Imucort 6 mg/5 ml (Oral Suspension)

60 ml bottle: ৳ 200.00

Medicine Details

Indications

  • Anaphylaxis
  • Asthma
  • 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

Inhibits Phospholipase A2 enzyme, decreases release of certain immune system chemicals

Dosage & Administration

  • Adults:
    • Up to 120 mg/day for acute disorders
    • Maintenance doses within the range of 3-18 mg/day for most conditions
    • Titrate to the lowest effective dose for maintenance in other conditions
  • Children:
    • Doses usually lie in the range 0.25-1.5 mg/kg/day
  • Deflazacort withdrawal: Dose reduction depends on relapse likelihood

Interaction

Metabolized in the liver; 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 issues
  • 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 Ml
  • Thromboembolism

Pregnancy & Lactation

  • Pregnancy: Crosses placenta; may increase risk of intrauterine growth retardation
  • Nursing Mother: Excreted in breast milk; higher doses may cause adrenal suppression in infants

Precautions & Warnings

  • Cardiac disease or congestive heart failure
  • Hypertension
  • Thromboembolic disorders
  • Gastritis or oesophagitis
  • Diverticulitis
  • Ulcerative colitis
  • Diabetes mellitus
  • 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 monitoring and adjustment needed
  • Renal Impairment: No special precautions necessary
  • Elderly: No special precautions necessary

Therapeutic Class

Glucocorticoids

Storage Conditions

Store below 25°C, protected from light & moisture, keep out of reach of children

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