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Short-time period; varies Short-time period; some patients take lengthy-time period underneath prescriber�s care Who usually uses the medicine? Adults allergy medicine upset stomach buy promethazine 25mg line, sometimes in kids Adults allergy doctor buy generic promethazine on line, sometimes in kids Conditions handled by dexamethasone and prednisone Dexamethasone and prednisone have similar indications allergy forecast dallas discount promethazine amex. Both medicines are indicated for use in all kinds of inflammatory situations for varied methods allergy shots side effects purchase generic promethazine from india. The allergic and dermatologic situations that dexamethasone and prednisone might deal with include acute exacerbations of asthma, atopic or contact dermatitis, drug hypersensitivity reactions, perennial or seasonal allergic rhinitis, Stevens-Johnson syndrome, and serum sickness. Condition Dexamethasone Prednisone Allergic and dermatologic situations (acute asthma exacerbations, dermatitis, rhinitis) Yes Yes Endocrine issues (adrenocortical insufficiency�at the side of a mineralocorticoid drug such as fludrocortisone, congenital adrenal hyperplasia) Yes Yes Gastrointestinal illnesses (enteritis, ulcerative colitis) Yes Yes Hematology issues (sure types of anemia, idiopathic thrombocytopenic purpura) Yes Yes Neoplastic illnesses (leukemia, lymphoma) Yes Yes Nervous system (acute exacerbation of a number of sclerosis, cerebral edema associated with main or metastatic mind tumor, craniotomy, or head damage) Yes Yes Ophthalmic illnesses (temporal arteritis, uveitis) Yes Yes Renal illnesses (idiopathic nephrotic syndrome, lupus) Yes Yes Respiratory illnesses (sure types of tuberculosis or pneumonia) Yes Yes Rheumatic issues (sure types of arthritis, lupus) Yes Yes Is dexamethasone or prednisone simpler? The evaluate talked about that dexamethasone may be higher tolerated, however that extra research is required. Note: Depending on the diagnosis, Medicare protection might fall underneath Part B or Part D. Yes Yes Standard dosage four mg 30 tablets 20 mg 10 tablets Typical Medicare copay $zero-$1 $zero-$1 SingleCare cost $10 $5 Common side effects of dexamethasone vs. Below is an inventory of potential side effects that will happen with both dexamethasone or prednisone. System Potential side effects of dexamethasone or prednisone Allergic Allergic reaction, anaphylaxis, angioedema Cardiovascular Cardiac arrest/arrhythmia, cardiac enlargement, changes in heart price, circulatory collapse, heart failure, hypertension, edema, syncope, tachycardia, thromboembolism Dermatologic Acne, allergic dermatitis, dry/scaly skin, erythema (redness), impaired wound therapeutic, increased sweating, rash Endocrine Decreased carbohydrate/glucose tolerance, growth of cushingoid state, hyperglycemia (high blood sugar), hirsutism (excess hair progress), menstrual irregularities, suppression of progress in pediatric patients Fluid/electrolyte disturbances Congestive heart failure, fluid retention, potassium loss, sodium retention Gastrointestinal Increased urge for food, nausea, pancreatitis, peptic ulcer, perforation of the small and large intestine, ulcerative esophagitis Musculoskeletal Loss of muscle mass, muscle weak spot, osteoporosis, lengthy bones fracture, tendon rupture, vertebral compression fractures Neurological/psychiatric Convulsions, depression, emotional instability, euphoria, headache, increased intracranial strain with papilledema (pseudotumor cerebri) usually following discontinuation of therapy, insomnia, mood swings, neuropathy, paresthesia, personality changes, vertigo Ophthalmic Glaucoma, cataracts, blurred vision Other Abnormal fats deposits, increased susceptibility to infectious illnesses, hiccups, moon face, weight acquire Source: DailyMed (dexamethasone), DailyMed (prednisone) Drug interactions of dexamethasone vs. Medications used for diabetes might have to be adjusted as a result of steroids might have an effect on blood glucose ranges. The use of dexamethasone or prednisone might increase blood strain, inflicting retention of sodium and water, and loss of potassium. Steroids ought to be used with warning in patients with heart failure, high blood pressure, and/or kidney issues. There is an association between steroid use and left ventricular free wall rupture after a current myocardial infarction. Adrenocortical insufficiency, which may persist for months after discontinuation of the steroid, might happen if steroids are stopped too shortly. Because steroids suppress the immune system, patients being handled with steroids are extra vulnerable to infections, particularly with larger doses of steroids. Chickenpox and measles can be extra critical or even fatal in patients who take steroids, as a result of a suppressed immune system. Steroids might trigger increased intraocular strain, cataracts, glaucoma, and/or eye infections. Patients who develop eye symptoms, or who use steroids for greater than six weeks, ought to see an ophthalmologist. Steroids ought to be used with warning in patients with gastrointestinal situations and/or liver issues. Steroids might trigger mood changes, personality changes, insomnia, or psychotic manifestations. Consult your healthcare provider instantly when you notice any changes in mood or conduct. Do not discontinue steroids abruptly or with out supervision from your healthcare provider. Steroid use in pregnancy might trigger the baby to have a cleft palate or issues with progress/weight acquire. Dexamethasone is a steroid drug used within the therapy of all kinds of inflammatory situations. Other steroid medicine you might have heard of are Medrol (methylprednisolone), prednisolone, and hydrocortisone. One evaluate of research concluded that both drug is suitable for the therapy of youngsters with acute exacerbation of asthma. In phrases of safety, all steroids have the potential for side effects (see Warnings section), and some can be very critical. Your healthcare provider will resolve which medicine is safer for you and prescribe the shortest course of therapy potential.

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