Dexone

dexamethasone

Brand(s):

• Dexamethasone

Manufacturer:

• Medibest Pharma Pvt. Ltd.

Disease(s):

• Asthma / Allergy / Osteoarthritis

Dexamethasone Tablets

What is Dexamethasone?

Dexamethasone is a corticosteroid medication. Corticosteroids are a type of steroid hormone that reduces inflammation throughout the body. Dexamethasone is commonly prescribed to treat inflammatory conditions affecting the skin, joints, lungs, and other organs. It's frequently used for conditions such as asthma, allergies, and arthritis. Beyond these common uses, dexamethasone also finds application in treating various other conditions, including certain blood disorders and adrenal gland diseases. It works by suppressing the immune system's response to inflammation, reducing swelling and discomfort.

Important Information to Share with Your Doctor

Before starting dexamethasone, it's crucial to inform your healthcare provider about your complete medical history. This includes any pre-existing conditions, such as:

• Cushing's syndrome
• Diabetes (Dexamethasone can affect blood sugar levels)
• Glaucoma
• Heart problems or heart disease
• High blood pressure
• Infections (e.g., herpes, measles, tuberculosis, chickenpox – dexamethasone can worsen these)
• Kidney disease
• Liver disease
• Mental health conditions
• Myasthenia gravis
• Osteoporosis
• History of heart attack
• Seizures
• Stomach, ulcer, or intestinal diseases (including colitis and diverticulitis)
• Thyroid problems
• Allergies to dexamethasone, other corticosteroids, medications, lactose, foods, dyes, or preservatives
• Pregnancy or plans to become pregnant
• Breastfeeding

Providing this information helps your doctor determine the appropriate dosage and monitor for potential interactions or side effects.

How to Take Dexamethasone

Dexamethasone tablets are taken orally with a glass of water. Always follow your doctor's instructions precisely, as prescribed on the label. Taking it with food or milk can help prevent stomach upset. If your dose is once daily, it's best taken in the morning. Never exceed the prescribed dosage. Abruptly stopping dexamethasone can lead to serious withdrawal symptoms, so always follow your doctor's advice regarding gradual dose reduction if discontinuation is necessary.

Children require special considerations, so discuss the appropriate dosage with your pediatrician. Older adults (over 65) may be more sensitive to dexamethasone and might need a lower dose. If you suspect an overdose, immediately contact a poison control center or emergency room.

This medication is for your use only. Do not share it with others.

Missed Dose

If you miss a dose, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and resume your regular schedule. Never double the dose without consulting your doctor or healthcare provider.

Potential Drug Interactions

Some medications should not be taken with dexamethasone. These include:

• Mifepristone (RU-486)
• Vaccines (live vaccines should be avoided)

Dexamethasone can also interact with many other medications, including:

• Amphotericin B
• Certain antibiotics (e.g., clarithromycin, erythromycin, troleandomycin)
• Aspirin and aspirin-like drugs
• Barbiturates (e.g., phenobarbital)
• Carbamazepine
• Cholestyramine
• Cholinesterase inhibitors (e.g., donepezil, galantamine, rivastigmine, tacrine)
• Cyclosporine
• Digoxin
• Diuretics
• Ephedrine
• Female hormones (e.g., estrogens, progestins, birth control pills)
• Indinavir
• Isoniazid
• Ketoconazole
• Diabetes medications
• Muscle tone/strength enhancers (for conditions like myasthenia gravis)
• NSAIDs (e.g., ibuprofen, naproxen)
• Phenytoin
• Rifampin
• Thalidomide
• Warfarin

This list isn't exhaustive. Always provide your doctor with a complete list of all medications, herbs, over-the-counter drugs, and supplements you use, including alcohol and tobacco use.

Monitoring Your Health While on Dexamethasone

Regular check-ups with your doctor are essential, especially during long-term treatment. If you're taking dexamethasone for an extended period, consider carrying an identification card with your medication details and doctor's information.

Dexamethasone can weaken your immune system, increasing your susceptibility to infections. Avoid contact with sick individuals and promptly inform your doctor if you're exposed to measles or chickenpox.

If surgery is planned, inform your surgeon about your dexamethasone use within the past year. Your doctor may advise on dietary adjustments, such as reducing salt intake. Dexamethasone can elevate blood sugar levels; diabetics should work closely with their doctor to manage blood sugar and adjust diabetes medication as needed.

Possible Side Effects

Report the following side effects to your doctor immediately:

• Allergic reactions (skin rash, itching, hives, facial swelling)
• Vision changes
• Signs of infection (fever, sore throat, cough)
• Increased thirst
• Mood changes, depression
• Bone pain
• Skin problems (redness, blistering, peeling)
• Urinary problems
• Swelling in feet or legs
• Unusual bleeding or bruising

Side effects that usually don't require immediate medical attention (but should be reported if persistent or bothersome):

• Headache
• Nausea, vomiting
• Skin changes (acne, thin skin)
• Weight gain

This list isn't comprehensive; other side effects may occur.

Storage

Keep dexamethasone out of reach of children. Store at room temperature (68-77°F or 20-25°C), protected from light. Discard any unused medication after the expiration date.