budesonide with, for example, Aldesleukin, Atazanavir, Bcg vaccine live. The full list is on the Budesonide page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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