Cortan 10 mg (Tablet)

Unit Price: ৳ 3.23 (10 x 10: ৳ 323.00)
Strip Price: ৳ 32.30

Medicine Details

Title

  • Cortan

Categories

  • Medicine
  • Pharmaceutical

Description

  • Synthetic adrenocortical drug
  • Glucocorticoid properties
  • Inhibits phospholipase A2 enzyme
  • Reduces inflammatory mediators production
  • Rapid absorption from gastrointestinal tract
  • Metabolized in the liver
  • Excreted in urine
  • Used for Rheumatic Disorders, Endocrine Disorders, Dermatologic Diseases, Allergic States, Respiratory Diseases, Hematologic Disorders, Edematous States, Gastrointestinal Diseases, and more
  • Reduces potassium levels in the blood
  • Possible adverse effects on skin color, dizziness, flushing, sweating, and lightheadedness
  • Not recommended during pregnancy
  • Caution in diabetes, hypertension, psychological disturbances, osteoporosis, chronic nephritis
  • Potential risk for Cushing's habitus, hyperglycemia, muscular weakness, increased susceptibility to infection, delayed wound healing, and psychiatric disturbances
  • Cool and dry storage
  • Protected from light
  • Keep out of reach of children

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
  • Serum sickness
  • Drug hypersensitivity reactions
  • Symptomatic sarcoidosis
  • Berylliosis
  • Fulminating aspiration pneumonitis
  • Idiopathic thrombocytopenic purpura
  • Ulcerative colitis
  • Regional enteritis

Pharmacology

  • Synthetic adrenocortical drug
  • Predominantly glucocorticoid properties
  • Inhibits action of phospholipase A2 enzyme
  • Reduces production of inflammatory mediators like Leukotrienes, SRS-A, Prostaglandins
  • Rapid and well absorbed from gastrointestinal tract
  • 70-90% protein-bound in plasma
  • Eliminated from plasma with a half-life of 2 to 4 hours
  • Metabolized mainly in the liver
  • Excreted in the urine

Dosage & Administration

  • Adult nephrotic syndrome initial dose: 2 mg/kg/day (maximum 80 mg/day)
  • Adult maintenance dose: 0.5 to 1 mg/kg/dose given every other day for 3 to 6 months
  • Anti-inflammatory dose: 5 to 60 mg per day in divided doses 1 to 4 times/day
  • Acute asthma dose: 40-60 mg/day PO in single daily dose or divided q12 hr for 3-10 days
  • Pediatric asthma dose varies by age

Interaction

  • Reduced efficacy with Aminoglutethimide, Antacids, Barbiturates, Carbamazepine, Griseofulvin, Mitotane, Phenylbutazone, Phenytoin, Primidone, and Rifampin
  • Reduces potassium in the blood
  • Potential adverse interactions with Digitalis and immunizations

Contraindications

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

Side Effects

  • Increased appetite
  • Indigestion
  • Nervousness or restlessness
  • Darkening or lightening of skin color
  • Dizziness or lightheadedness
  • Flushing of face or cheeks
  • Hiccups
  • Increased sweating
  • Sensation of spinning

Pregnancy & Lactation

  • Not recommended during pregnancy unless essential
  • Caution during lactation due to potential effects on breast milk

Precautions & Warnings

  • Caution in diabetes, hypertension, psychological disturbances, osteoporosis, post-menopausal women, pregnancy, and chronic nephritis
  • Long-term use can lead to Cushing's habitus, hyperglycemia, muscular weakness, increased susceptibility to infection, delayed wound healing, and psychiatric disturbances

Overdose Effects

  • Adverse effects develop after prolonged use of excess doses
  • Treatment is symptomatic

Therapeutic Class

  • Glucocorticoids

Storage Conditions

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

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