Cortimax 6 mg (Tablet)

Unit Price: ৳ 10.00 (3 x 10: ৳ 300.00)
Strip Price: ৳ 100.00

Medicine Details

Indications

  • Anaphylaxis, asthma, severe hypersensitivity reactions
  • Rheumatoid arthritis, juvenile chronic arthritis, polymyalgia rheumatica
  • Systemic lupus erythematosus, dermatomyositis, mixed connective tissue disease (other than systemic sclerosis), polyartritis nodosa, sarcoidosis
  • Pemphigus, bullous pemphigoid, pyoderma gangrenosum
  • Minimal change nephrotic syndrome, acute interstitial nephritis
  • Rheumatic carditis
  • Ulcerative colitis, Crohn's disease
  • Uveitis, optic neuritis
  • Autoimmune haemolytic anaemia, idiopathic thrombocytopenic purpura
  • Acute and lymphatic leukaemia, malignant lymphoma, multiple myeloma
  • Immune suppression in transplantation

Pharmacology

Anti-inflammatory action by inhibiting Phospholipase A2 enzyme, immunosuppressive action by decreasing release of certain immune system chemicals

Dosage & Administration

  • Up to 120 mg/day for acute disorders
  • 3-18 mg/day for most conditions in adults
  • 0.25-1.5 mg/kg/day for children
  • Gradual dose reduction for patients on more than physiological doses for greater than 3 weeks

Interaction

Metabolized in the liver, maintenance dose adjustment needed with liver enzyme inducers or inhibitors

Contraindications

Hypersensitivity to any of the ingredients, patients receiving live virus immunization

Side Effects

  • GI disturbances
  • Musculoskeletal effects
  • Endocrine effects
  • Neuropsychiatric effects
  • Ophthalmic effects
  • Fluid and electrolyte disturbances
  • Susceptibility to infection
  • Impaired healing
  • Hypersensitivity reactions
  • Skin atrophy, striae, telangiectasia, acne
  • Myocardial rupture following recent MI
  • Thromboembolism

Pregnancy & Lactation

  • Corticosteroids may increase risk of intrauterine growth retardation
  • Excreted in breast milk, higher doses may cause systemic effects in the infant

Precautions & Warnings

  • Special caution for patients with cardiac disease, congestive heart failure, hypertension, thromboembolic disorders
  • Caution in patients with gastritis, oesophagitis, diverticulitis, ulcerative colitis, impending perforation, abscess, pyogenic infections, or active or latent peptic ulcer
  • Monitoring and precautions for patients with diabetes mellitus, family history, osteoporosis, myasthenia gravis, renal insufficiency, emotional instability, psychotic tendency, epilepsy, corticosteroid-induced myopathy, liver failure, hypothyroidism, cirrhosis, and ocular herpes simplex

Use in Special Populations

  • Hepatic Impairment: Monitor and adjust dose carefully
  • Renal Impairment: No special precautions
  • Elderly: Common adverse effects may have more serious consequences

Therapeutic Class

Glucocorticoids

Storage Conditions

Cool (below 25°C) and dry place, protected from light & moisture, keep out of the reach of children

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