Jorveza® Orodispersible Tablets for Eosinophilic Esophagitis

Jorveza is a budesonide orodispersible tablet used for eosinophilic esophagitis. It provides targeted topical steroid action in the esophagus to reduce inflammation and improve swallowing. This page explains how the tablets work, who might be a candidate, and how to use them safely with US delivery from Canada. You can also review options if you pay without insurance.

What Jorveza Is and How It Works

Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.

Jorveza® is a locally acting corticosteroid for the esophagus. The tablet dissolves on the tongue, and you slowly swallow the saliva to coat the esophageal lining. This topical exposure helps calm eosinophilic inflammation with limited systemic absorption compared to many oral steroids.

Many prescribers use Budesonide ODT 1 mg for induction of remission in confirmed eosinophilic esophagitis. The treatment belongs to the glucocorticoid class, which can decrease inflammatory cell activity and reduce tissue swelling. It targets the esophageal mucosa rather than providing a generalized systemic effect.

For additional background on acid-related conditions and therapies often considered alongside topical steroids, you can browse our Gastrointestinal category and learn more about symptom control in this Acid Reflux Relief article.

Who It’s For

This medicine is intended for adults diagnosed with eosinophilic esophagitis confirmed by endoscopy and biopsy. It may be considered for patients with dysphagia or food impaction related to eosinophilic inflammation. You can review the condition overview here: Eosinophilic Esophagitis.

People with known hypersensitivity to budesonide or tablet components should not use it. Those with active, untreated infections should discuss risks with a clinician. Caution is typical in patients with severe liver impairment, glaucoma, cataracts, osteoporosis, or a history of significant steroid side effects. If you are pregnant, planning pregnancy, or breastfeeding, prescribers usually assess benefit and risk before recommending this treatment.

Children and adolescents may require different therapies or dosing approaches. Follow the official label and your clinician’s guidance if pediatric use is being considered.

Dosage and Usage

How to take Jorveza: place one tablet on your tongue and let it dissolve fully. Do not chew, crush, or swallow whole. As it dissolves, swallow the saliva slowly, in several small swallows, to coat the esophagus. Avoid food or drink for at least 30 minutes after dosing to maintain contact time in the esophagus. After that interval, you may rinse your mouth or brush your teeth to help reduce the risk of thrush.

Typical schedules often include an induction phase followed by a maintenance phase if prescribed. Induction is commonly higher strength or frequency for several weeks, while maintenance uses a lower total daily amount. Exact schedules vary by label and prescriber direction. When uncertain, defer to the official product information and your healthcare professional.

If you take other medicines that can irritate the esophagus, separate timing per your clinician’s advice. Avoid grapefruit or grapefruit juice while using this therapy, as it can raise steroid exposure.

Strengths and Forms

This therapy is supplied as orodispersible tablets that dissolve on the tongue and are swallowed with saliva. Availability can vary by pharmacy and region.

• Budesonide orodispersible tablets 1 mg
• Also available as a lower-strength orodispersible tablet

The orodispersible format is designed to deliver topical exposure to the esophagus without traditional swallowing of an intact tablet.

Missed Dose and Timing

If you miss a dose, take it when you remember unless it is close to your next scheduled dose. If it is nearly time for the next dose, skip the missed dose and resume your regular schedule. Do not double up to make up for a missed dose. Try to take doses at the same times each day to support consistent esophageal exposure.

Storage and Travel Basics

Jorveza storage: keep tablets in the original packaging until use to protect them from moisture. Store at room temperature away from excess heat and direct light, and out of reach of children and pets. Do not use tablets that are damaged or beyond the labeled expiration date.

When traveling, carry the tablets in your hand luggage with the original label and a copy of your prescription. If airport screening is expected, allow extra time for medication inspection. For trips with multiple time zones, maintain a reasonable spacing between doses to keep the day’s schedule consistent. Pack enough supply for the full trip plus a small buffer, as approved by your prescriber.

Benefits

This treatment can reduce esophageal eosinophilic inflammation and help ease swallowing. The tablet dissolves in the mouth and coats the esophagus, which may enhance local effect. Because the exposure is topical, systemic steroid effects may be lower than with some oral corticosteroids, though they can still occur. The orodispersible design is convenient for people who have difficulty swallowing conventional tablets.

Side Effects and Safety

Jorveza side effects can include oral candidiasis (thrush), hoarseness, throat irritation, cough, and headache. Nausea or stomach discomfort can occur. Rinsing the mouth and following the no-food-or-drink interval may help reduce mouth and throat side effects.

Serious or rare risks are related to steroid exposure. These can include adrenal suppression, Cushingoid features, elevated blood sugar, increased infection risk, reduced bone mineral density with longer-term use, and ocular effects such as glaucoma or cataracts. Allergic reactions are uncommon but can be serious; seek urgent care for facial swelling, trouble breathing, or widespread hives. Report persistent or severe adverse events to your prescriber.

Drug Interactions and Cautions

Strong CYP3A4 inhibitors can raise budesonide levels. Examples include ketoconazole, itraconazole, clarithromycin, ritonavir, and cobicistat. Avoid grapefruit and grapefruit juice. Other immunosuppressants or systemic steroids may add to steroid effects. Tell your clinician about all medicines, supplements, and herbal products you use.

Liver impairment can increase exposure. Prescribers may adjust plans based on overall risk, infection history, and bone or eye health. Vaccinations with live attenuated vaccines may be deferred during steroid therapy; follow clinical guidance.

What to Expect Over Time

Symptoms like dysphagia may begin to improve during the induction period, though individual responses vary. Endoscopic and histologic assessments often guide decisions about duration and maintenance. Consistent dosing, food-and-drink timing, and oral hygiene support good outcomes. If you experience persistent symptoms or new side effects, contact your healthcare professional for individualized advice.

Compare With Alternatives

Management of eosinophilic esophagitis may include topical steroids, dietary elimination strategies, and acid suppression. Some patients also use a proton pump inhibitor under clinician guidance. Two options available here include Dexilant and Omeprazole. To understand these approaches better, you can also read What Is Dexilant.

Choice of therapy depends on your diagnosis, severity, and response to prior treatments. Your prescriber can help determine whether a topical steroid, a PPI, dietary management, or a combination is appropriate for your plan.

Pricing and Access

We list current options so you can compare costs and see availability. Our checkout shows Canadian pricing with clear totals before completion. Your order includes professional verification steps to help ensure accuracy. Ships from Canada to US with tracked fulfilment.

If you use cash-pay, you can review options by strength and pack size before placing an order. For questions about coverage or documentation, contact our support so we can outline the information your prescriber may need for your file. Note that pharmacy availability can vary by province and batch.

Availability and Substitutions

If a specific strength or pack is not available, a prescriber may recommend a comparable budesonide formulation, a different dosing plan, or a PPI strategy when appropriate. We cannot guarantee restock dates. If substitution is needed, your clinician will determine whether that option is suitable for your case.

Patient Suitability and Cost-Saving Tips

This treatment may suit adults with confirmed eosinophilic esophagitis who need topical steroid therapy. It may be less suitable for people with uncontrolled infections, severe liver disease, or significant steroid intolerance. Discuss bone health, eye health, and infection risk with your clinician, especially for longer-term maintenance.

To manage out-of-pocket costs, consider multi-month quantities if your prescriber supports maintenance therapy. This can reduce per-shipment fees and help ensure continuity of care. Set refill reminders in your phone or calendar so you do not run out. If you travel, store the tablets properly and keep your prescription copy in your carry-on bag for smoother screening.

Questions to Ask Your Clinician

• Induction plan: how long should the initial course last?
• Maintenance needs: do I need a longer-term schedule?
• Thrush prevention: what mouth care steps do you recommend?
• Dietary role: should I combine this with an elimination diet?
• Monitoring: how often will follow-up endoscopy be needed?
• Interactions: which medicines or foods should I avoid?
• Long-term risk: how will we watch bone and eye health?

Authoritative Sources

Find official details from trusted sources:

• Dr. Falk Pharma
• Health Canada DPD
• European Medicines Agency

Storage and Checkout Notes

Tablets are shelf-stable under typical room conditions; follow the label for storage. Our site uses encrypted checkout to protect your information during payment.

Learn More

For context on acid suppression and related therapy discussions, see our brief guide: What Is Dexilant. For broader category browsing, you can also view Canada and Gastrointestinal options.

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Place your prescription request today for prompt, express shipping with US shipping from Canada. This information is educational and not a substitute for your clinician’s advice; always follow the official label.