Oracort 0.5 mg (Tablet)

Unit Price: ৳ 0.40 (10 x 10: ৳ 40.00)
Strip Price: ৳ 4.00

Medicine Details

Category Details
Generic Dexamethasone
Company Desh pharmaceuticals ltd

Indications

  • Control of severe or incapacitating allergic conditions
  • Treatment of collagen disease
  • Management of dermatologic diseases
  • Adrenocortical insufficiency
  • Regional enteritis and ulcerative colitis
  • Leukemias and lymphomas
  • Cerebral edema associated with brain tumor
  • Ocular inflammatory conditions
  • Inducing diuresis or remission of proteinuria
  • Tuberculous meningitis
  • Diagnostic testing of adrenocortical hyperfunction
  • Antiemetic
  • Suppression of cisplatin-induced emesis
  • Rheumatologic disorder treatment
  • Treatment of nephrotic syndrome
  • Treatment of sarcoidosis

Pharmacology

Decreases inflammation by inhibiting leukocyte migration and capillary permeability, and suppresses normal immune response

Dosage & Administration

  • Adjust dosage based on severity and patient response
  • Oral dosages vary from 1 mg to 10 mg for adults
  • Higher dosages may be temporarily required in some cases
  • Intravenous, intramuscular, or local injection administration
  • Dosage varies with severity of condition

Interaction

  • Enhanced potassium loss with diuretics and/or cardiac glycosides
  • Impaired glucose tolerance with antidiabetic drugs
  • Increased risk of gastrointestinal ulceration with non-steroidal anti-inflammatory drugs
  • Alteration of need for oral anti-coagulants
  • Reduced efficacy when used with liver enzyme inducing drugs
  • Need for caution when using with salicylates
  • Impaired gastrointestinal absorption when used with antacids

Contraindications

  • Gastric and duodenal ulcers
  • Systemic and ophthalmic fungal infections
  • Viral infections
  • Glaucoma
  • Hypersensitivity to corticosteroids

Side Effects

  • Endocrine and metabolic disturbances: Cushing-like syndrome, hirsutism, menstrual irregularities
  • Fluid and electrolyte disturbances: Sodium and fluid retention, hypertension, potassium loss
  • Musculo-skeletal effects: Myopathy, osteoporosis
  • Gastro-intestinal effects: Ulceration, perforation, haemorrhage
  • Immunosuppressive effects: Increased susceptibility to infections

Pregnancy & Lactation

Category C; should be used during pregnancy if potential benefit justifies risk, appear in breast milk

Precautions & Warnings

  • Use lowest possible dose
  • Caution in patients with heart failure, hypertension, or renal insufficiency
  • Minimize secondary adrenocortical insufficiency with gradual dose reduction
  • Use with caution in patients at risk of osteoporosis
  • Acute myopathy observed with high doses, especially in myasthenia gravis patients
  • Psychic derangements may appear

Use in Special Populations

Titrate pediatric patients to lowest effective dose to minimize potential growth effects

Overdose Effects

Treatment is by supportive and symptomatic therapy

Storage Conditions

  • Tablet: Cool & dry place, protected from light & moisture
  • Injection: Below 30°C, protected from light, do not freeze

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