Cortan 5 mg (Tablet)

Unit Price: ৳ 1.72 (15 x 14: ৳ 361.20)
Strip Price: ৳ 24.08

Medicine Details

Indications

  • Psoriatic arthritis
  • Rheumatoid arthritis
  • Juvenile rheumatoid arthritis
  • Ankylosing spondylitis
  • Acute and subacute bursitis
  • Acute nonspecific tenosynovitis
  • Acute gouty arthritis
  • Post-traumatic osteoarthritis
  • Primary or secondary adrenocortical insufficiency
  • Congenital adrenal hyperplasia
  • Nonsuppurative thyroiditis
  • Hypercalcemia associated with cancer
  • Pemphigus
  • Bullous dermatitis herpetiformis
  • Severe erythema multiforme
  • Exfoliative dermatitis
  • Mycosis fungoides
  • Severe psoriasis
  • Seasonal or perennial allergic rhinitis
  • Bronchial asthma
  • Contact dermatitis
  • Atopic dermatitis
  • Symptomatic sarcoidosis
  • Berylliosis
  • Fulminating aspiration pneumonitis
  • Idiopathic thrombocytopenic purpura
  • Secondary thrombocytopenia
  • Acquired (autoimmune) hemolytic anemia
  • Erythroblastopenia (RBC anemia)
  • To induce diuresis in nephrotic syndrome
  • Ulcerative colitis
  • Regional enteritis

Pharmacology

  • Synthetic adrenocortical drug
  • Glucocorticoid properties
  • Inhibition of Phospholipase A2 enzyme
  • Rapid and well absorption from gastrointestinal tract
  • 70-90% protein-bound in plasma
  • Metabolism mainly in the liver
  • Excretion in the urine

Dosage & Administration

  • Adult:
    • Nephrotic Syndrome: 2 mg/kg/day (maximum 80 mg/day)
    • Anti-inflammatory: 5 to 60 mg per day
    • Acute Asthma: 40-60 mg/day in single or divided doses
    • Allergic Conditions: Day-wise dosage variation
  • Pediatric:
    • Asthma: Dosage based on age
    • Anti-inflammatory: 0.05 to 2 mg/kg/day
    • Immunosuppression: 0.05 to 2 mg/kg/day

Interaction

  • Reduced efficacy by Aminoglutethimide, Antacids, Barbiturates, Carbamazepine, Griseofulvin, Mitotane, Phenylbutazone, Phenytoin, Primidone and Rifampin
  • Reduction of potassium levels in the blood
  • Potential cardiac arrhythmias with Digitalis
  • Careful immunization required

Contraindications

  • Systemic infections without specific anti-infective therapy
  • Hypersensitivity to any ingredient
  • Ocular herpes simplex

Side Effects

  • Increased appetite
  • Indigestion
  • Nervousness or restlessness
  • Changes in skin color
  • Dizziness or lightheadedness
  • Facial flushing
  • Hiccups
  • Increased sweating
  • Sensation of spinning

Pregnancy & Lactation

Not recommended during pregnancy, caution needed during lactation

Precautions & Warnings

  • Diabetes
  • Hypertension
  • Psychological disturbances
  • Osteoporosis
  • Post-menopausal women
  • Chronic nephritis
  • Possible Cushing's habitus
  • Hyperglycemia
  • Muscular weakness
  • Increased susceptibility to infection
  • Delayed wound healing
  • Psychiatric disturbances

Overdose Effects

Adverse effects after prolonged use, gradual dose reduction recommended

Therapeutic Class

Glucocorticoids

Storage Conditions

Cool, dry place, protected from light, keep out of reach of children

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