Ulcerative colitis
RAG rating
Document type
Primary Care prescribing resource
Hertfordshire and West Essex ICB
Output type
Pharmacy / Prescribing

Budesonide - rectal (Budenofalk)

Sample letter advising patients of a switch


Dear Patient 


The NHS carries out regular reviews of medicines to make sure that patients continue to receive high quality and effective treatment that costs the NHS less. 


The latest review involves a change in one of the medications on your prescription. The full details of the change are shown below and this new medication will be given to you when you collect your next repeat prescription. 


Prednisolone 20mg foam enema, dose: once daily will change to Budenofalk® 2mg/application foam enema, dose: once daily


Prednisolone 20mg foam enema, dose: twice daily will change to Budenofalk® 2mg/application foam enema, new dose: once daily


This new medicine is from the same family as your old medication and contains a similar active ingredient as your old medication. However please note that the dosing of your new medication will be different and if you have been using it twice a day, you will only need to use the new medicine, Budenofalk® 2mg foam enema, once a day in the morning or the evening. Please read the instructions carefully relating to your new prescription noting particularly that the applicator should be held in position for 10 - 15 seconds before withdrawing from the rectum.


Please finish using all the prednisolone 20mg rectal foam enema you currently have before starting on the Budenofalk® 2mg foam enema.  The appearance of the new version of foam enema will be different from your previous product, however you should notice no difference in how it works as it is equally effective and has the same side effects as your old product. 


To obtain your next supply of medicines more effectively, you can order a repeat prescription by logging into your account using the NHS app which may be downloaded from the NHS website. We would also like to take this opportunity to remind you to only order the medicines you need each time you resubmit your repeat prescription request as this helps minimise medicine waste.  


If you are concerned or wish to discuss the matter further, please do not hesitate to contact the practice.


 Yours sincerely 

Version number
Developed by
PMOT July 2023
Approved by
Date approved / updated
Review date
This HWE MODIG document is based upon the information available at the time of publication. This document will be reviewed upon request in light of new information becoming available.
Superseded version