Shinil Dexamethasone Tablet

Adult dose

As dexamethasone, typically for adults, 0.5-8mg is administered orally in 1-4 divided doses per day. Adjust according to age and symptoms.

Child dose

As dexamethasone, typically for children, 0.15-4mg is administered orally in 1-4 divided doses per day. Adjust according to age and symptoms.

This medication should not be used in certain patients. For example, patients who are allergic to this medication or any of its components, those who have received live vaccines, patients with herpes simplex, herpes zoster, or chickenpox, and those with infectious diseases or systemic fungal infections that do not have effective antimicrobial agents should not take this medication. Additionally, patients with genetic issues such as galactose intolerance, lactase deficiency, or glucose-galactose malabsorption should not use this medication. This medication should be administered with caution to patients with various conditions such as glaucoma, tuberculosis, hypertension, thromboembolic disorders, peptic ulcers, psychiatric disorders, and osteoporosis. These patients may experience exacerbation of symptoms due to side effects of this drug, so the decision to use it should be made based on a physician's judgment. Prolonged use of this medication may result in various side effects such as adrenal insufficiency, increased blood glucose, osteoporosis, gastrointestinal disturbances, mental disorders, muscle weakness, skin problems, fluid retention, and requires careful monitoring. Particularly during the use of this medication, there is an increased susceptibility to infections, and symptoms of infection may be masked, so careful infection management is necessary. Women who are pregnant or may become pregnant should carefully consider the potential effects on the fetus when using this medication, and breastfeeding should be discontinued during treatment. In children and adolescents, side effects such as growth retardation may occur, so the lowest effective dose should be used and growth should be closely monitored. Elderly patients may experience side effects more easily, including infections, diabetes, osteoporosis, and glaucoma, and therefore should use this medication with particular caution. This medication may interact with various drugs, so if you are taking other medications, you must consult a physician or pharmacist, and dose adjustments or discontinuation may be necessary depending on the medications taken. Lastly, before administering this medication, it is essential to confirm the patient’s history of chickenpox or measles vaccination, and if there is a high risk of infection, particular care should be taken, and if infection is suspected or occurs, the medical staff should be notified immediately for appropriate treatment.

Serious side effects

• Urticaria, severe swelling (including angioedema), chest tightness, difficulty breathing, cold sweat, pallor → severe allergic reaction.
• Severe rash with fever, blisters, skin peeling, pain in mucous membranes of mouth/eyes → severe skin adverse reaction.
• Shortness of breath or difficulty breathing, asthma attacks, cough with fever → respiratory issues.
• Yellowing of skin or eyes (jaundice), profound fatigue → liver dysfunction.

Mild side effects

Infections, secondary adrenal insufficiency, diabetes, menstrual irregularities, suppression of adrenocorticotropic hormone secretion, Cushing's syndrome, buffalo hump, peptic ulcer, gastrointestinal bleeding, pancreatitis, diarrhea, nausea, vomiting, abdominal pain, heartburn, abdominal distension, thirst, loss of appetite, increased appetite, psychiatric disorders, depression, euphoria, insomnia, headache, dizziness, seizures, osteoporosis, avascular necrosis of the femoral and humeral heads, myopathy.

This medication is sensitive to light and should be stored in a container that prevents light exposure. Additionally, it is important to store the medication at a temperature between 1°C and 30°C to maintain its effectiveness.

Appearance

White tablet with one side rounded and the other side flat.

Package unit

1000 tablets/bottle