Dexa 5 mg/ml (IM/IV Injection)

1 ml ampoule: ৳ 25.00 (2 x 5: ৳ 250.00)

Medicine Details

Category Details
Generic Dexamethasone
Company Renata limited
Also available as

Indications

  • Control of severe allergic conditions in asthma, atopic dermatitis, contact dermatitis, etc.
  • Treatment of collagen diseases such as lupus erythematosus, rheumatoid arthritis, etc.
  • Management of various dermatologic diseases and endocrine disorders
  • Treatment of neoplastic diseases, nervous system conditions, ophthalmic diseases, etc.

Pharmacology

  • Synthetic glucocorticoid
  • Decreases inflammation by inhibiting leukocyte migration
  • Suppresses normal immune response

Dosage & Administration

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

Interactions

  • Enhanced potassium loss with diuretics and/or cardiac glycosides
  • Impaired glucose tolerance with antidiabetics
  • Increase in gastrointestinal ulceration with non-steroidal anti-inflammatory drugs
  • Alteration in need for oral anticoagulants

Contraindications

  • Gastric and duodenal ulcers
  • Systemic and ophthalmic fungal infections
  • Viral infections, e.g. varicella and herpes genitalis infections
  • Glaucoma
  • Hypersensitivity to corticosteroids

Side Effects

  • Cushing-like syndrome
  • Fluid and electrolyte disturbances
  • Musculo-skeletal effects including myopathy, osteoporosis
  • Gastro-intestinal effects such as ulceration and haemorrhage
  • Dermatological effects like skin atrophy, striae, etc.

Pregnancy & Lactation

  • Pregnancy Category C
  • Use only if potential benefit justifies potential risk to fetus
  • Appear in breast milk, advised not to breast-feed at high dosages

Precautions & Warnings

  • Use lowest possible dose
  • Caution in patients with congestive heart failure, hypertension, or renal insufficiency
  • Minimize drug-induced secondary adrenocortical insufficiency by gradual reduction of dosage

Use in Special Populations

  • Titrate pediatric patients to lowest effective dose

Overdose Effects

  • Treatment by supportive and symptomatic therapy

Storage Conditions

  • Tablet: Store in cool & dry place, protected from light & moisture
  • Injection: Store below 30°C, protected from light, do not freeze

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