Xalcort 18 mg (Tablet)

Unit Price: ৳ 20.00 (3 x 10: ৳ 600.00)

Medicine Details

Indications

  • Treatment for Anaphylaxis
  • Management of asthma
  • Rheumatoid arthritis therapy
  • Treatment for lupus erythematosus
  • Management of ulcerative colitis

Pharmacology

Inhibits Phospholipase A2 enzyme for anti-inflammatory action, decreases release of immune system chemicals for immunosuppressive action

Dosage & Administration

  • Adults:
    • Maintenance doses between 3-18 mg/day for most conditions
    • Initial dose of up to 120 mg/day for acute disorders
  • Children:
    • Usual maintenance dose between 0.25-1.0 mg/kg/day
    • Dose for juvenile chronic arthritis lies in the range 0.25-1.0 mg/kg/day

Interaction

Metabolized in the liver, maintenance dose adjustment required when co-administered with liver enzyme inducers or inhibitors

Contraindications

Hypersensitivity to any of the ingredients, caution advised for patients receiving live virus immunization

Side Effects

  • GI disturbances
  • Musculoskeletal issues
  • Endocrine disturbances
  • Neuropsychiatric symptoms
  • Ophthalmic effects
  • Fluid and electrolyte disturbances
  • Susceptibility to infection
  • Impaired healing
  • Hypersensitivity reactions
  • Skin atrophy
  • Cardiovascular risks

Pregnancy & Lactation

  • Pregnancy: May increase the risk of intrauterine growth retardation with prolonged use, should be prescribed when benefits outweigh risks
  • Nursing Mother: Excreted in breast milk, doses of up to 50 mg daily unlikely to cause systemic effects in the infant

Precautions & Warnings

  • Conditions requiring caution:
    • Cardiac disease or congestive heart failure
    • Hypertension
    • Thromboembolic disorders
    • Gastritis or oesophagitis
    • Ulcerative colitis
    • Diabetes mellitus
    • Osteoporosis
    • Myasthenia gravis
    • Renal insufficiency
    • Emotional instability or psychotic tendency
    • Epilepsy
    • Liver failure
    • Hypothyroidism and cirrhosis
    • Ocular herpes simplex

Use in Special Populations

  • Hepatic Impairment: Blood levels may be increased, careful monitoring and adjustment of dose required
  • Renal Impairment: No special precautions necessary
  • Elderly: Adverse effects associated with systemic corticosteroids may have more serious consequences in old age

Therapeutic Class

Glucocorticoids

Storage Conditions

Store in a cool, dry place below 25°C, protect from light & moisture, keep out of reach of children

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