Refla 24 mg (Tablet)

Unit Price: ৳ 30.00 (2 x 10: ৳ 600.00)
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 leukaemia
  • Lymphatic 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 certain immune system chemicals

Dosage & Administration

  • Adults dosage range: 3-120 mg/day
  • Maintenance dose range for most conditions: 3-18 mg/day
  • Children dosage range: 0.25-1.5 mg/kg/day
  • Alternate day administration for children
  • General guidance for specific conditions

Interaction

  • Metabolized in the liver
  • Recommended maintenance dose adjustment when co-administered with liver enzyme inducers or 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 effects: atrophy, striae, telangiectasia, acne
  • Myocardial rupture
  • Thromboembolism

Pregnancy & Lactation

  • Placental crossing
  • Risk of intrauterine growth retardation
  • Prescription considerations for pregnant women
  • Excretion in breast milk
  • Potential systemic effects on infants
  • Adrenal suppression in infants of mothers taking higher doses

Precautions & Warnings

  • Special caution for specific clinical conditions
  • Frequent patient monitoring for certain conditions
  • Dietary considerations for salt and potassium
  • Precautions for specific diseases and disorders
  • Special caution for emotional instability or psychotic tendency, epilepsy
  • Monitoring and precautions for hepatic impairment
  • Monitoring and precautions for renal impairment
  • Considerations for elderly patients

Use in Special Populations

  • Monitoring and dose adjustment for hepatic impairment
  • Special precautions for renally impaired patients
  • Considerations for elderly patients

Therapeutic Class

  • Glucocorticoids

Storage Conditions

  • Cool and dry storage
  • Protection from light and moisture
  • Keep out of the reach of children

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