Neofordex 40 mg Oral Solution
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of symptomatic multiple myeloma in adults.
Dosage (summary)
40 mg once daily; lower doses may be considered for elderly or frail patients.
Special Populations
- Elderly
- Hepatic impairment
- Renal insufficiency
Pregnancy & Breastfeeding
May cause congenital malformations; contraindicated in pregnancy and breastfeeding.
Key Drug Interactions
- Live attenuated vaccines
- Ciclosporin
- NSAIDs
- Hypokalaemic medicines
Contraindications
- Hypersensitivity to dexamethasone
- Active viral disease
- Uncontrolled psychoses
- Active tuberculosis
Common side effects
- Hyperglycaemia
- Insomnia
- Pneumonia
- Neutropenia
- Thrombocytopenia
Counselling Points
- Take in the morning to minimize insomnia
- Monitor for signs of infection
- Avoid contact with chickenpox or measles
- Report any psychiatric symptoms
Serious warnings
- Risk of serious infections
- Psychiatric disorders
- Tumour lysis syndrome
- Gastrointestinal disorders
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