Samnam Dexamethasone Tablet

Key information summary

Efficacy & effects

This medication is used for primary and secondary adrenal cortex insufficiency, acute adrenal insufficiency, and adrenal crisis. In rheumatic disorders, it helps prevent short-term exacerbation of symptoms such as rheumatoid arthritis, polyarthritis, osteoarthritis, and acute gouty arthritis. It is also used to treat collagen diseases such as systemic lupus erythematosus, acute rheumatic myocarditis, and dermatomyositis. For skin conditions, it improves various states such as pemphigus, severe psoriasis, and atopic dermatitis. It is effective for allergic diseases such as bronchial asthma, atopic dermatitis, urticaria, and anaphylactic shock. In addition, it is used for several conditions, including iritis, ulcerative colitis, acquired hemolytic anemia, and nephrotic syndrome, to alleviate and treat symptoms.

Dosage

Dexamethasone is usually administered orally in divided doses of 0.5-8 mg per day for adult patients. It should be adjusted appropriately based on age and symptoms.

Precautions

This medication should not be administered to certain patients. For example, it should not be used in patients who are allergic to this medication or its ingredients, in patients who have received live vaccines, or in patients with herpes simplex, shingles, or chickenpox. Additionally, caution should be exercised in patients with infections or systemic fungal infections, as this medication can suppress immune function and worsen infections. This medication contains lactose and should not be administered to patients with lactose intolerance or specific genetic issues. Patients with existing conditions such as glaucoma, tuberculosis, hypertension, thrombosis, peptic ulcers, psychiatric disorders, and osteoporosis should use this medication with particular caution. This medication can increase intraocular pressure, elevate blood pressure, and decrease bone density, thus posing a risk of exacerbating existing conditions. Long-term use of this medication can lead to various side effects such as adrenal insufficiency, diabetes, peptic ulcers, mental disorders, osteoporosis, fluid retention, and increased intraocular pressure, necessitating regular monitoring and testing. Particularly, during the course of this medication, there may be increased susceptibility to infections, so attention to infection symptoms is crucial, and if infection is suspected, immediate consultation with medical personnel is necessary. Moreover, this medication can interact with several other drugs, so if other medications are being taken, it is essential to inform the physician or pharmacist. For example, dosage adjustments or caution may be necessary when combined with anticoagulants, antihypertensives, antidiabetic agents, and antibiotics. Women who are pregnant or potentially pregnant should use this medication only when the benefits of treatment outweigh the risks to the fetus, and if breastfeeding, they should discontinue nursing. When administered to children, caution should be exercised due to the risk of growth retardation, and the minimum effective dose should be used. Long-term administration should be monitored for potential side effects like increased intracranial pressure. Elderly patients are at higher risk for side effects such as infections, diabetes, osteoporosis, and hypertension, requiring even more caution. Finally, diabetic patients may experience sudden vision loss or blurred vision while taking this medication, necessitating regular ophthalmologic examinations.

Side effects

Urticaria, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, high fever with severe rash, blisters, peeling skin, pain in oral/ocular mucosa, shortness of breath or difficulty breathing, asthma attack, abnormal respiratory pattern accompanied by cough and fever, yellowing of skin or eyes (jaundice), extreme fatigue, sudden and severe headache, thunderclap headache, seizures, confusion, visual disturbances, paralysis, urination

Alternatives / Same-ingredient medications

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  Bukwang Dexamethasone Tablets

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• 

  Sinil Dexamethasone Tablet

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• 

  Yuhan Dexamethasone Tablet

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