Prednisolone
PrednisolonePharmacological action
Synthetic glucocorticoid preparation for intake. Renders antiinflammatory, antiallergic, antiexudative and antipruritic action. Catabolic an effect has, brakes synthesis and again - glucocorticoids adrenals.
Indications
- General diseases of a connecting tissue (including a system lupus erythematosus, a dermatomyositis and a polymiositis, system vasculites, a pseudorheumatism);
- Acute rheumatic disease, a rheumatic carditis;
- Acute insufficiency of a cortex of adrenals;
- An adrenogenital syndrome;
- A bronchial asthma;
- Acute and chronic allergic diseases (including a hypersensibility to medicinal preparations, a serum disease, an urticaria, an allergic rhinitis, a hypersensibility to chemical substances, a Quincke's edema);
- A hepatitis;
- A hepatic coma;
- Hypoglycemic conditions;
- Diseases of system of a hemopoiesis (including an agranulocytosis, various forms of leukoses, a Werlhof's disease, a hemolitic anaemia);
- Dermal diseases (an eczema, an exfoliative dermatitis, a psoriasis, a Lyell's disease);
- Eye diseases (including a sympathetic ophthalmia, allergic forms of a conjunctivitis, not purulent keratitis, an iritis, an iridocyclitis, a uveitis, a choroiditis);
- Specific pediatric indications: acute rheumatic disease, a hysterical chorea, an asthmatic bronchitis, a nephrotic syndrome.
Dosage regimen
Establish individually.
At acute conditions and as an overwhelming dose prescribe 20-30 mg/sut (4-6 tablets.). The Maintenance dose makes 5-10 mg/day (1-2 tablets.). At a nephrotic syndrome, the leukoses, some rheumatic diseases a preparation prescribe in higher doses.
To children Prednisolone is prescribed in a dose from calculation by of 1-2 mg/kg/days
Treatment stop, gradually reducing a dose.
Side effect
From the party GASTROINTESTINAL TRACT: ulcerogenic action.
From the endocrine status, a metabolism: negative nitric balance, a glucosuria, a steroid diabetes, a hypopotassemia, an atrophy of a cortex of adrenals.
The other: the lowered resistibility to infections, an arterial hypertensia, an osteoporosis.
Contraindications
- A stomach and duodenum peptic ulcer;
- An osteoporosis;
- Predisposition to a thromboembolism;
- Renal insufficiency;
- The serious form of an arterial hypertonia;
- A chicken pox;
- The diseases caused by virus Herpes simplex;
- The bacterination period.
Pregnancy and lactemia
In pregnancy, especially in I trimester, Prednisolone should be prescribed with extra care.
At application of a preparation in a lactemia of by-effects at children who are on thoracal feeding, it is not described. It is necessary to be careful at appointment of a preparation of feeding mother at presence at the child of a hyperbilirubinemia.
Special indicatings
At a diabetes Prednisolone prescribe with extra care and only under absolute indications or for resistance treatment to insulin.
At infectious diseases and a tuberculosis the preparation should be prescribed only in a combination with antibiotics or tuberculostats.
It is necessary to supervise especially carefully electrolytic balance at the combined application of Prednisolone with diuretics. At long treatment by Prednisolone for the purpose of hypopotassemia preventive maintenance it is necessary to prescribe preparations of a potassium and a corresponding diet. For reduction of danger of the raised catabolism of fibers and osteoporosis development probably application of a methandrostenolone. Recommend to supervise regularly a BP, to define glucose level in urine and blood, to carry out feces analyses on an occult blood.
Overdosage
Data about an overdosage of a preparation Prednisolone are not given.
Medicinal interaction
At simultaneous application of Prednisolone and anticoagulants anticoagulative action of the last can amplify.
At simultaneous application of Prednisolone with Salicylases the probability of occurrence of bleedings is enlarged.
At simultaneous application of Prednisolone with diuretics probably aggravation of disturbances of an electrolytic exchange.
Conditions and periods of storage
The preparation should be stored in the place protected from light at temperature from 15 to 30 C. The Period of storage - 5 years.
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