Dexamethasone

Dexamethasone

     * Generic Name: dexamethasone
     * Brand Name: Dexamethasone


     * What is dexamethasone?
     * What are the possible side effects of dexamethasone?
     * What is the most important information I should know about
       dexamethasone?
     * What should I discuss with my healthcare provider before taking
       dexamethasone?
     * How should I take dexamethasone?
     * What happens if I miss a dose?
     * What happens if I overdose?
     * What should I avoid while taking dexamethasone?
     * What other drugs will affect dexamethasone?
     * Where can I get more information?

What is dexamethasone?

   Dexamethasone is a steroid that prevents the release of
   substances in the body that cause inflammation.

   Dexamethasone is used to treat many different conditions such as
   allergic disorders, skin conditions, ulcerative colitis,
   arthritis, lupus, psoriasis, or breathing disorders.

   Dexamethasone may also be used for purposes not listed in this
   medication guide.

What are the possible side effects of dexamethasone?

   Get emergency medical help if you have signs of an allergic reaction:
   hives; difficulty breathing; swelling of your face, lips, tongue, or
   throat.

   Call your doctor at once if you have:
     * muscle tightness, weakness, or limp feeling;
     * blurred vision, tunnel vision, eye pain, or seeing halos
       around lights;
     * shortness of breath (even with mild exertion), swelling, rapid
       weight gain;
     * severe depression, unusual thoughts or behavior;
     * a seizure (convulsions);
     * bloody or tarry stools, coughing up blood;
     * fast or slow heart rate, weak pulse;
     * pancreatitis--severe pain in your upper stomach spreading to your
       back, nausea and vomiting;
     * low potassium level--leg cramps, constipation, irregular
       heartbeats, fluttering in your chest, increased thirst or
       urination, numbness or tingling; or
     * increased blood pressure--severe headache, blurred vision, pounding
       in your neck or ears, anxiety, nosebleed.

   Dexamethasone can affect growth in children. Tell your doctor if your
   child is not growing at a normal rate while using this medicine.

   Common side effects may include:
     * fluid retention (swelling in your hands or ankles);
     * increased appetite;
     * mood changes, trouble sleeping;
     * skin rash, bruising or discoloration;
     * acne, increased sweating, increased hair growth;
     * headache, dizziness;
     * nausea, vomiting, upset stomach;
     * changes in your menstrual periods; or
     * changes in the shape or location of body fat (especially in your
       arms, legs, face, neck, breasts, and waist).

   This is not a complete list of side effects and others may occur. Call
   your doctor for medical advice about side effects. You may report side
   effects to FDA at 1-800-FDA-1088.

What is the most important information I should know about dexamethasone?

   You should not use this medicine if you have a fungal infection
   anywhere in your body.

   Tell your doctor about all your medical conditions, and all the
   medicines you are using. There are many other diseases that can be
   affected by steroid use, and many other medicines that can interact
   with steroids.

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What should I discuss with my healthcare provider before taking
dexamethasone?

   You should not use dexamethasone if you are allergic to it, or if you
   have:
     * a fungal infection anywhere in your body.

   Tell your doctor if you have ever had:
     * liver disease (such as cirrhosis);
     * kidney disease;
     * a thyroid disorder;
     * malaria;
     * tuberculosis;
     * osteoporosis;
     * a muscle disorder such as myasthenia gravis;
     * diabetes (steroid medicine may increase glucose levels in your
       blood or urine);
     * glaucoma or cataracts;
     * herpes infection of the eyes;
     * stomach ulcers, ulcerative colitis, diverticulitis,
       inflammatory bowel disease;
     * depression or mental illness;
     * congestive heart failure; or
     * high blood pressure.

   Steroid medication affects your immune system. You may get
   infections more easily. Steroids can also worsen or reactivate an
   infection you've already had. Tell your doctor about any illness or
   infection you have had within the past several weeks.

   It is not known whether this medicine will harm an unborn baby. Tell
   your doctor if you are pregnant.

   You should not breast-feed while using dexamethasone.

How should I take dexamethasone?

   Follow all directions on your prescription label and read all
   medication guides or instruction sheets. Your doctor may occasionally
   change your dose. Use the medicine exactly as directed.

   Your dose needs may change due to surgery, illness, stress, or a
   medical emergency. Tell your doctor about any such situation that
   affects you.

   This medicine can affect the results of certain medical tests. Tell any
   doctor who treats you that you are using dexamethasone.

   Do not stop using dexamethasone suddenly, or you could have unpleasant
   withdrawal symptoms. Ask your doctor how to safely stop using this
   medicine.

   In case of emergency, wear or carry medical identification to let
   others know you use dexamethasone.

   Store at room temperature away from moisture and heat.

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What happens if I miss a dose?

   Call your doctor for instructions if you miss a dose of dexamethasone.

What happens if I overdose?

   Seek emergency medical attention or call the Poison Help line at
   1-800-222-1222.

   An overdose of dexamethasone is not expected to produce life
   threatening symptoms. Long term use of high doses can lead to thinning
   skin, easy bruising, changes in body fat (especially in your face,
   neck, back, and waist), increased acne or facial hair, menstrual
   problems, impotence, or loss of interest in sex.

What should I avoid while taking dexamethasone?

   Avoid being near people who are sick or have infections. Call your
   doctor for preventive treatment if you are exposed to chickenpox or
   measles. These conditions can be serious or even fatal in people
   who are using steroid medicine.

   Avoid drinking alcohol while you are taking dexamethasone.

   Do not receive a "live" vaccine while using dexamethasone. The vaccine
   may not work as well during this time, and may not fully protect you
   from disease. Live vaccines include measles, mumps, rubella
   (MMR), polio, rotavirus, typhoid, yellow fever,
   varicella (chickenpox), and zoster (shingles).

What other drugs will affect dexamethasone?

   Sometimes it is not safe to use certain medications at the same time.
   Some drugs can affect your blood levels of other drugs you take, which
   may increase side effects or make the medications less effective.

   Tell your doctor about all your current medicines. Many drugs can
   affect dexamethasone, especially:
     * an antibiotic or antifungal medicine;
     * birth control pills or hormone replacement therapy;
     * insulin or diabetes medications you take by mouth;
     * medicine to treat dementia or Parkinson's disease;
     * a blood thinner--warfarin, Coumadin, Jantoven; or
     * NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen
       (Advil, Motrin), naproxen (Aleve), celecoxib,
       diclofenac, indomethacin, meloxicam, and others.

   This list is not complete and many other drugs may affect
   dexamethasone. This includes prescription and over-the-counter
   medicines, vitamins, and herbal products. Not all possible drug
   interactions are listed here.

Where can I get more information?

   Your pharmacist can provide more information about dexamethasone.
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