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Prednisolone

DETAILS
COMPOSITION Each Tablet contains Prednisolone I.P. 5 mg.
INDICATIONS In various inflammatory, allergic and autoimmune diseases including bronchial asthma, allergic dermatoses, rheumatic fever, rheumatoid arthritis, other collagen disease, malignancies etc.
MODE OF ACTION Same as corticoids, but it is 3 to 5 times more potent than cortisone or hydrocortisone and thus not caused as much sodium retention or potassium excretion.
ONSET OF ACTION 2 to 4 days.
DURATION OF ACTION 12 to 72 hours.
ADVERSE EFFECT Peptic ulceration, myopathy, steroid psychosis. On prolonged use, posterior sub capsular cataract, glaucoma, osteoporosis, hyperglycaemia, increased susceptibility to infections, delayed wound healing.
CONTRAINDICATION Peptic ulcer, live virus immunisation, systemic infection, hypersensitivity.
SPECIAL PRECAUTIONS Diabetes mellitus, glaucoma, cataract, osteoporosis, car- diac failure, hypertension, psychiatric illness, renal failure. In pregnancy, use only if clearly indicated. In lactation and geriatrics use with caution.
DRUG INTERACTIONS Barbiturates, oral contraceptives, oestrogens, ketoconazole, rifampicin and anticholinesterases, cyclosporine, digitalis, glycosides, isoniazid, salicylate, diuretics, theophylline, non-depolarising muscle relaxants.
DOSES

Adult: Individualised doses based on severity of disease varying from.10 to 20 mg. daily, upto 60 mg. per day in severe diseases. Chi Id re n : 2 mg. per Kg. per day divided every 4 to 6 hours. As in case of other corticosteroids, the therapy should not be discontinued abruptly.


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