Basmetin 6mg Medisun treats bronchial asthma, rheumatoid arthritis (2 blisters x 10 tablets)

Nephrotic syndrome has minimal damage, acute interstitial nephritis.

Acute rheumatism.

Mental system: Mental disorders, depression, behavioral disorders.

Patients who are infected with systemic infections unless anti -bacterial therapy is used.

Caution when using

to be out of reach of children.

Read the instructions carefully when using the drug. Refer to the instructions of the doctor.

Patients with sugar intolerance should not be used.

Use the only dose in the morning and the lowest dose and still achieve the treatment effect. Adjust the appropriate dose in each patient.

Adrenal inhibition occurs during treatment and may last even after stopping using the drug. Reducing corticosteroid dose after prolonged treatment should gradually gradually, avoiding impaired adrenal function may cause death, reduce the dose by week or month by dose and treatment time. During prolonged treatment, any bacterial infection, injury or surgical procedure must increase the temporary corticosteroid dose. If stopping using corticosteroids after prolonged treatment, it may be reused. Patients need to notify the doctor about having used corticosteroids for appropriate treatment.

Anti -inflammatory, immunosuppressive effect

Anti -inflammatory, immunosuppressive effects of corticosteroids increase the likelihood of infection and worsen the existing infections. Signs of serious infections such as bacterial infections, tuberculosis may be concealed, only detected when the progression has been evolved.

For patients with immunodeficiency with chickenpox can lead to death, so it is necessary to take special care. Patients (or patient care) do not have a history of chickenpox should avoid contact with chickenpox or herpes zoster virus if exposed, so they should go to the medical facility immediately. There is a diagnosis of chickenpox in patients who are taking corticosteroids for systemic sugar or those who have used corticosteroids within 3 months ago, the special care regime should not stop corticosteroids, may need to increase the dose. Preventive treatment may be required with normal intramuscular vaccine.

Do not inject vital vaccines for people with poor immune response. Antibody reactions to vaccines may be reduced.

Be cautious when using the drug, which can reduce vision, stomach pain even when used in low doses.

Prolonged use can cause cataracts, glaucoma, optic nerve damage, increase the likelihood of secondary eye infections caused by fungi or super bacteria.

If glucorticoid is indicated in potential tuberculosis patients or positive tuberculin reactions, it is necessary to closely monitor the recurrence of the disease. Using glucocorticoid can cause meningitis, this effect of the drug can be increased when used with quinolon.

The starch in this drug contains only very low gluten content and less harmful if the patient has Celiac disease.

A unit of dose> does not contain more than 20 mcg gluten.

If allergic to wheat (avoiding Celic disease), patients should not use this medication.

The drug contains lactose excipients, so patients with rare genetic disorders such as galactose tolerance, completely lactase deficiency or absorbent Glucose Galactose should not use this drug.

The following patients using glucocorticoids need to be closely monitored

heart disease or congestive heart failure (except in the case of acute heart inflammation), hypertension, arterial thrombosis.

Glucocorticoid can cause salt and water retention.

Gastritis or esophagitis, appendicitis, ulcerative colitis are likely to be perforated, abscess or pneumonia, gastric ulcer.

Diabetes or family history of people with osteoporosis, muscle weakness, kidney failure.

Mental disorders, behavior.

muscle pain caused by corticosteroids before.

cirrhosis, liver failure can increase the effects of glucocorticoid.

Herpes simplex in the eyes.

Patients and patients should be instructed on unwanted effects related to mental disorders when using systemic glucocorticoid. Symptoms may appear within a few days or weeks after the beginning of treatment, prone to high doses in the body. Most manifestations of mental disorders will be lost after a decrease in the dose or patient medication and patient care should meet medical staff when there are psychological disorders, depression, suicide thoughts. Consider when using systemic corticosteroids in patients with mental disorders including previous depression, or family history.

Glucocorticoid causes menstrual disorders and leukemia, cautious when using Deflazacort.

Children

corticosteroids that cause developmental retardation are related to dosage in newborns, young children and adolescents, cannot be submitted to the use of drugs.

Elderly

Unwanted effects of systemic corticosteroids. There may be more serious consequences in old age, especially osteoporosis, hypertension, hypokalemia, diabetes, susceptible to infection and skin thinning. When using the drug, it is necessary to monitor closely.

Because the complications of the use of glucocorticoid depends on the dose and treatment time, the lowest dose must be used effectively and consider the risk of benefits because whether or not to use it regularly.

The ability to drive and operate machinery

The efficiency of corticosteroids for driving or using machinery has not been systematically evaluated. Dizziness is an unwanted effect that can occur after Deflazacort treatment. If affected, patients should not drive or operate machinery.

pregnancy

corticosteroids through the placenta at different levels depending on the type of drug, however, Deflazacort does not pass the placenta.

The use of corticosteroids on pregnant animals may cause abnormalities to the fetus that does not have enough evidence that corticosteroids lead to an increase in the incidence of congenital abnormalities, such as open mouth/lips in humans. However, when taking the drug for a long time or repeating many times during pregnancy, corticosteroids may increase the risk of uterine retardation. Only use corticosteroids for pregnant women when really necessary, consider benefits and risks.

The period of breastfeeding. The mother uses Deflazacort dose of up to 50 mg/day using the whole body sugar that does not affect babies. When using higher doses can cause adrenal inhibition. Need to consider the benefits and risks when using the drug, only used when really necessary.

Drug interaction

Deflazacort is metabolized in the liver. Deflazacort should be increased if used with liver enzyme induction drugs, such as rifampicin, rifabutin, carbamazepin, phenobarbiton, phenytoin, primidon and aminoglutethimid. For enzyme inhibitors, such as ketoconazole, Deflazacort can be reduced. Used with CYP3A4 inhibitors, increasing the side effects of corticosteroids, which should consider benefits and risks before use.

In patients using estrogen, corticosteroid dose can be reduced.

Effects of hypoglycemic drugs (including insulin), hypertension and diuretics increased when used with corticosteroids and potassium lowering effects of acetazolamid, diuretics, thiazid diuretics, beta -drewing drugs, carbenoxolons increase.

The effectiveness of COUMARIN anticoagulants increases when used with corticosteroids and must closely monitor RNI or prothrombin time to avoid spontaneous bleeding.

In patients treated with systemic corticosteroids, using non -reducing muscle relaxants can lead to prolonged muscle relaxation and acute muscle pain. Risk factors include prolonged and high doses of corticosteroid treatment and prolonged muscle paralysis time.

Glucocorticoid causes immunosuppressive inhibitors, closely monitoring patients with infection symptoms encountered. Also using glucocorticoids and oral contraceptives should be closely monitored because the glucocorticoid concentration in plasma may increase. This effect may be due to a change in metabolism or attached to plasma proteins.

Antacids can reduce the bioavailability of the drug. Use glucocorticoid 2 hours before using antacids.

Salicylate's clearance through the kidneys increases due to corticosteroids and the stop use of steroids can lead to salicylate poisoning.