Dexamethasone 4 Mg/1 Ml Fresenius 4 mg/1 ml Solution for injection.
Clinical Summary
Quick overview from the medicine insert
Indication
Used as an anti-inflammatory or immunosuppressant in corticosteroid therapy.
Dosage (summary)
Usual adult dosage ranges from 0.5 mg to 20 mg daily, depending on severity.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
- Diabetes mellitus
- Heart failure
Pregnancy & Breastfeeding
May cause fetal adrenal suppression; safety in lactation not established.
Key Drug Interactions
- CYP3A inhibitors may increase side effects
- Barbiturates and rifampicin may reduce effectiveness
- Potassium-depleting diuretics may cause hypokalaemia
Contraindications
- Hypersensitivity to corticosteroids
- Acute infections uncontrolled by antibiotics
- Acute psychosis
- Ocular herpes simplex
- Primary glaucoma
- Osteoporosis
- Peptic ulceration
Common side effects
- Increased susceptibility to infections
- Cushingoid symptoms
- Psychiatric disturbances
- Gastrointestinal issues
- Ocular changes
Counselling Points
- Monitor for signs of infection
- Avoid live vaccines during treatment
- Gradual dosage reduction is essential
- Report any psychiatric symptoms immediately
Serious warnings
- Risk of anaphylactoid reactions
- Cardiovascular collapse with rapid injection
- Adrenal insufficiency upon withdrawal
- Increased risk of infections
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