Indications
Therapy in conditions when the anti-inflammatory and immunosuppressive effects of glucocorticoids are needed:
- Rheumatoid arthritis, systemic lupus erythematosus, some types of vasculitis, temporal arteritis and periarteritis nodosa, sarcoidosis, bronchial asthma, ulcerative colitis, hemolytic anemia, granulocytopenia and severe allergy conditions including anaphylaxis.
- Treatment against acute leukemia, lymphoma, cancer of the breast and prostate cancer.
Contraindications
- Known hypersensitivity to any of the ingredients.
- Serious infection, except septic shock or tuberculous meningitis.
- Viral, fungal, or tubercular skin infection.
- Administration of live virus vaccines.
Dosage and administration
- The initial adult dosage: 5 – 60mg daily, depending on the disease being treated, and is usually administered in 2 – 4 divided doses.
- Children: 0.14 – 2mg/kg daily or 4 – 60mg/m2 daily, administered in 4 divided doses.
Precaution
- Patients with osteoporosis, newly established anastomoses (intestine, blood vessel), psychosis, gastric ulcer, duodenal ulcer, diabetes, hypertension, cardiac insufficiency and growing individuals (children).
- Systemic corticosteroids should be used cautiously in the elderly.
- Acute adrenal insufficiency may occur with abrupt withdrawal after long-term therapy or with stress.
- At high doses, interference with vaccination can occur.
- Pregnancy: Chronic maternal administration of systemic corticosteroids has been associated with a mild decrease in birth weight in human beings. High systemic doses of glucocorticoids may cause small risk for neonatal adrenal hypoplasia.
- Lactation: Caution should be exercised when prednisolone is given to a nursing mother.
- Patients should be aware of how they react to drug before driving or operating machinery.
Storage
Store at temperature below 30°C, protect from light.
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