Dexamethasone

Dosage Forms Available

• Dexamethasone can be taken orally (tablets and liquid solution), administered intramuscularly or intravenously (injectable solution), instilled topically into the eyes (eye drops) or applied topically (ointment).

Age and Dose Restrictions

• This medicine is meant for adults and children.

Contraindications

• This medicine is contraindicated in patients with known hypersensitivity to Dexamethasone or any excipients in the formulation. It should also not be used by individuals with systemic fungal infections or active tuberculosis.

Other Medications to Avoid

• Dexamethasone can interact with anticonvulsants (such as phenytoin and carbamazepine), antibiotics (like rifampin), and anti-fungal medicines (such as ketoconazole).

Overdose and Missed Dose

• An overdose of Dexamethasone may cause symptoms such as hyperglycemia, hypertension, edema, weight gain, pancreatitis, and acute psychosis. If such symptoms are observed, consult a doctor immediately.

• If a dose of this medicine is missed, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose. Do not take a double dose to make up for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• If you are experiencing insomnia or mood changes, try taking the medication in the morning.

• Drink plenty of fluids to help manage side effects such as fluid retention and high blood pressure.

Use in Driving and Operating Machinery

• Dexamethasone may cause dizziness or blurred vision. If you experience these symptoms, avoid driving or operating heavy machinery.

Use in Pregnancy and Lactation

• Dexamethasone is a pregnancy category C medicine. It should be used during pregnancy only if the potential benefits justify the risks. It is secreted in breast milk and should be used with caution in breastfeeding mothers. Always consult your doctor before using this medicine during pregnancy or while breastfeeding.

Caution in Other Conditions

• Patients with conditions such as peptic ulcer disease, congestive heart failure, uncontrolled diabetes, hypertension or glaucoma should exercise caution when taking Dexamethasone. Always inform your doctor about any existing health conditions before starting on this medicine.

Special Dietary and Lifestyle Recommendations

• For patients managing inflammatory and autoimmune conditions, a balanced diet rich in fruits, vegetables, lean proteins and whole grains can support overall health.

• Stress management techniques such as mindfulness, yoga and regular exercise can help cope with the emotional aspects of managing these conditions.