Defcort 18 mg (Tablet)

Unit Price: ৳ 20.00 (2 x 10: ৳ 400.00)
Strip Price: ৳ 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 anemia
  • Idiopathic thrombocytopenic purpura
  • Acute leukemia
  • Malignant lymphoma
  • Multiple myeloma
  • Immune suppression in transplantation

Pharmacology

  • Anti-inflammatory action
  • Inhibits Phospholipase A2 enzyme
  • Reduces release of certain immune system chemicals

Dosage & Administration

  • Adult dosage range: 3-120 mg/day
  • Maintenance doses: 3-18 mg/day
  • Children dosage range: 0.25-1.5 mg/kg/day
  • Alternate day administration for children
  • Dose titration based on clinical need

Interaction

  • Metabolized in the liver
  • Recommendation for adjusting maintenance dose with liver enzyme inducers
  • Recommendation for dose reduction with liver enzyme inhibitors

Contraindications

  • Hypersensitivity to ingredients
  • Patients receiving live virus immunization

Side Effects

  • GI disturbances
  • Musculoskeletal issues
  • Endocrine disturbances
  • Neuropsychiatric effects
  • Ophthalmic issues
  • Fluid and electrolyte disturbances
  • Increased susceptibility to infections
  • Impaired healing
  • Hypersensitivity reactions
  • Skin atrophy
  • Striae
  • Telangiectasia
  • Acne
  • Thromboembolism

Pregnancy & Lactation

  • Corticosteroids crossing the placenta
  • Risk of intrauterine growth retardation
  • Excretion in breast milk
  • Potential systemic effects in infants

Precautions & Warnings

  • Special caution for cardiac disease or congestive heart failure
  • Frequent patient monitoring
  • Salt and water retention
  • Increased excretion of potassium
  • Special caution for gastritis or oesophagitis, diverticulitis, ulcerative colitis
  • Dietary salt restriction and potassium supplementation
  • Precautions for diabetes mellitus, osteoporosis, myasthenia gravis, renal insufficiency
  • Special caution for emotional instability or psychotic tendency, epilepsy
  • Precaution for liver failure, hypothyroidism, cirrhosis
  • Ocular herpes simplex precautions

Use in Special Populations

  • Dose monitoring for hepatic impairment
  • No special precautions for 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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