Zodef 36 mg (Tablet)

Unit Price: ৳ 35.00 (1 x 10: ৳ 350.00)
Strip Price: ৳ 350.00

Medicine Details

Indications

  • Anaphylaxis, asthma, severe hypersensitivity reactions
  • 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 hemolytic anemia, idiopathic thrombocytopenic purpura
  • Acute and lymphatic leukemia, malignant lymphoma, multiple myeloma
  • Immune suppression in transplantation

Pharmacology

  • Anti-inflammatory action by inhibiting Phospholipase A2 enzyme
  • Decreases release of certain chemicals in the immune system
  • Immunosuppressive action

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
  • Children: Doses usually lie in the range 0.25-1.5 mg/kg/day
  • Deflazacort withdrawal
  • Maintenance dose for juvenile chronic arthritis: 0.25-1.0 mg/kg/day

Interaction

  • Metabolized in the liver
  • Recommended to increase maintenance dose if liver enzyme inducers are co-administered
  • Possible to reduce maintenance dose for drugs which inhibit liver enzymes

Contraindications

  • Hypersensitivity to any of the ingredients
  • Patients receiving live virus immunization

Side Effects

  • GI disturbances
  • Musculoskeletal, endocrine, neuropsychiatric, ophthalmic effects
  • Fluid and electrolyte disturbances
  • Susceptible to infection, impaired healing
  • Hypersensitivity, skin atrophy, striae, telangiectasia, acne

Pregnancy & Lactation

  • Corticosteroids may increase the risk of intrauterine growth retardation
  • Corticosteroids are excreted in breast milk

Precautions & Warnings

  • Special caution required for cardiac disease, congestive heart failure, hypertension
  • Need for frequent patient monitoring
  • Salt and water retention, increased excretion of potassium
  • Dietary salt restriction and potassium supplementation may be necessary
  • Need for caution in gastritis, oesophagitis, diverticulitis, ulcerative colitis
  • Special caution in diabetes mellitus, family history, osteoporosis, myasthenia gravis

Use in Special Populations

  • Hepatic Impairment: Careful monitoring and adjustment of the minimum effective dose
  • Renal Impairment: No special precautions necessary
  • Elderly: No special precautions 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

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