Solu-Medrol 125 mg/vial (IM/IV Injection)

125 mg vial: ৳ 768.28

Medicine Details

Indications

  • Endocrine disorder
  • Rheumatic disorder
  • Collagen disease
  • Dermatological disease
  • Allergic states
  • Ophthalmic disease
  • Gastrointestinal disease
  • Respiratory disease
  • Hematologic disorder
  • Neoplastic disease
  • Edematous state
  • Tuberculous meningitis
  • Trichinosis

Pharmacology

  • Naturally occurring glucocorticoid
  • Salt-retaining properties
  • Potent anti-inflammatory effects
  • Excretion within 12 hours
  • Influence on various metabolic and functional capacities
  • Suppressive effect on the immune response

Dosage & Administration

  • IM or IV administration
  • Preparation of solution for reconstitution
  • Administration over several minutes
  • Recommended high dose
  • Continuation until condition stabilization
  • Gradual decrease or discontinuation of dosage
  • Initial dosage for pediatric patients
  • Treatment of acute exacerbations of multiple sclerosis

Interaction

  • Aminoglutethimide
  • Amphotericin B injection and potassium-depleting agents
  • Macrolide antibiotics
  • Anticholinesterases
  • Anticoagulants, oral
  • Antidiabetics
  • Antitubercular drugs
  • Cholestyramine
  • Cyclosporine
  • Digitalis glycosides
  • Estrogens, including oral contraceptives
  • Hepatic Enzyme Inhibitors
  • Ketoconazole
  • Nonsteroidal anti-inflammatory agents (NSAIDs)
  • Skin tests
  • Vaccines

Contraindications

  • Systemic fungal infections
  • Known hypersensitivity to the product and its constituents
  • Intrathecal administration
  • Idiopathic thrombocytopenic purpura

Side Effects

  • Fluid and Electrolyte Disturbances
  • Musculoskeletal effects
  • Gastrointestinal effects
  • Dermatologic effects
  • Neurological effects
  • Endocrine effects
  • Ophthalmic effects
  • Others
  • Additional adverse reactions related to parenteral corticosteroid therapy

Pregnancy & Lactation

  • Teratogenic effects shown in many species
  • No adequate and well-controlled studies in pregnant women
  • Potential risk to the fetus
  • Corticosteroids appearing in human milk
  • Decision on nursing continuation based on the importance of the drug to the mother

Precautions & Warnings

  • Sensitivity to heat
  • Use of lowest possible dose
  • Risk/benefit decision for dose and duration of treatment
  • Gradual reduction in dosage
  • Complications dependent on dose and duration of treatment

Use in Special Populations

  • Adverse effects in pediatric patients
  • Decrease in growth velocity
  • Nursing considerations
  • Geriatric considerations

Overdose Effects

  • Supportive and symptomatic therapy
  • Reduction of dosage for chronic overdose
  • Introduction of alternate day treatment

Therapeutic Class

  • Glucocorticoids

Reconstitution

  • Removal of protective plastic flip-of seal
  • Cleansing of stopper with a suitable germicide
  • Aseptic addition of Water for Injection BP
  • Agitation to effect solution
  • Withdrawal of dose

Storage Conditions

  • Protection from light
  • Controlled room temperature storage
  • Use of solution within 48 hours after mixing

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