Xalcort 24 mg (Tablet)

Unit Price: ৳ 30.00 (3 x 10: ৳ 900.00)
Strip Price: ৳ 300.00

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 and lymphatic leukaemia, malignant lymphoma, multiple myeloma
  • Immune suppression in transplantation

Pharmacology

  • Provides anti-inflammatory action
  • Inhibits Phospholipase A2 enzyme
  • Decreases release of certain chemicals in the immune system

Dosage & Administration

  • Maintenance dose for adults: 3-18 mg/day
  • Maintenance dose for children: 0.25-1.5 mg/kg/day
  • Range for juvenile chronic arthritis maintenance dose: 0.25-1.0 mg/kg/day
  • Range for nephrotic syndrome initial dose: 1.5 mg/kg/day
  • Deflazacort withdrawal recommendations

Interaction

  • Metabolized in the liver
  • Recommendation for co-administration with liver enzyme inducers
  • Recommendation for co-administration with liver enzyme 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

  • Potential risk of intrauterine growth retardation
  • Excretion of corticosteroids in breast milk
  • Recommendation for prescription only when benefits outweigh risks

Precautions & Warnings

  • Special caution for cardiac disease or congestive heart failure
  • Necessary monitoring for salt and water retention
  • Special caution for gastritis, oesophagitis, diverticulitis, ulcerative colitis
  • Special caution for diabetes mellitus, osteoporosis, myasthenia gravis
  • Special caution for emotional instability or psychotic tendency
  • Special caution for liver failure, hypothyroidism, and cirrhosis
  • Avoid in ocular herpes simplex

Use in Special Populations

  • Increased blood levels in hepatic impairment
  • May require careful monitoring and dosage adjustment in hepatic impairment
  • No special precautions in renally impaired patients
  • No special precautions in elderly patients

Therapeutic Class

  • Glucocorticoids

Storage Conditions

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

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