Nuvicort 6 mg (Tablet)

Unit Price: ৳ 8.00 (3 x 10: ৳ 240.00)
Strip Price: ৳ 80.00

Medicine Details

Indications

  • Anaphylaxis, asthma, severe hypersensitivity reactions
  • Rheumatoid arthritis, juvenile chronic arthritis, polymyalgia rheumatica
  • Systemic lupus erythematosus, dermatomyositis, mixed connective tissue disease
  • Autoimmune haemolytic anaemia, idiopathic thrombocytopenic purpura
  • Acute and lymphatic leukaemia, malignant lymphoma, multiple myeloma

Pharmacology

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

Dosage & Administration

  • Adults: Up to 120 mg/day for acute disorders
  • Maintenance doses in most conditions are within the range of 3-18 mg/day
  • Children: Doses usually lie in the range of 0.25-1.5 mg/kg/day
  • Alternate day administration may be appropriate
  • Dosage depends on clinical need
  • Deflazacort withdrawal should not be abrupt

Interaction

  • Metabolized in the liver
  • Recommended to increase maintenance dose if liver enzyme inducers are co-administered
  • Possible to reduce maintenance dose for drugs which inhibit liver enzymes

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 the risk of intrauterine growth retardation
  • Prescribed when benefits outweigh risks
  • Excreted in breast milk
  • Higher doses may cause adrenal suppression in infants

Precautions & Warnings

  • Cardiac disease or congestive heart failure
  • Hypertension, thromboembolic disorders
  • Dietary salt restriction and potassium supplementation may be necessary
  • Gastritis or esophagitis, diverticulitis, ulcerative colitis
  • Diabetes mellitus or family history, osteoporosis, myasthenia gravis, renal insufficiency
  • Emotional instability or psychotic tendency, epilepsy
  • Liver failure, hypothyroidism and cirrhosis
  • Ocular herpes simplex

Use in Special Populations

  • Hepatic Impairment: Dose should be carefully monitored and adjusted
  • Renal Impairment: No special precautions necessary
  • Elderly: Common adverse effects may be associated with more serious consequences

Therapeutic Class

  • Glucocorticoids

Storage Conditions

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

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