Hormonal drug Dexamethasone is used both for intravenous and intramuscular injection (solution in vials) and oral (tablet). Experts who know how to prick Dexamethasone, usually prescribed this medicine to eliminate inflammation and relief of allergic reactions in the body.
When prescribed Dexamethasone
A solution of this substance in various indications apply.
Dexamethasone is administered to the body recommended for:
- diseases of the musculoskeletal system (bursitis, arthritis, osteoarthritis, etc.);
- Connective tissue diseases (rheumatic heart disease, the red wolf lichen);
- endocrine disorders;
- skin disorders (erythema, dermatitis, etc.);
- ocular diseases (neuritis, conjunctivitis, etc.);
- some pathologies of the gastrointestinal tract (manifestations of ulcerative colitis);
- hematological diseases;
- substandard tumors;
- other indications that can not be treated with nonsteroidal therapy.
Dexamethasone can be pricked in infectious conditions, but most of the drug is used for vital indications in situations of life-threatening.
As prescribed
This drug can be used to treat people of all ages, however, children are advised to prick the drug dexamethasone intramuscularly. In this case, the dosage is usually taken in the range of 0.0002 - 0.0004 g per 1 kg of body weight of the child every day.
The treatment regimen of adults depends on the specific indications and course of the disease. In most cases, the volume of medicament is from 0.0004 to 0.0020 g Dexamethasone injections at the same time usually put 3-4 times a day. In extreme conditions, hazardous large dosages may be used for physical health, with a maximum of 90 mg daily.
Dosing of medications - especially individual stage of treatment. It depends on many factors and the patient's condition. Dexamethasone can assign parenteral (injection) or orally (tablet).
For intramuscular use the medicine in ampoules. Dexamethasone for intravenous administration diluted with isotonic sodium chloride solution, 5% glucose solution, or combined with Ringer solution.
Intravenous injection formulation performed slowly. The rapid ingress of the drug in the blood can provoke acute vascular failure, dangerous for the patient's life. Therefore, every intravenous injection is carried out in a few minutes.
duration of treatment
How can chop Dexamethasone determined by the attending physician. This can depend on many factors, however, the drug is never used for a long time. Usually it is prescribed in the treatment period of 2-4 days, and then move on to maintenance dosage. When failure of therapy replaced counterparts.
When the drug is contraindicated
Dexamethasone can not be administered to the patient in the presence of:
- viral, bacterial or fungal organism lesions;
- disorders of blood coagulation;
- some pathologies of the intestine;
- heavy psycho-emotional states;
- tuberculosis;
- any of the forms of epilepsy;
- other pathologies in which steroids are contraindicated.
withdrawal
Rapid decrease dexamethasone dosage can provoke a withdrawal syndrome in a patient or cause kidney failure, and a sharp decrease in blood pressure. Sometimes improper reduction of the drug can lead to relapse or unexpected deterioration of health. Sudden withdrawal of the drug can be fatal.
sources:
Vidal: https://www.vidal.ru/drugs/dexamethasone__36873
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 5db6dfe2-5236-4cd7-86de-d6f534373dd4 & t =
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