Xalcort 6 mg/5 ml (Oral Suspension)

60 ml bottle: ৳ 200.00

Medicine Details

Indications

  • Anaphylaxis
  • Asthma
  • Severe hypersensitivity reactions
  • Rheumatoid arthritis
  • Juvenile chronic arthritis
  • Polymyalgia rheumatica
  • Systemic lupus erythematosus
  • Dermatomyositis
  • Mixed connective tissue disease
  • 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 leukaemia
  • Malignant lymphoma
  • Multiple myeloma
  • Immune suppression in transplantation

Pharmacology

  • Anti-inflammatory action
  • Inhibition of Phospholipase A2 enzyme
  • Prostaglandin synthesis inhibition
  • Immunosuppressive action
  • Decreased release of immune system chemicals

Dosage & Administration

  • Adult dosage range: 3-120 mg/day
  • Maintenance doses for various conditions
  • Pediatric dosage range: 0.25-1.5 mg/kg/day
  • Alternate day administration

Interaction

  • Metabolized in the liver
  • Recommended dose adjustments with liver enzyme inducers and inhibitors

Contraindications

  • Hypersensitivity to ingredients
  • Patients receiving live virus immunization

Side Effects

  • GI disturbances
  • Musculoskeletal effects
  • Endocrine effects
  • Neuropsychiatric effects
  • Ophthalmic effects
  • Fluid and electrolyte disturbances
  • Increased susceptibility to infection
  • Impaired healing
  • Hypersensitivity reactions
  • Skin atrophy
  • Striae
  • Telangiectasia
  • Acne
  • Myocardial rupture
  • Thromboembolism

Pregnancy & Lactation

  • Placental transfer of medication
  • Increased risk of intrauterine growth retardation
  • Excretion in breast milk
  • Potential adrenal suppression in infants

Precautions & Warnings

  • Special caution for specific clinical conditions
  • Necessity of patient monitoring
  • Effects on cardiac disease and heart failure
  • Potential salt and water retention
  • Increased excretion of potassium
  • Necessity of dietary salt restriction and potassium supplementation
  • Precautions for GI disorders
  • Potential risk of perforation, abscess or pyogenic infections
  • Caution for diabetes mellitus
  • Osteoporosis risk
  • Myasthenia gravis caution
  • Renal insufficiency precautions
  • Caution with emotional instability or psychotic tendency
  • Risk of corticosteroid-induced myopathy
  • Caution for liver failure
  • Effects on hypothyroidism and cirrhosis
  • Ocular herpes simplex precautions

Use in Special Populations

  • Dose monitoring in hepatic impairment
  • No special precautions for renal impairment
  • No special precautions for elderly patients

Therapeutic Class

  • Glucocorticoids

Storage Conditions

  • Store below 25°C
  • Store in a dry place
  • Protected from light and moisture
  • Keep out of the reach of children

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