Patient was educated on contraindications for taking Pulmicort as follows:

1. Hypertension

• Pulmicort inhalations should be used cautiously in hypertensive patient, as they can result in retention of sodium and water, which contributes towards elevated blood pressures.
• Maintain a log of everyday blood pressure readings and report any gross elevations in the readings to your physician.

2. Elevated blood sugars

• Pulmicort inhalations should be used cautiously in diabetic patients, as their long-term use can result in increased insulin resistance and increased synthesis of glucose from sources other than carbohydrates.
• Increased insulin resistance and synthesis of extra glucose result in elevated blood sugars, contribute towards impaired blood sugar control, and can be detrimental in diabetic patients.
• Elevated blood sugars and poorly managed diabetes, while using Pulmicort inhalations should be reported to the physician for further investigation, to facilitate a change in plan of care.