Solu-Medrol 1 gm/vial (IM/IV Injection)

1 gm vial: ৳ 2,810.00

Medicine Details

Title

  • Solu-Medrol IM/IV

Category

  • Medicine
  • Pharmaceutical
  • Healthcare

Indications

  • Endocrine disorders
  • Rheumatic disorders
  • Collagen diseases
  • Dermatological diseases
  • Allergic states
  • Ophthalmic diseases
  • Gastrointestinal diseases
  • Respiratory diseases
  • Hematologic disorders
  • Neoplastic diseases
  • Edematous state
  • Tuberculous meningitis
  • Trichinosis

Pharmacology

  • Naturally occurring glucocorticoid
  • Salt-retaining properties
  • Potent anti-inflammatory effects
  • Excretion within 12 hours
  • Influence on carbohydrate, protein, fat and purine metabolism
  • Suppressive effect on the immune response

Dosage & Administration

  • Administered by IM or IV
  • High dose therapy
  • Dosage variation based on clinical problem
  • Gradual decrease or discontinuation of dosage
  • Different initial dose for pediatric patients
  • Specific dosage for the treatment of acute exacerbations of multiple sclerosis

Interaction

  • Aminoglutethimide
  • Amphotericin B injection and potassium-depleting agents
  • Macrolide antibiotics
  • Anticholinesterases
  • Anticoagulants, oral
  • Antidiabetics
  • Antitubercular drugs
  • Cholestyramine
  • Cyclosporine
  • Digitalis glycosides
  • Estrogens, including oral contraceptives
  • Hepatic Enzyme Inhibitors
  • Ketoconazole
  • Nonsteroidal anti-inflammatory agents (NSAIDs)
  • Skin tests
  • Vaccines

Contraindications

  • Systemic fungal infections
  • Known hypersensitivity
  • Intrathecal administration
  • Idiopathic thrombocytopenic purpura

Side Effects

  • Fluid and electrolyte disturbances
  • Musculoskeletal effects
  • Gastrointestinal effects
  • Dermatologic effects
  • Neurological effects
  • Endocrine effects
  • Ophthalmic effects
  • Others (Negative nitrogen balance)

Pregnancy & Lactation

  • Teratogenic effects in many species
  • No adequate and well-controlled studies in pregnant women
  • Systemically administered corticosteroids in human milk
  • Potential risk to the fetus
  • Observation required for infants born to mothers who received corticosteroids

Precautions & Warnings

  • Sensitive to heat
  • Use lowest possible dose
  • Gradual reduction in dosage
  • Risk/benefit decision for dose and duration
  • Complications dependent on dose and duration
  • Observation for clinical improvement upon discontinuation

Use in Special Populations

  • Similar adverse effects in pediatric patients and adults
  • Decrease in growth velocity in pediatric patients
  • Need for minimizing potential growth effects in pediatric patients
  • Cautious dose selection for geriatric patients

Overdose Effects

  • Supportive and symptomatic therapy
  • Temporary reduction of corticosteroid dosage for chronic overdose

Therapeutic Class

  • Glucocorticoids

Reconstitution

  • Removal of protective plastic flip-of seal
  • Cleansing stopper with suitable germicide
  • Aseptic addition of Water for Injection BP
  • Agitation for solution formation
  • Injection withdrawal after solution formation

Storage Conditions

  • Protection from light
  • Controlled room temperature storage
  • Usage within 48 hours after mixing

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