Dexan 5mg/ml (Injection)
Manufactured by: Chemist Laboratories Ltd.
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Dexan is indicated for
- 潰瘍性結腸炎、類風濕性關節炎、多發性硬化症、噁心嘔吐、多發性骨髓瘤、腦水腫、休克、發炎性關節疾病、特發性血小板減少性紫斑症、牙科手術、過敏性休克、腦腫瘤、氣喘持續狀態
Precautions and warnings
在服用這種藥物之前，請告訴您的醫生任何感染、腎臟疾病、肝臟疾病、精神/情緒障礙（例如精神病、焦慮或憂鬱）、礦物質失衡（例如血液中鉀/鈣含量低）、甲狀腺疾病、胃病、高血壓或心臟病。
長期使用皮質類固醇藥物會使您的身體更難以應對身體壓力。 如果您在接受手術或緊急治療前的過去 12 個月內正在使用或已經服用過該藥物，或者如果您患有重大疾病，請告訴您的醫生或牙醫。 如果您感到異常疲憊或體重減輕，請立即聯絡您的醫生。 如果您將長期使用該藥物，請攜帶警示卡或醫療 ID 手環，以識別您對該藥物的使用情況。
這種藥物有可能隱藏感染跡象。 它可能會增加您的感染風險或使任何現有感染惡化。 避免與患有可能傳播給他人的感染（例如水痘、麻疹、流感）的人接觸。 如果您認為自己已受到感染或需要更多信息，請諮詢您的醫生。
這種藥物有可能引起胃出血。 使用此處方時，定期飲酒可能會增加胃出血的風險。 限製酒精飲料的攝取量。 欲了解更多信息，請諮詢您的醫生或藥劑師。
在進行任何免疫接種或疫苗接種之前，請告知您的醫生您正在服用地塞米松。 應避免與剛接種活性疫苗的人接觸。
Side-effects
- 液體和電解質失衡： 鈉滯留 液體滯留 易感患者的充血性心臟衰竭 鉀流失 低鉀性鹼中毒 高血壓 肌肉骨骼： 肌肉無力 類固醇肌肉病變 肌肉質量損失 骨質疏鬆症 長骨病理性骨折 椎體壓迫性骨折 股骨頭和肱骨頭無菌性壞死 肌腱斷裂 胃腸道： 消化性潰瘍，隨後可能發生穿孔和出血 小腸和大腸穿孔，尤其是發炎性腸道疾病患者 胰臟炎 腹脹 潰瘍性食道炎 皮膚科： 傷口癒合受損 皮膚薄薄脆弱 瘀點和瘀斑 紅斑 出汗增多 可能會抑制對皮膚測試的反應 灼熱感或刺痛感，尤其是會陰部位（靜脈注射後） 其他皮膚反應，如過敏性皮膚炎、蕁麻疹、血管神經性水腫 神經病學： 抽搐 通常在治療後顱內壓升高並伴隨視乳頭水腫（假性腦瘤） 眩暈症 頭痛 精神障礙 內分泌： 月經不調 庫欣態的發展 抑制兒童生長 繼發性腎上腺皮質和腦下垂體無反應，特別是在壓力時期，如外傷、手術或疾病 碳水化合物耐受性降低 潛在糖尿病的表現 糖尿病患者對胰島素或口服降血糖藥的需求增加 多毛症 眼科： 後囊下白內障 眼壓升高 青光眼 眼球突出 代謝： 蛋白質分解代謝造成的負氮平衡 心血管： 近期心肌梗塞後發生心肌破裂。 其他： 類過敏反應或超敏反應 血栓栓塞 體重增加 食慾增加 噁心 不適 打嗝 以下其他不良反應與腸外皮質類固醇治療相關： 臉部和頭部周圍病灶內治療導致失明的罕見情況 色素沉著或色素沉著不足 皮下和皮膚萎縮 無菌膿腫 注射後耀斑（關節內使用後） 夏科樣關節病
Drug Interactions
阿地白介素、引起出血的藥物（如達比加群/華法林）、非類固醇抗發炎藥（如阿斯匹靈/塞來昔布/布洛芬）和米非司酮是可能與此藥物相互作用的一些藥物。
這種藥物有可能加速其他藥物從體內的消除，這可能會影響其有效性。 一些癌症藥物（如達沙替尼、拉帕替尼和舒尼替尼）、吡喹酮和利匹韋林等都會受到影響。
如果您的醫生開了低劑量阿斯匹靈（通常每天 81-162 毫克）來預防心臟病或中風，您應該堅持服用，除非您的醫生有不同的建議。 欲了解更多信息，請諮詢您的醫生。
Contraindications
如果已知對該產品的任何成分（包括亞硫酸鹽）的活性成分過敏的患者，請避免使用該藥物
Mode of actions
地塞米松是一種糖皮質激素，可透過阻止白血球遷移和逆轉毛細血管通透性增強來減少發炎。 它抑制免疫系統的正常反應。
Dosage & Administration
地塞米松磷酸鈉注射液， – 用於靜脈、肌肉、關節、病灶內和軟組織注射。
地塞米松可以每天 0.5-20 mg 的劑量腸胃外給藥，可以單次 IV/IM 注射或靜脈輸注。
兒童：每日 200-500 微克/公斤。
腦水腫：最初靜脈注射10毫克，然後根據需要每6小時肌肉注射4毫克，持續2-10天。 應緩慢給予高劑量靜脈注射，以減少心血管衰竭的可能性。
休克：經由靜脈或肌肉注射或輸注2-6 mg/kg，必要時在2-6小時後重複。 即使在急性情況下，地塞米鬆的每日總攝取量也不應超過 80 毫克，除非在某些非常特殊的情況下。
Pregnancy & Lactation
儘管動物生殖研究顯示對胎兒有不良影響，並且在孕婦中沒有充分且良好對照的研究，但在懷孕期間，儘管存在潛在風險，但在確實需要時可以使用該藥物。
在懷孕最後 3 個月內使用這種藥物的新生兒母親可能很少會出現困倦、肌肉僵硬或顫抖、餵食或呼吸困難、持續哭泣等症狀。 如果您發現寶寶有任何這些症狀，尤其是在第一個月內，請立即告訴醫生。
這種藥物會進入母乳。 哺乳前請先諮詢您的醫生。
Pack Size & Price
20 amps pack Price : ৳267
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