Betnelan 500mcg (Tablet)
Manufactured by: GlaxoSmithKline Bangladesh Ltd.
Betamethasone Similar medicine
Betnelan is indicated for
- التهاب القولون التقرحي، التهاب المفاصل الروماتويدي، التهاب الفقار اللاصق، الحزاز المسطح، الصدفية، الربو، الأكزيما، التهاب الجلد التماسي، التصلب المتعدد، تفاعلات فرط الحساسية للأدوية، التهاب الأنف التحسسي الدائم أو الموسمي، داء المصل، تفاعلات نقل الدم، حمامي شديدة متعددة الأشكال (متلازمة ستيفنز جونسون)، اللوكيميا، الأورام اللمفاوية، النقرس الحاد التهاب المفاصل، التهاب القلب الروماتيزمي الحاد، التهاب المفاصل الصدفي، بما في ذلك التهاب المفاصل الروماتويدي عند الأطفال، التهاب الجلد والعضلات، التهاب العضلات، الذئبة الحمامية الجهازية، لويحات الصدفية، اضطرابات الحساسية والالتهابات، تضخم الغدة الكظرية الخلقي
Precautions and warnings
إن مرض السكري غير المنضبط، والقرحة الهضمية، وهشاشة العظام، والذهان، والعصاب النفسي، والحمل، والرضاعة كلها مخاطر مرتبطة بالحمل والرضاعة. الجلوكوما، قصور الغدة الدرقية، تليف الكبد، الهربس العيني البسيط، التهاب القولون التقرحي، الرضع والأطفال، المراقبة المستمرة للمرضى على العلاج طويل الأمد، الانسحاب التدريجي، الجلوكوما، قصور الغدة الدرقية، تليف الكبد، الهربس العيني البسيط، التهاب القولون التقرحي، الرضع والأطفال
Side-effects
- احتباس الصوديوم والسوائل، واستنزاف البوتاسيوم والكالسيوم. هزال العضلات، الضعف، هشاشة العظام. اضطرابات الجهاز الهضمي والنزيف. زيادة الشهية وتأخر التئام الجروح. الشعرانية، الكدمات، السطور، حب الشباب. ارتفاع الضغط داخل الجمجمة، والصداع، والاكتئاب، والذهان، وعدم انتظام الدورة الشهرية. فرط سكر الدم، DM. قمع محور الغدة النخامية وقشرة الكظر. تأخر النمو عند الأطفال (العلاج المطول). زيادة القابلية للإصابة بالعدوى. الاستخدام الموضعي: ضمور الجلد، تهيج موضعي، التهاب الجريبات، فرط الشعر. الاستنشاق: بحة في الصوت وداء المبيضات في الفم والحلق. التطبيق الموضعي على العين: تقرحات القرنية، ارتفاع ضغط العين داخل العين (IOP)، وانخفاض حدة البصر. الحقن داخل الأدمة: نقص التصبغ الموضعي للبشرة شديدة التصبغ. الحقن داخل المفصل: تلف المفاصل، والتليف، وخاصة في المفاصل الحاملة. تأثيرات قد تكون مميتة: الانسحاب المفاجئ يؤدي إلى قصور كظري حاد يتجلى في الشعور بالضيق، والضعف، والتغيرات العقلية، وآلام العضلات والمفاصل، وخلل التوتر، ونقص سكر الدم، وانخفاض ضغط الدم، والجفاف، والموت. قد يؤدي الحقن الوريدي السريع إلى انهيار السيرة الذاتية.
Drug Interactions
مدرات البول الثيازيدية تسبب ارتفاع السكر في الدم ونقص بوتاسيوم الدم. زيادة خطر الإصابة بالقرحة الهضمية أو نزيف الجهاز الهضمي عند تناول مضادات الالتهاب غير الستيروئيدية في نفس الوقت. لقد تغيرت الاستجابة المضادة للتخثر. وينبغي رفع الجرعات المضادة لمرض السكري وارتفاع ضغط الدم. يقلل من تركيزات الساليسيلات والمضادات المسكارينية في الدم.
تبين أن الاستخدام المتزامن للكاربامازيبين والفينيتوين والبريميدون والباربيتورات والريفامبيسين يقلل من الفعالية. النساء اللاتي يستخدمن هرمون الاستروجين أو وسائل منع الحمل عن طريق الفم لهن تأثير أقوى.
Contraindications
فرط الحساسية والالتهابات الفطرية الجهازية أو الحادة.
Mode of actions
البيتاميثازون هو كورتيكوستيرويد يعمل في المقام الأول كجلوكوكورتيكويد. فهو يقلل من معدل تخليق البروتين، ويمنع هجرة كريات الدم البيضاء متعددة الأشكال النووية والخلايا الليفية، ويعكس نفاذية الشعيرات الدموية وتثبيت الليزوزومية لمنع وتنظيم الالتهاب.
Dosage & Administration
عن طريق الفم
اضطرابات الحساسية والالتهابات
البالغين: 0.5-5 ملغ يومياً.
الأطفال: للحالات الالتهابية: >12 سنة: 0.0175-0.125 ملغم أساسي/كغم يومياً، يمكن تقسيم الجرعة كل 6-12 ساعة.
Pregnancy & Lactation
على الرغم من أن دراسات التكاثر الحيواني أظهرت تأثيرًا سلبيًا على الجنين ولا توجد دراسات كافية ومراقبة بشكل جيد عند النساء الحوامل، إلا أنه خلال فترة الحمل، يمكن استخدام هذا الدواء فقط عندما تكون هناك حاجة إليه بالتأكيد على الرغم من المخاطر المحتملة.
نادراً ما تظهر على الأمهات اللاتي لديهن طفل حديث الولادة والذين استخدموا هذا الدواء خلال الأشهر الثلاثة الأخيرة من الحمل أعراض بما في ذلك النعاس، وتصلب العضلات أو الارتعاش، ومشاكل التغذية أو التنفس، والبكاء المستمر. إذا لاحظت أياً من هذه الأعراض لدى طفلك خاصة خلال شهره الأول، أخبري الطبيب فوراً.
ينتقل هذا الدواء إلى حليب الثدي. تحدثي مع طبيبك قبل الرضاعة الطبيعية.
Pack Size & Price
500's pack Price : ৳359.1
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Manufactured by: Acme Laboratories Ltd.
Manufactured by: GlaxoSmithKline Bangladesh Ltd.
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