Cortisol 5

৳ 1.70

Cortisol 5 5 mg Tablet

Description

Cortisol 5 5 mg Tablet

Indications: rheumatic diseases, not controlled by NSAIDs; suppression of inflammatory and allergic disorders; inflammatory bowel disorders; immuno-suppression
Cautions: adrenal suppression, infection, growth retardation in children and adolescents, peptic ulceration, diabetes mellitus, pregnancy and breast feeding; special precautions needs to be observed in elderly (side effects more serious), in those with history of tuberculosis (reactivation of tuberculosis is possible), in osteoporosis (post-menopausal women at special risk). Monitoring is required in hypertension, congestive heart failure, recent myocardial infarction, liver failure, renal impairment and glaucoma
Contraindications: systemic infection (unless specific antimicrobial therapy given); avoid live virus vaccine (serum antibody response diminished)
Side-effects: musculoskeletal effects include proximal myopathy, osteo-porosis, vertebral and long bone fractures, avascular necrosis, tendon rapture; for other side-effects see under endocrine section
Dose:by mouth, initially 15-30 mg daily in divided doses (up to 80 mg daily in severe cases), should be taken after meals and preferably covered by an H2 blocker drug (e.g. ranitidine). The dose should be tapered rapidly to a maintenance as low as possible (e.g. 5 mg daily).
By intramuscular injection,methyl-prednisolone acetate, 25-100 mg repeated after 2-3 weeks
By intravenous injection, methylpredni-solone sodium sodium succinate, slow intravenous injection or infusion, up to 1 gm for not more than three days

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