Zema-Pak (Oral)

Dexamethasone offers alleviation for inflamed locations of the body. It is used to deal with a number of various conditions, such as inflammation (swelling), severe allergic reactions, adrenal troubles, arthritis, bronchial asthma, blood or bone marrow problems, kidney troubles, skin problem, and flare-ups of numerous sclerosis. Dexamethasone is a corticosteroid (cortisone-like medication or steroid). It works on the body immune system to assist soothe swelling, soreness, itching, and allergic reactions.

Dexamethasone tablets are additionally utilized in mix with other anti-myeloma items for the treatment of grownups with numerous myeloma.

This medication is available only with your doctor's prescription.

If you will certainly be taking this medication for a long time, it is very important that your doctor examine you at regular visits for any kind of undesirable impacts that may be brought on by this medicine. Blood or pee tests might be needed to look for unwanted effects.

Using this medication while you are pregnant can harm your unborn child. Use a reliable form of contraception to avoid getting expectant during therapy and for 1 month after your last dosage. If you assume you have actually become pregnant while utilizing this medication, inform your doctor right now.

If you are using this medicine for a long time, tell your physician about any kind of added stress and anxiety or stress and anxiety in your life, consisting of various other health problems and emotional tension. Your dosage of this medication might require to be altered for a short time while you have additional tension.

Making use of excessive of this medication or using it for a long time may enhance your risk of having adrenal gland troubles. Speak with your medical professional today if you have greater than among these signs and symptoms while you are utilizing this medication: obscured vision, lightheadedness or fainting, a fast, uneven, or pounding heart beat, increased thirst or urination, impatience, or uncommon exhaustion or weak point.

Using this medicine may enhance your danger of cancer cells, consisting of Kaposi's sarcoma. Speak to your medical professional if you have concerns concerning this threat.

While you are being treated with dexamethasone, do not have any kind of immunizations (injections) without your medical professional's approval. Dexamethasone may lower your body's resistance and the vaccination might not work also or you might get the infection the injection is indicated to stop. Additionally, you must not be around other persons residing in your household who get online virus vaccinations because there is a chance they can pass the infection on you. Some examples of online injections include measles, mumps, flu (nasal influenza vaccine), poliovirus (dental kind), rotavirus, and rubella. Do not obtain close to them and do not remain in the exact same room with them for very long. If you have concerns about this, talk with your physician.

Check with your medical professional right now if obscured vision, problem in analysis, or any type of various other modification in vision happens throughout or after treatment. Your physician might want you to have your eyes examined by an eye doctor (ophthalmologist).

This medicine could cause thinning of the bones (osteoporosis) or sluggish growth in children if utilized for a very long time. Tell your physician if you have any type of bone pain or if you have actually an increased threat for osteoporosis. If your kid is utilizing this medication, inform the medical professional if you believe your kid is not growing properly.

This medicine may create myopathy. Inform your physician immediately if you have brand-new or getting worse unexplained muscle discomfort, tenderness, or weak point.

This medication might create changes in mood or behavior for some people. Inform your medical professional right now if you have clinical depression, mood swings, an incorrect or unusual feeling of well-being, trouble sleeping, or individuality adjustments while taking this medicine.

Ensure any kind of doctor or dental expert who treats you recognizes that you are using this medication. This medication might affect the outcomes of certain skin examinations.

Talk with your medical professional prior to using this medication if you prepare to have children. Some guys who use Hemady ™ have come to be infertile (incapable to have youngsters).

Do not take other medicines unless they have actually been gone over with your physician. This includes prescription or nonprescription (non-prescription [OTC] medications and organic or vitamin supplements.

In making a decision to use a medication, the risks of taking the medication must be weighed against the great it will do. This is a decision you and your physician will certainly make. For this medicine, the following need to be considered:

Allergies

Inform your medical professional if you have ever had any type of uncommon or allergy to this medication or any type of other medications. Additionally tell your health care specialist if you have any kind of other sorts of allergies, such as to foods, dyes, chemicals, or pets. For non-prescription items, read the label or bundle active ingredients meticulously.

Pediatric

Ideal research studies have actually not been executed on the relationship of age to the effects of Hemady ™ in the pediatric populace. Safety and efficacy have actually not been established.

Proper research studies carried out to date have not shown pediatric-specific troubles that would limit the usefulness of dexamethasone in children. Nonetheless, pediatric individuals are more probable to have slower development and bone problems if dexamethasone is made use of for a very long time. Advised doses ought to not be exceeded, and the client must be meticulously kept track of throughout therapy.

Geriatric

Appropriate researches done to day have not shown geriatric-specific troubles that would restrict the efficiency of dexamethasone in the senior. However, elderly people are most likely to have weakening of bones (weak bones) and age-related liver, kidney, or heart problems, which might require caution and an adjustment in the dose for senior clients getting dexamethasone.

Breast Feeding

There are no appropriate studies in females for identifying infant threat when utilizing this medication throughout breastfeeding. Weigh the potential advantages versus the possible threats before taking this drug while breastfeeding.

Interactions with Medicines

Although particular medicines should not be utilized with each other in any way, in other instances 2 different medications might be used with each other also if an interaction could occur. In these cases, your doctor might want to transform the dosage, or various other safety measures might be required. When you are taking this medication, it is specifically important that your medical care expert understand if you are taking any one of the medicines listed here. The adhering to interactions have been selected on the basis of their possible importance and are not necessarily extensive.

Using this medication with any of the complying with medicines is not suggested. Your doctor might determine not to treat you with this medication or alter a few of the other medications you take.

• Artemether
• Desmopressin
• Praziquantel
• Rilpivirine
• Rotavirus Vaccine, Live

Utilizing this medication with any of the adhering to medications is typically not suggested, yet might be required in many cases. If both medicines are suggested with each other, your physician might change the dosage or exactly how often you utilize one or both of the medicines.

• Abametapir
• Aceclofenac
• Acemetacin
• Aldesleukin
• Alfentanil
• Amiodarone
• Amtolmetin Guacil
• Apalutamide
• Aspirin
• Atazanavir
• Atogepant
• Balofloxacin
• Bemiparin
• Benzhydrocodone
• Besifloxacin
• Boceprevir
• Bromfenac
• Bufexamac
• Buprenorphine
• Bupropion
• Carbamazepine
• Celecoxib
• Ceritinib
• Cholestyramine
• Choline Salicylate
• Ciprofloxacin
• Clarithromycin
• Clonixin
• Cobicistat
• Codeine
• Conivaptan
• Dabrafenib
• Daclatasvir
• Darunavir
• Desogestrel
• Dexibuprofen
• Dexketoprofen
• Diclofenac
• Dienogest
• Diflunisal
• Dihydrocodeine
• Dipyrone
• Doxorubicin
• Doxorubicin Hydrochloride Liposome
• Dronedarone
• Drospirenone
• Droxicam
• Efavirenz
• Elvitegravir
• Enoxacin
• Enzalutamide
• Estetrol
• Estradiol
• Ethinyl Estradiol
• Ethynodiol
• Etodolac
• Etofenamate
• Etonogestrel
• Etoricoxib
• Etravirine
• Fedratinib
• Felbinac
• Fenoprofen
• Fentanyl
• Fepradinol
• Feprazone
• Fexinidazole
• Fleroxacin
• Floctafenine
• Flufenamic Acid
• Flumequine
• Flurbiprofen
• Fosamprenavir
• Fosphenytoin
• Gatifloxacin
• Gemifloxacin
• Gestodene
• Hemin
• Hydrocodone
• Ibuprofen
• Idelalisib
• Indinavir
• Indomethacin
• Itraconazole
• Ketoconazole
• Ketoprofen
• Ketorolac
• Lapatinib
• Lenacapavir
• Levofloxacin
• Levonorgestrel
• Lomefloxacin
• Lopinavir
• Lornoxicam
• Loxoprofen
• Lumacaftor
• Lumateperone
• Lumiracoxib
• Lurasidone
• Lutetium Lu 177 Dotatate
• Macimorelin
• Meclofenamate
• Medroxyprogesterone
• Mefenamic Acid
• Meloxicam
• Meperidine
• Mestranol
• Methadone
• Mitotane
• Morniflumate
• Moxifloxacin
• Nabumetone
• Nadifloxacin
• Nadroparin
• Naproxen
• Nefazodone
• Nelfinavir
• Nepafenac
• Nevirapine
• Nifedipine
• Niflumic Acid
• Nilotinib
• Nimesulide
• Nimesulide Beta Cyclodextrin
• Nimodipine
• Nirmatrelvir
• Nomegestrol
• Norelgestromin
• Norethindrone
• Norfloxacin
• Norgestimate
• Norgestrel
• Ofloxacin
• Omaveloxolone
• Oxaprozin
• Oxycodone
• Oxyphenbutazone
• Parecoxib
• Pazufloxacin
• Pefloxacin
• Pentazocine
• Phenobarbital
• Phenylbutazone
• Phenytoin
• Piketoprofen
• Piperaquine
• Piroxicam
• Posaconazole
• Pranoprofen
• Primidone
• Proglumetacin
• Propyphenazone
• Proquazone
• Prulifloxacin
• Rifampin
• Ritonavir
• Rofecoxib
• Rufloxacin
• Salicylic Acid
• Salsalate
• Saquinavir
• Sargramostim
• Segesterone
• Sodium Salicylate
• Somatrogon-ghla
• Sparfloxacin
• St John's Wort
• Sufentanil
• Sulindac
• Sunitinib
• Tacrolimus
• Telaprevir
• Telithromycin
• Tenoxicam
• Thalidomide
• Tiaprofenic Acid
• Tolfenamic Acid
• Tolmetin
• Tosufloxacin
• Tramadol
• Ubrogepant
• Ulipristal
• Valdecoxib
• Velpatasvir
• Vincristine Sulfate Liposome
• Voriconazole
• Voxilaprevir
• Zolpidem
• Zuranolone

Using this medication with any of the following medications might cause a boosted risk of specific adverse effects, but utilizing both medications might be the most effective therapy for you. If both medications are suggested together, your medical professional might change the dose or just how typically you make use of one or both of the medications.

• Alcuronium
• Aminoglutethimide
• Aprepitant
• Atracurium
• Auranofin
• Caspofungin
• Fluindione
• Fosaprepitant
• Fosnetupitant
• Gallamine
• Hexafluorenium
• Licorice
• Metocurine
• Netupitant
• Ospemifene
• Pancuronium
• Rifapentine
• Saiboku-To
• Vecuronium
• Warfarin

Interactions with Food/Tobacco/Alcohol

Specific medicines ought to not be made use of at or around the moment of consuming food or eating particular sorts of food given that communications may happen. Using alcohol or cigarette with specific medicines may also create interactions to happen. Go over with your healthcare specialist using your medicine with food, alcohol, or cigarette.

Other Medical Problems

The existence of other clinical troubles might affect using this medication. Make certain you tell your physician if you have any type of various other medical troubles, especially:

• Blood clots or
• Cataracts or
• Congestive heart failing or
• Cushing's disorder (adrenal gland issue) or
• Diabetes or
• Eye infection or
• Fluid retention or
• Glaucoma or
• Heart attack, recent or
• Hyperglycemia (high blood sugar) or
• Hypertension (high blood pressure) or
• Mental health issue (eg, depression) or
• Myasthenia gravis (severe muscular tissue weakness) or
• Osteoporosis or
• Peptic abscess, energetic or background of or
• Personality modifications or
• Stomach or intestinal tract troubles (eg, diverticulitis, opening, ulcerative colitis) or
• Thyroid issues or
• Tuberculosis, inactive-- Use with caution. May make these problems worse.

• Fungal infections or
• Herpes simplex eye infection-- Should not be made use of in people with these conditions.

• Infection-- May decrease your body's ability to eliminate infections.

Along with its necessary results, a medicine may trigger some undesirable effects. Although not all of these negative effects may take place, if they do happen they might need medical attention.

Check with your doctor right away if any of the complying with side effects occur:

Much more common

• Aggression
• agitation
• anxiety
• blurred vision
• reduction in the amount of pee
• lightheadedness
• quickly, slow-moving, battering, or irregular heart beat or pulse
• headache
• irritability
• psychological clinical depression
• state of mind adjustments
• anxiety
• noisy, rattling breathing
• feeling numb or prickling in the arms or legs
• battering in the ears
• swelling of the fingers, hands, feet, or reduced legs
• problem thinking, talking, or strolling
• troubled breathing at remainder
• weight gain

Incidence not understood

• Abdominal or tummy cramping and/or burning (severe) or discomfort
• backache
• bloody, black, or tarry feceses
• coughing or hoarseness
• darkening of the skin
• decrease in height
• decreased vision
• diarrhea
• completely dry mouth
• eye pain
• eye tearing
• facial hair growth in women
• fainting
• tiredness
• high temperature or cools
• purged, dry skin
• fractures
• fruit-like breath smell
• complete or rounded face, neck, or trunk
• heartburn and/or acid indigestion (serious and continual).
• raised hunger.
• enhanced thirst.
• increased urination.
• anorexia nervosa.
• loss of sexual desire or capability.
• lower back or side discomfort.
• menstruation irregularities.
• muscle mass pain or tenderness.
• muscle mass wasting or weak point.
• nausea.
• pain in the back, ribs, arms, or legs.
• uncomfortable or difficult urination.
• skin breakout.
• sleep loss.
• sweating.
• difficulty recovery.
• problem resting.
• inexplicable weight management.
• uncommon fatigue or weak point.
• vision adjustments.
• vomiting.
• vomiting of material that appears like coffee grounds.

Some negative effects might occur that normally do not need medical attention. These negative effects may disappear during therapy as your body adjusts to the medication. Additionally, your healthcare professional might have the ability to inform you concerning methods to prevent or lower some of these negative effects. Talk to your healthcare professional if any of the adhering to adverse effects continue or are troublesome or if you have any kind of inquiries about them:.

A lot more typical.

• Increased hunger.

Occurrence not recognized.

• Abnormal fat deposits on the face, neck, and trunk.
• acne.
• completely dry scalp.
• lightening of typical skin shade.
• red face.
• reddish purple lines on the arms, face, legs, trunk, or groin.
• swelling of the stomach location.
• thinning of the scalp hair.

Opposite results not noted may also happen in some patients. If you notice any other effects, consult your healthcare specialist.

Call your physician for clinical suggestions regarding adverse effects. You might report adverse effects to the FDA at 1-800-FDA-1088.

In the U.S.

• Baycadron Elixer.
• Decadron.
• Dekpak 13 Day Taperpak.
• Dexamethasone Intensol.
• DexPak.
• DexPak 10 Day TaperPak.
• DexPak Jr.
• Zema-Pak.

Available Dosage Forms:.

• Tablet.
• Elixir.
• Solution.

Restorative Class: Endocrine-Metabolic Agent.

Pharmacologic Class: Adrenal Glucocorticoid.

Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance for unwanted effects.

Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid.

The Dexamethasone Intensol™ solution is a concentrated liquid. Measure the concentrated liquid with the special oral dropper that comes with the package. The liquid should be added to water, juice, soda or a soda-like beverage, applesauce, or pudding. Stir the mixture well and drink or eat it right away. Do not store the mixture for future use.

You may take Hemady™ with or without food.

If you use this medicine for a long time, do not suddenly stop using it without checking first with your doctor. You may need to slowly decrease your dose before stopping it completely.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage forms (solution, tablets): Dose depends on medical condition: Adults—At first, 0.75 to 9 milligrams (mg) per day. Your doctor may adjust your dose as needed. Children—Dose is based on body weight and must be determined by your doctor. At first, 0.02 to 0.3 mg per kilogram (kg) of body weight per day, divided and taken 3 or 4 times a day. Your doctor may adjust your dose as needed. For multiple myeloma: Adults—20 or 40 milligrams (mg) once a day. Children—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Throw away any unused Dexamethasone Intensol™ solution 90 days after the bottle is opened for the first time.

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