डेक्सामेथासोन

About dexamethasone

Dexamethasone belongs to a group of medicines called corticosteroids. It is sometimes referred to simply as an oral steroid. Corticosteroids are produced naturally in your body. They help to keep you healthy. By boosting your body with extra corticosteroid, it can help treat conditions involving inflammation.

Oral steroids are used to treat a wide variety of conditions. Some examples include inflammatory bowel diseases (for example, क्रोहन रोग, अल्सरेटिव कोलाइटिस), autoimmune diseases (for example, सिस्टेमिक ल्यूपस एरिथेमेटोसस (एसएलई), सारकॉइडोसिस), joint and muscle diseases (for example, रूमेटाइड आर्थराइटिस), and allergies. Dexamethasone is also used in the treatment of some cancers and in people receiving palliative care. In children, it is prescribed to treat a breathing condition called croup.

Dexamethasone is also used to diagnose कुशिंग रोग (an adrenal gland disorder), and is prescribed as a treatment for people who have a disorder called जन्मजात अधिवृक्क अतिवृद्धि (सीएएच).

Dexamethasone is also used to treat inflammation in the eyes. More information about this can be found in our leaflet सूजन के लिए डेक्सामेथासोन आई ड्रॉप्स.

Before taking dexamethasone

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking dexamethasone it is important that your doctor knows:

• यदि आपको उच्च रक्तचाप (हाइपरटेंशन) है।.

• यदि आपको दिल का दौरा पड़ा है, या यदि आपको कोई अन्य हृदय संबंधी समस्याएं हैं।.

• यदि आपके जिगर के काम करने के तरीके में कोई समस्या है, या यदि आपके गुर्दों के काम करने के तरीके में कोई समस्या है।.

• यदि आपको (या आपके किसी करीबी परिवार के सदस्य को) मधुमेह या ग्लूकोमा नामक आंख की स्थिति है।.

• यदि आपको निम्नलिखित में से कोई भी स्थिति है: एक अविकसित थायरॉयड ग्रंथि, हड्डियों का 'पतला होना' (ऑस्टियोपोरोसिस), मिर्गी, मांसपेशियों की कमजोरी पैदा करने वाली स्थिति (जिसे मायस्थेनिया ग्रेविस कहा जाता है), पेट का अल्सर, या आंत का विकार।.

• यदि आपको कभी मानसिक स्वास्थ्य समस्या हुई है।.

• If you are pregnant or breastfeeding. (Oral steroids like dexamethasone can be taken while you are expecting or breastfeeding; however, it is important that your doctor knows about the baby.)

• यदि इस समय आपको किसी प्रकार का संक्रमण है, या यदि आपको कभी तपेदिक (टीबी) हुआ है।.

• यदि आपके पास कभी किसी धमनी या नस में अवांछित रक्त का थक्का था।.

• यदि आपने हाल ही में कोई टीकाकरण करवाया है, या करवाने वाले हैं।.

• यदि आप कोई अन्य दवाएं ले रहे हैं या उपयोग कर रहे हैं। इसमें वे सभी दवाएं शामिल हैं जिन्हें बिना पर्ची के खरीदा जा सकता है, साथ ही हर्बल और पूरक दवाएं भी।.

• यदि आपको कभी किसी दवा से एलर्जी की प्रतिक्रिया हुई है, या यदि आपने कभी स्टेरॉयड दवा लेने के बाद मांसपेशियों में दर्द विकसित किया है।.

How to take dexamethasone

• Before starting the treatment, read the manufacturer's printed information leaflet from inside the pack and any additional information you are given by your doctor. These will give you more information about dexamethasone and will also provide you with a full list of side-effects which you could experience from taking it.

• Your doctor or pharmacist will tell you how much to take, and when to take your doses. Depending upon the reason why you are taking dexamethasone, you will be prescribed either a single dose, or a course of treatment. If you are prescribed a single dose, your doctor will tell you at what time to take the medicine. If you are prescribed a course of treatment, it is usual to take the doses once a day, straight after breakfast. However, if you are taking dexamethasone for CAH or as a test for Cushing's syndrome, you will be advised to take your doses at bedtime.

• Take dexamethasone with something to eat. Swallow the tablet with a drink of water.

• यदि आप अपने सामान्य समय पर एक खुराक लेना भूल जाते हैं, तो जैसे ही आपको याद आए, इसे (कुछ खाने के साथ) ले लें। यदि आपको अगले दिन तक याद नहीं आता है, तो छूटी हुई खुराक को छोड़ दें। भूली हुई खुराक की भरपाई के लिए दो खुराक एक साथ न लें।.

• Continue to take dexamethasone until your doctor tells you to stop. Once you have been taking dexamethasone for more than three weeks, stopping taking it suddenly can cause problems, so your doctor will want to reduce your dose gradually over a period of time if/when this becomes necessary.

अपने उपचार से अधिकतम लाभ प्राप्त करना

• If your course of treatment is due to last more than three weeks, you will be given a 'Steroid Treatment Card' which says that you are on steroids and contains some important advice for you. It is important that you read this card and carry it with you at all times. It also contains details about your dose, how long you have been taking dexamethasone for, and who prescribed it for you. Please make sure that this information is kept up to date. If you are having an operation or dental treatment or any treatment for an injury, tell the person carrying out the treatment that you are taking dexamethasone and show them your treatment card. This is because your dose may need adjusting.

• अपने डॉक्टर के साथ अपनी नियमित नियुक्तियों को बनाए रखने का प्रयास करें। ऐसा इसलिए है ताकि आपका डॉक्टर आपकी प्रगति की जांच कर सके। आपका डॉक्टर समय-समय पर आपको परीक्षण करवाना चाहेगा ताकि यह सुनिश्चित किया जा सके कि आप उपचार के कुछ अवांछित दुष्प्रभावों से मुक्त रहें।.

• Dexamethasone can suppress your immune system, so it is important if you become ill that you make an appointment to see your doctor straightaway. Also, if you come into contact with anyone who has measles, shingles or chickenpox (or anyone who suspects they might have them), you जरूर see your doctor as soon as possible.

• Some vaccines are not suitable for you while you are being treated with dexamethasone. If you need any immunisations, make sure you mention that you are taking an oral steroid.

• If you buy any medicines, check with your pharmacist that they are suitable to take with dexamethasone.

Can dexamethasone cause problems?

Along with its useful effects, dexamethasone can cause unwanted side-effects which your doctor will discuss with you. The benefits of taking an oral steroid usually outweigh the side-effects; however, they can sometimes be troublesome. The table below contains some of the most common ones associated with dexamethasone. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below.

हालांकि हर किसी को दुष्प्रभाव नहीं होते हैं, और कुछ आपके शरीर के नई दवा के अनुकूल होने पर सुधार सकते हैं, यदि आप निम्नलिखित में से किसी के बारे में चिंतित हैं तो अपने डॉक्टर या फार्मासिस्ट से बात करें:

महत्वपूर्ण: you should let your doctor know if you start to experience blurred vision or other vision problems whilst taking dexamethasone.

For more information about side-effects which are possible when dexamethasone is taken long-term, see the separate leaflet called ओरल स्टेरॉयड्स.

How to store dexamethasone

• सभी दवाओं को बच्चों की पहुँच और दृष्टि से दूर रखें।.

• ठंडी, सूखी जगह पर रखें, सीधे गर्मी और रोशनी से दूर।.

सभी दवाओं के बारे में महत्वपूर्ण जानकारी