Dextason 0.5 mg (Tablet)

Unit Price: ৳ 0.60 (10 x 10: ৳ 60.00)
Strip Price: ৳ 6.00

Medicine Details

Category Details
Generic Dexamethasone
Company Ziska pharmaceuticals ltd
Also available as

Indications

  • Severe allergic conditions in asthma
  • Atopic dermatitis control
  • Contact dermatitis control
  • Drug hypersensitivity reactions control
  • Perennial allergic rhinitis control
  • Serum sickness control
  • Lupus erythematosus control
  • Bullous dermatitis herpetiformis control
  • Exfoliative erythroderma control
  • Mycosis fungoides control
  • Pemphigus control
  • Severe erythema multiforme control
  • Primary adrenocortical insufficiency treatment
  • Congenital adrenal hyperplasia treatment
  • Hypercalcemia associated with cancer treatment
  • Nonsuppurative thyroiditis treatment
  • Berylliosis control
  • Fulminating or disseminated pulmonary tuberculosis control
  • Idiopathic eosinophilic pneumonias treatment
  • Symptomatic sarcoidosis treatment
  • Acute exacerbations of multiple sclerosis treatment

Pharmacology

  • Synthetic glucocorticoid
  • Inflammation reduction
  • Leukocyte migration inhibition
  • Capillary permeability reversal
  • Immune response suppression

Dosage & Administration

  • Daily Oral Dosage (Adults): 1-10 mg
  • Daily Oral Dosage (Children): 0.03-0.20 mg/kg body weight
  • Dexamethasone Suppression Test Dosage: 1 mg or 0.5 mg every 6 hours
  • Intravenous Injection Dosage: Massive doses given slowly
  • Intramuscular Injection Dosage: Deep intramuscular injection
  • Local Therapy Dosage: 2-4 mg in large joints, 0.8-1 mg in small joints

Interaction

  • Enhanced potassium loss with diuretics and/or cardiac glycosides
  • Impaired glucose tolerance with antidiabetics
  • Increased gastro-intestinal ulceration incidence/severity with non-steroidal anti-inflammatory drugs
  • Altered need for oral anti-coagulants
  • Less effectiveness with liver enzyme inducing drugs

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
  • Hirsutism
  • Menstrual irregularities
  • Osteoporosis
  • Aseptic necrosis of femoral and humeral heads
  • Gastric and duodenal ulceration
  • Skin atrophy
  • Psychic disturbances
  • Glaucoma
  • Increased susceptibility to infections

Pregnancy & Lactation

  • Pregnancy Category C
  • Potential presence in breast milk

Precautions & Warnings

  • Use lowest possible dose
  • Caution in cardio-renal conditions
  • Minimize drug-induced secondary adrenocortical insufficiency
  • Caution in gastrointestinal conditions
  • Consideration for patients at risk of osteoporosis
  • Be aware of acute myopathy potential

Use in Special Populations

Titration to lowest effective dose for pediatric patients

Overdose Effects

Treatment by supportive and symptomatic therapy

Storage Conditions

  • Tablet: Cool, dry place; protected from light and moisture
  • Injection: Below 30°C; protected from light

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