Zodef 6 mg/5 ml (Oral Suspension)
60 ml bottle: ৳ 200.00
Medicine Details
Category | Details |
---|---|
Generic | Deflazacort |
Company | Renata limited |
Also available as |
Indications
- Anaphylaxis, asthma, severe hypersensitivity reactions
- Rheumatoid arthritis, juvenile chronic arthritis, polymyalgia rheumatica
- Systemic lupus erythematosus, dermatomyositis, mixed connective tissue disease (other than systemic sclerosis), 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 by inhibiting Phospholipase A2 enzyme and decreases the release of certain chemicals important in the immune system
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 for rheumatoid arthritis
- In bronchial asthma, high doses of 48-72 mg/day may be needed for acute attacks, with maintenance doses titrated to the lowest dose that controls symptoms
- Starting doses estimated based on the ratio of 5 mg prednisone or prednisolone to 6 mg for other conditions
- Children:
- Doses usually lie in the range 0.25-1.5 mg/kg/day
- Juvenile chronic arthritis usually requires maintenance dose between 0.25-1.0 mg/kg/day
- Nephrotic syndrome initial dose is usually 1.5 mg/kg/day followed by down titration according to clinical need
- Bronchial asthma requires initial dose between 0.25-1.0 mg/kg on alternate days
- Deflazacort Withdrawal: Dose reduction should not be abrupt for patients who have received more than physiological doses of systemic corticosteroids for greater than 3 weeks
Interaction
Metabolized in the liver, maintenance dose may need adjustment when co-administered with liver enzyme inducers or inhibitors
Contraindications
Hypersensitivity to or any of the ingredients, patients receiving live virus immunization
Side Effects
- GI disturbances
- Musculoskeletal issues
- Endocrine disturbances
- Neuropsychiatric effects
- Ophthalmic complications
- Fluid and electrolyte disturbances
- Susceptibility to infection
- Impaired healing
- Hypersensitivity reactions
- Skin atrophy
- Myocardial rupture following recent Ml
- Thromboembolism
Pregnancy & Lactation
- Pregnancy: Corticosteroids may increase the risk of intrauterine growth retardation
- Nursing Mother: Infants of mothers taking higher doses may have a degree of adrenal suppression, but the benefits of breastfeeding likely outweigh any theoretical risk
Precautions & Warnings
- Special caution and frequent patient monitoring required for cardiac disease or congestive heart failure, hypertension, thromboembolic disorders
- Caution required for gastritis or oesophagitis, diverticulitis, ulcerative colitis, possibility of impending perforation, abscess or pyogenic infections, fresh intestinal anastomosis, active or latent peptic ulcer
- Caution required for diabetes mellitus or family history, osteoporosis, myasthenia gravis, renal insufficiency
- Caution required for emotional instability or psychotic tendency, epilepsy
- Caution required for previous corticosteroid-induced myopathy, liver failure
- Caution required for hypothyroidism and cirrhosis, which may increase the glucocorticoid effect
- Ocular herpes simplex may pose risk of corneal perforation
Use in Special Populations
- Hepatic Impairment: Dose should be carefully monitored and adjusted to the minimum effective dose
- Renal Impairment: No special precautions other than those usually adopted in patients receiving glucocorticoid therapy are necessary
- Elderly: No special precautions other than those usually adopted in patients receiving glucocorticoid therapy are necessary
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