Benoboston anti -allergy treatment for allergic rhinitis, acute urticaria (500 tablets)

Instructions on how to handle ADR

When experiencing side effects of the drug, it is necessary to stop using and notify the doctor or go to the nearest medical facility for timely treatment.

Risk of urinary retention related to prostate urethral disorders.

The form of preparation is not suitable for children under 6 years old.

This drug is not recommended for:

Be cautious when using

Caution with Betamethasone

The drug is used carefully for tuberculosis patients, gastrointestinal ulcers, mental illnesses, herpes simply caused by herpes, cardiovascular disease, including high blood pressure, thrombosis, cataracts under the following bags, diabetes, osteoporosis, liver disease, infections, narrow -angle glauca, obstruction of the pylorus, prostate enlargement or bladder obstruction.

The drug is also used to be used carefully for patients with acute myocardial infarction before (there is a report on cardiac arrest).

When you want to stop the drug, you must gradually reduce the dose and replace it with other medications more appropriately.

Average doses and high doses of corticosteroids increase blood pressure, keep salt and water, increase potassium elimination. Consider a diet that limits salt and provides more potassium. All corticosteroids increase calcium elimination.

When using corticosteroids in children, severe viral infections such as seasonal perching and measles may be worse due to the effect of inhibiting the immunosuppressure of the drug.

During the treatment with corticosteroids, patients should not get seasonal vaccinations. Immune measures should not be applied for patients taking corticosteroids, especially when used in high doses because of the neurological complication and lack of antibody response.

has not determined the safety and effectiveness of the drug in children under 3 years old.

Should closely monitor the growth and development of children because corticosteroids can affect the growth and inhibition of endogenous corticosteroids in these patients.

Using Cortisteroids is at risk of urticaria. Therefore, the treatment of chronic urticaria symptoms is not shown to be effective.

Corticosteroid treatment may increase the risk of infections, especially bacteria, yeast and parasites. The appearance of malignant eelworm is a significant risk. All subjects from the circulation area (tropical, subtropical, southern Europe) need to check the parasites and have the method of eradication before corticosteroid treatment. Before starting treatment, it is important to eliminate internal infections, especially tuberculosis, and monitor the appearance of infectious diseases during treatment. In the case of long -term tuberculosis, tuberculosis prophylaxis is necessary if there is a significant sequelae due to radiation, and if it is not certain that a 6 -month treatment has been performed with Rifampicin.

The use of corticosteroids should be closely monitored, especially in the elderly, patients with ulcerative colitis (at risk of perforation), patients with recent intestinal connectivity, liver failure, kidney failure, osteoporosis, muscle weakness.

Be cautious with dexchlopheniramine maleate

Elderly patients in the case:

Patients with severe hepatic or renal failure, due to the risk of drug accumulation.

Do not recommend the use of alcoholic beverages and drugs during treatment.

Caution with excipients

The drug contains lactose. Do not use for patients with rare genetic problems with galactose, lactase deficiency, or Glucose - Galactose.

The drug contains starch starter, suitable for patients with fat diarrhea. Do not use for patients allergic to starch (except in the case of fat diarrhea).

The ability to drive and operate machinery

Because the drug has an unwanted effect such as causing drowsiness, blurred vision, dizziness, it is cautious when driving, operating machinery, working on high or other cases.

Pregnancy

Because children born from mothers use corticosteroids during pregnancy suffering from adrenal and safety function of this drug in pregnant women who have not been determined, the use of this drug for pregnant women, nursing women or women during reproductive period should consider the benefits of treatment and the ability to endanger the mother and the mother.

The period of breastfeeding

The use of this medication for breastfeeding women needs to consider the benefits of treatment and the ability to endanger the mother and infant.

Drug interaction

betamethasone

Twisted drugs (Astemizol, Bepridil, Erythromycin intravenously, Halofantrin, Pentamidine, Sparfloxacin, Sultopride, Terfenadine, Vincamine, Amiodarone, Bretylium, Disopyramide, Quinidine, Sotalol): Hypotension as well as the heart of the heart of the heart and extended the QT from the QT from QT. First is the factor that contributes to the torsion. Therefore, the vertex can occur when used with betamethasone in the case of hypokalemia.

acetylsalicylic: corticoid can reduce the concentration of salicylate in the blood. Be careful when combining acetylsalicylic acid with corticosteroids in case of reducing blood prothrombin.

Oral anticoagulant: Corticosteroids simultaneously used with anticoagulants of cooumarin may increase or decrease the anticoagulant effect, so the dose can be adjusted.

Digitalis: Concentrated use of corticosteroids with glycoside may increase the possibility of arrhythmia or toxicity of digitalis and hypotension.

Heparin injected: Heparin worsens the risk of bleeding due to corticosteroids (stomach mucosa, fragile blood vessels) when taking high doses or lasts more than 10 days. Coordination must be explained and strengthened supervision.

Enzyme induction substances: Concentrated with phenobarbital, phenytoin, rifampin or ephedrine may increase corticoid metabolism, thus reducing the effect of corticosteroids.

insulin, metformin, sulfonylurea: hyperglycemia with ceton infection (because corticosteroids reduce carbohydrate intolerance). The patient should be warned and increased blood and urine monitoring, especially when starting to treat. The dose may be needed during treatment with corticosteroids and after stopping the drug.

Isoniazid: reduces the plasma isoniazid levels.

Popular effect on the stomach - intestines (salt, oxide and hydroxide of aluminum, magnesi and calcium): reduces the absorption of glucocorticoids. Do not use with glucocorticoid (at least 2 hours away from the dose time if possible).

Anti -blood pressure: Reducing the effect of hypotension.

Interferon alpha: Inhibiting the operation of interferon.

Living vaccine: The risk of disease outbreak, can be fatal. This risk is increased in patients who have been inhibited immunology due to their other pathology. Replace with an inactive vaccine when possible (polio vaccine).

Patients taking both corticosteroids and estrogen should be monitored for excessive effects of corticosteroids.

Increase ulcer and gastrointestinal bleeding when sharing nonsteroidal anti -inflammatory drugs with corticosteroids.

dexchlorpheniramine

Alcohol: Increases the sedative effects of antihistamine H1.

Other central neurological inhibitors (sedatives, barbiturates, benzodiazepine, clonidine and related antidepressants, sleeping pills, opioid derivatives (analgesic and cough medications), methadone, Anxioltic): Increases depression on the central nervous system. Affect the ability to drive and operate machinery.

Atropine and other Atropine (3 -round antidepressants, anti -cholinergic drugs, Atropine anti -spasms, disopyramide, phenothiazine sedatives): increase the side effects of atropine such as urinary retention, constipation, dry mouth.