Defcort 6 mg (Tablet)

Unit Price: ৳ 9.00 (3 x 10: ৳ 270.00)
Strip Price: ৳ 90.00

Medicine Details

Indications

  • Anaphylaxis
  • Asthma
  • Rheumatoid arthritis
  • Juvenile chronic arthritis
  • 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

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

Dosage & Administration

  • Adult dosage range of 3-120 mg/day
  • Maintenance dose for most conditions within 3-18 mg/day range
  • Titration to lowest effective dose
  • Children's dosage range of 0.25-1.5 mg/kg/day
  • Alternate day administration may be appropriate
  • Withdrawal should not be abrupt

Interaction

  • Metabolized in the liver
  • Increased maintenance dose if co-administered with liver enzyme inducers
  • Possible reduction of maintenance dose if co-administered with liver enzyme inhibitors

Contraindications

  • Hypersensitivity to the product or its 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 following recent MI
  • Thromboembolism

Pregnancy & Lactation

  • Placental crossing
  • Potential risk of intrauterine growth retardation
  • Excretion in breast milk
  • Unlikely systemic effects in the infant for doses up to 50 mg daily
  • Possible adrenal suppression for infants of mothers taking higher doses

Precautions & Warnings

  • Special caution for cardiac disease or congestive heart failure
  • Salt and water retention risk
  • Potassium supplementation may be necessary
  • Caution in gastritis, oesophagitis, diverticulitis, ulcerative colitis
  • Diabetes mellitus
  • Osteoporosis
  • Myasthenia gravis
  • Renal insufficiency
  • Psychotic tendency
  • Corticosteroid-induced myopathy
  • Liver failure
  • Hypothyroidism and cirrhosis
  • Ocular herpes simplex

Use in Special Populations

  • Increased blood levels in hepatic impairment
  • Monitoring and adjustment in hepatic impairment
  • No special precautions in renally impaired patients
  • No special precautions for elderly patients

Therapeutic Class

  • Glucocorticoids

Storage Conditions

  • Cool and dry storage below 25°C
  • Protection from light and moisture
  • Keep out of the reach of children

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