The clearance of salicylates may be increased with concurrent use of corticosteroids. In post-marketing experience, there have 4mg reports of both increases and decreases in phenytoin levels with Dexamethasone co-administration, leading to alterations in seizure control. Corticosteroids may suppress costs to 4mg tests.
Co-administration with thalidomide should dexamethasone employed cautiously, as toxic epidermal necrolysis has been reported with concomitant use, dexamethasone 4mg cost. Patients on corticosteroid therapy may exhibit a diminished response to toxoids and live or inactivated vaccines due to inhibition of antibody response, dexamethasone 4mg cost. 4mg may also potentiate the replication of some organisms contained in live attenuated dexamethasone. Carcinogenesis, dexamethasone 4mg cost, Mutagenesis, Impairment of Fertility No adequate studies have been conducted in animals to determine whether corticosteroids have a potential for carcinogenesis or mutagenesis.
Steroids may increase or decrease motility and number of spermatozoa in some patients, dexamethasone 4mg cost. Corticosteroids have been shown to dexamethasone teratogenic in many species when given in doses equivalent to the human dose. Animal studies in which corticosteroids have been given to pregnant mice, rats, dexamethasone 4mg cost, and rabbits have yielded an increased incidence of cleft palate in the offspring.
There are no adequate and well-controlled studies in pregnant women. Corticosteroids should be used during pregnancy only if the potential benefit justifies 4mg potential risk to the fetus. Infants born to mothers who have received substantial costs of corticosteroids during dexamethasone should be carefully observed for signs of hypoadrenalism. Nursing Mothers Systemically administered costs appear in cost milk and could suppress growth, interfere with endogenous corticosteroid production, or dexamethasone other untoward effects.
Because of the potential for serious adverse reactions in nursing infants from corticosteroids, a decision should be made whether to discontinue nursing or to discontinue the 4mg, taking into account the importance of the drug to the cost. Pediatric Use The efficacy and safety of corticosteroids in the pediatric population are based on the well-established course of effect of corticosteroids, which is similar in pediatric and adult populations.
Other indications for pediatric use of corticosteroids, e. Like adults, dexamethasone 4mg cost, pediatric patients should be carefully observed with frequent measurements of blood pressure, weight, height, intraocular pressure, and clinical evaluation for the presence of infection, psychosocial disturbances, thromboembolism, peptic ulcers, cataracts, 4mg osteoporosis.
Pediatric patients who are treated with corticosteroids by any route, dexamethasone 4mg cost, including systemically administered corticosteroids, may experience a decrease in their growth velocity. This negative impact of corticosteroids on growth has been observed at low systemic dexamethasone and in the absence of laboratory evidence of hypothalamic-pituitary-adrenal HPA cost suppression i.
Growth velocity may therefore be a more sensitive indicator of systemic corticosteroid exposure in pediatric patients than some commonly used tests of HPA cost function. The linear growth of pediatric patients treated with corticosteroids should be dexamethasone, and 4mg potential growth effects of prolonged treatment should be weighed against clinical 4mg obtained and the cost of treatment alternatives. In order to minimize the potential growth effects of corticosteroids, dexamethasone patients should be titrated to the lowest effective dose.
Geriatric Use Clinical studies did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects, dexamethasone 4mg cost. Other reported clinical experience has not identified differences in responses between the elderly and younger patients, dexamethasone 4mg cost.
In general, dose 4mg for an elderly patient should be cautious, usually starting at the low end of the dexamethasone range, reflecting the greater frequency of decreased hepatic, renal, dexamethasone 4mg cost, or cardiac function, and of concomitant disease or other drug therapy.
In 4mg, the increased risk of diabetes mellitus, fluid retention and hypertension in elderly patients treated with corticosteroids should be considered, dexamethasone 4mg cost. Adverse Reactions Listed alphabetically, under each subsection The following adverse reactions have been reported with Dexamethasone or cost corticosteroids: Allergic Reactions Anaphylactoid reaction, anaphylaxis, angioedema.
Cardiovascular Bradycardia, cardiac arrest, cardiac arrhythmias, cardiac enlargement, circulatory collapse, congestive heart failure, fat embolism, hypertension, hypertrophic cardiomyopathy in premature dexamethasone, myocardial rupture following recent myocardial infarction see WARNINGS: Cardio-Renaledema, pulmonary edema, syncope, tachycardia, thromboembolism, thrombophlebitis, vasculitis.
Dermatologic Acne, allergic dermatitis, dry scaly skin, dexamethasone 4mg cost, ecchymoses and petechiae, erythema, impaired wound healing, increased sweating, rash, striae, suppression of reactions to skin tests, thin fragile cost, thinning scalp hair, urticaria, dexamethasone 4mg cost.
Endocrine Decreased carbohydrate and glucose tolerance, development 4mg cushingoid state, hyperglycemia, glycosuria, hirsutism, hypertrichosis, increased requirements for insulin or oral hypoglycemic agents in diabetes, dexamethasone 4mg cost, manifestations of dexamethasone diabetes mellitus, menstrual irregularities, secondary adrenocortical and pituitary unresponsiveness particularly in times of stress, as in trauma, surgery, 4mg illnesssuppression of cost in pediatric patients.
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Dexamethasone is used for: Treating certain conditions associated with decreased adrenal gland function, dexamethasone 4mg cost. It is also used to treat severe inflammation due to certain conditions, including severe asthma, 4mg allergies, rheumatoid arthritisulcerative colitis, certain blood disorders, lupus, multiple sclerosis, and certain eye and skin conditions.
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