Zodef 18 mg (Tablet)

Unit Price: ৳ 20.00 (2 x 10: ৳ 400.00)
Strip Price: ৳ 200.00

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 haemolytic anaemia
  • Idiopathic thrombocytopenic purpura
  • Acute and lymphatic leukaemia
  • Malignant lymphoma
  • Multiple myeloma
  • Immune suppression in transplantation

Pharmacology

  • Anti-inflammatory action
  • Inhibition of Phospholipase A2 enzyme
  • Prostaglandin synthesis inhibition
  • Immunosuppressive action
  • Decreased release of immune system chemicals

Dosage & Administration

  • Maximum adult dose up to 120 mg/day for acute disorders
  • Maintenance adult doses within the range of 3-18 mg/day
  • Range of maintenance doses for various conditions
  • Limited exposure of children to Deflazacort in clinical trials
  • Usual maintenance dose for juvenile chronic arthritis
  • Initial dose for nephrotic syndrome
  • Deflazacort withdrawal guidance

Interaction

  • Metabolized in the liver
  • Recommendation for adjusting maintenance dose with liver enzyme inducers
  • Possibility to reduce maintenance dose with liver enzyme inhibitors

Contraindications

  • Hypersensitivity to ingredients
  • Patients receiving live virus immunization

Side Effects

  • GI disturbances
  • Musculoskeletal effects
  • Endocrine effects
  • Neuropsychiatric effects
  • Ophthalmic effects
  • Fluid and electrolyte disturbances
  • Increased susceptibility to infection
  • Impaired healing
  • Hypersensitivity reactions
  • Skin atrophy
  • Striae
  • Telangiectasia
  • Acne
  • Myocardial rupture risk following recent myocardial infarction
  • Thromboembolism risk

Pregnancy & Lactation

  • Crosses the placenta
  • Potential to increase risk of intrauterine growth retardation
  • Prescription considerations in pregnancy
  • Excretion in breast milk
  • Unlikely systemic effects in infant with doses up to 50 mg daily
  • Potential for adrenal suppression in infants with higher maternal doses

Precautions & Warnings

  • Special caution for various clinical conditions
  • Requirement for frequent patient monitoring
  • Specific precautions for cardiac disease, hypertension, thromboembolic disorders
  • Special caution for gastrointestinal and intestinal conditions
  • Precautions for diabetes mellitus, osteoporosis, myasthenia gravis, renal insufficiency
  • Emotional instability and psychotic tendency precautions
  • Precautions for liver failure, hypothyroidism, cirrhosis, ocular herpes simplex

Use in Special Populations

  • Monitoring and dose adjustments for hepatic impairment
  • No special precautions for renally impaired patients
  • No special precautions for elderly patients

Therapeutic Class

  • Glucocorticoids

Storage Conditions

  • Cool and dry place
  • Protected from light and moisture
  • Keep out of the reach of children

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