Dalivit

Overdose

Contraindications

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What is the most important information I need to know about Dalivit?

You should not use this medication if you are allergic to dalivitis or if you have a fungal infection somewhere in your body.

Before taking dalivit, tell your doctor about all your medical conditions and any other medications you are taking. There are many other diseases that can be affected by steroid use, and many other medications that can interact with steroids.

Your steroid medication needs may change if you have unusual stress, such as a serious illness, fever, or infection, or if you have surgery or a medical emergency. Tell your doctor about a situation that affects you during treatment.

Steroid medications can weaken your immune system and make it easier for you to get infected or worsen an infection that you already have or have recently had. Tell your doctor about any illness or infection you have had in the past few weeks.

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 taking steroid medications.

Do not get a "live" vaccine while taking dalivit. Vaccines may not work as well as long as you take the steroid.

Do not stop using dalivit suddenly, otherwise unpleasant withdrawal symptoms may occur. Talk to your doctor about how to avoid withdrawal symptoms when you stop taking the drug.

Wear an ID card or a medical warning bracelet that says you are taking a steroid in an emergency.



Undesirable effects

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CCA possible oboe effects from Dalivit are?

Applied to topical dalivit: topical application of cream, topical application of ointment

Other dosage forms:

  • topical application cream
  • up-to-date application cream, up-to-date application lotion, up-to-date application ointment, up-to-date application solution
  • topical application of topical cream Pen, topical applicationsgel / gels, CHICAGO applicationskit, topical application of liquid, topical application of lotion, topical application of MSI, topical application of paste, topical application of solution, topical application of Spring, topical application of MSI

In addition to its side effects, some undesirable effects may be caused by dalivit topical (the active ingredient found in dalivit with aloe). If any of these side effects occur, you may need medical attention.

Main side effects

You should immediately consult your doctor if any of these side effects occur topically when taking dalivit:

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Some of the side effects that may occur with dalivit topical may not need medical attention. If your body adapts to the medication during treatment, these side effects may disappear. Your doctor can also tell you how to reduce or prevent some of these side effects. If any of the following side effects persist, are distracting, or you have questions about it, contact your doctor:

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Therapeutic indications

An indication is a term used for a list of conditions or symptoms or diseases for which a medication is prescribed or used by a patient. For example, acetaminophen or acetaminophen is used by the patient for fever, or the doctor prescribes it for headaches or body aches. Now fever, headache, and body aches are indications for acetaminophen. The patient should be aware of the indications of medications used for common diseases, as they can be taken without a prescription by a doctor at a pharmacy or without a prescription.

When oral therapy is not possible, and the thickness, dosage form, and controlled route of administration of the drug by giving the preparation a reasonable treatment for this condition is intravenous or intramuscular use of Sterile Instrumentation for Reshe-Dalivit powder is as follows:

Allergic conditions

Control of severe or incapable allergic conditions, unbearable for adequate studies of the usual treatment of asthma, atopic dermatitis, contact dermatitis, drug hypersensitivity reactions, long-term or seasonal allergic rhinitis, serum sickness, transfusion reactions.

Dermatological diseases

Bullous dermatitis herpetiform, exfoliative erythroderma, mycosis fungoid, pemphigus, severe erythema multiforme (Stevens-Johnson syndrome).

Endocrine disorders

Primary or secondary adrenal insufficiency (dalivit or cortisone is the drug of choice, synthetic analogues can be used in combination with mineralocorticoids if necessary, mineralocorticoid supplementation is of particular importance in infancy), congenital adrenal hyperplasia, hypercalcemia associated with cancer, non-suppurative thyroiditis.

Gastrointestinal diseases

For the treatment of a patient during the critical period of the disease with regional enteritis (systemic therapy) and ulcerative colitis.

Hematological disorders

Acquired (autoimmune) hemolytic anemia, congenital (erythroid) hypoplastic anemia (Blackfan diamond anemia), idiopathic thrombocytopenic purpura in adults (intravenous administration only, intramuscular administration is contraindicated), pure erythrocyte aplasia, selected cases of secondary thrombocytopenia.

Various

Trichinosis with neurological or myocardial involvement, tuberculous meningitis with subarachnoid block or impending block, when used simultaneously with appropriate anti-tuberculosis chemotherapy.

Neoplastic diseases

For palliative treatment of leukemia and lymphoma.

Nervous system

Acute exacerbations of multiple sclerosis, brain edema associated with a primary or metastatic brain tumor or craniotomy.

Eye disease

Sympathetic ophthalmia, uveitis, and eye inflammation do not respond to topical corticosteroids.

Kidney diseases

For the induction of diuresis or remission of proteinuria in idiopathic nephrotic syndrome or due to lupus erythematosus.

Respiratory diseases

Berylliosis, fulminant or disseminated pulmonary tuberculosis when used concomitantly with appropriate antitubercular chemotherapy, idiopathic eosinophilic pneumonia, symptomatic sarcoidosis.

Rheumatic disorders

As an additional therapy for short-term administration (to inform the patient about an acute episode or exacerbation) in acute gouty arthritis, acute rheumatic cardiitis, ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, including juvenile rheumatoid arthritis (for some cases, low-dose maintenance therapy may be required). It is used to treat dermatomyositis, temporal arteritis, polymyositis, and systemic lupus erythematosus.

See also: Entyvio

Dalivit It is a steroid drug used to treat many different diseases, including allergic diseases, skin diseases, ulcerative colitis, arthritis, lupus, multiple sclerosis, or lung diseases.

Dalivit is also used to replace steroids in people with adrenal insufficiency (reduced production of natural steroids by the adrenal glands).

Dalivit affects your immune system and is often used to treat certain blood cell diseases, such as anemia (low red blood cells) or thrombocytopenia (low platelets).

Dalivit is also used to treat certain cancers, such as leukemia, lymphoma, and multiple myeloma.

Dalivit may also be used for purposes not specified in this medication guide.

Name of the medicinal product

Dalivit

Qualitative and quantitative composition

Solu-dalivit 100 mg contains sodium succinate of hydrocortisone, which corresponds to dalivit 100 mg, monobase sodium phosphate 1 mg, dibasic sodium 9 mg and sodium hydroxide 10%.

Solu-dalivit 100 mg / 2 ml contains sodium succinate of hydrocortisone in accordance with dalivit 100 mg / 2 ml, monobase sodium phosphate 1 mg, dibasic sodium 10 mg and sodium hydroxide 10%.

Solu-dalivit 250 mg / 2 ml contains sodium hydrocortisone succinate, which corresponds to dalivit 250 mg/2 ml, monobase sodium phosphate 2 mg, dibasic sodium phosphate 25 mg and sodium hydroxide 10%.

Solu-dalivit 500 mg / 4 ml contains sodium succinate of hydrocortisone in accordance with dalivit 500 mg / 4 ml, monobase sodium phosphate 5 mg, dibasic sodium phosphate 52 mg and sodium hydroxide 10%.

Sodium dalivit-succinate or pregn-4-en-3,20-dione, 21 - (3-carboxy-1-oxopropoxy)-11,17-dihydroxy, monosodium salt (11β) is an anti-inflammatory adrenocortical steroid. This high water-soluble sodium succinate esters Dalivit allows for instant IV administration of high doses of Dalivit in a small volume of diluent and is especially useful if high Dalivit in the blood is required quickly.

If necessary, the pH of the solu-dalivite with sodium hydroxide was set so that the pH of the reduced solution was in the specified range of USP 7-8.

Special warnings and precautions for use

Use dalivit as directed by your doctor. Check the label on the medicine for exact dosage instructions.

  • Dalivit is usually given as an injection in a doctor's office, hospital, or clinic. If you use dalivit at home, your doctor will teach you how to use it. Make sure you understand how to use dalivit. Follow the procedures you are taught when applying the dose. If you have any questions, contact your doctor.
  • do not use dalivit if it contains particles, is cloudy or discolored, or if the bottle is cracked or damaged.
  • Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your doctor how to dispose of these materials after use. Follow all local disposal regulations.
  • if you miss a dose of dalivit, consult your doctor immediately.

Ask your doctor questions about the use of dalivit.

es gibt spezifische sowie Allgemeine Verwendungen eines Arzneimittels oder Arzneimittels. Ein Medikament kann verwendet werden, um eine Krankheit zu verhindern, eine Krankheit über einen Zeitraum zu behandeln oder eine Krankheit zu heilen. Es kann auch verwendet werden, um das Besondere symptom der Krankheit zu behandeln. Der Drogenkonsum hängt von der form ab, die der patient einnimmt. Es kann in injektionsform oder manchmal in Tablettenform nützlicher sein. Das Medikament kann für ein einziges beunruhigendes symptom oder einen lebensbedrohlichen Zustand verwendet werden. Während einige Medikamente nach einigen Tagen abgesetzt werden können, müssen einige Medikamente über einen längeren Zeitraum fortgesetzt werden, um den nutzen daraus zu ziehen.

Dalivit is a natural substance (corticosteroid hormone) produced by the adrenal glands. It is used to treat conditions such as arthritis, blood / hormone / immune system diseases, skin and eye diseases, respiratory problems, cancer, and serious allergies. This reduces your immune system's response to various diseases to reduce symptoms such as pain, swelling, and allergic reactions.

Dalivit is also used to treat low levels of dalivit caused by adrenal diseases (such as Addison's disease, adrenal cortex insufficiency). Corticosteroids are necessary in many ways for the body to function well. They are important for the balance of salt and water and maintain normal blood pressure.

Using Dalivit

Take this medication orally, with food or milk to prevent stomach upset, as directed by your doctor. Take this medicine with a full glass of water (8 oz / 240 milliliters), unless your doctor tells you otherwise.

Follow the dosing plan carefully. The dosage and duration of treatment depends on your state of health and response to treatment. Your doctor may instruct you to take dalivit 1-4 times a day or take a single dose every other day. It can help to mark your calendar with reminders or use a pill box.

Do not stop taking this medicine without consulting your doctor. Some conditions may worsen if this drug is suddenly discontinued. Your dose may need to be gradually reduced.

If you have regularly used dalivit for a long period of time or in high doses, withdrawal symptoms may occur when the drug is suddenly discontinued. To prevent withdrawal symptoms (such as weakness, weight loss, nausea, muscle pain, headache, fatigue, dizziness), your doctor may gradually reduce the dose. Contact your doctor or pharmacist for more information and report any withdrawal symptoms immediately. See also precautions.

Tell your doctor if your condition persists or worsens.

Dosage (Posology) and method of administration

The initial dose of dalivit tablets can range from 20 mg to 240 mg of dalivit per day depending on the specific condition treated. In situations with less severity, lower doses are usually sufficient, while for some patients, higher initial doses may be required.. The initial dose should be maintained or adjusted until a satisfactory response is detected.. If after a reasonable time there is no satisfactory clinical response, dalivit should be discontinued and the patient transferred to another appropriate therapy. IT SHOULD BE EMPHASIZED THAT THE DOSAGE REQUIREMENTS ARE VARIABLE AND SHOULD BE INDIVIDUALIZED BASED ON THE DISEASE BEING TREATED AND THE PATIENT'S RESPONSE.. After a favorable reaction is detected, the correct maintenance dose should be determined by reducing the initial dose of the drug in small increments with appropriate time intervals until the lowest dosage that supports an adequate clinical response is reached. It should be noted that constant monitoring of the dosage of the drug is required. In situations in which the dose is adjusted and, if necessary, changes in the clinical condition as a result of remission or exacerbation of the disease in the process, the medication of the individual patient's response and the patient's exposure to radiation compared to stressful situations not directly related to the treated disease together, in this latter situation it may be necessary to increase the dosage of Dalivit the time interval that is associated with the patient's condition in accordance with . If the drug should be discontinued after prolonged therapy, it is recommended to discontinue it gradually, rather than abruptly

multiple sclerosis

In the treatment of acute exacerbations of multiple sclerosis, daily doses of 200 mg of prednisone for a week were effective, followed by 80 mg every other day for 1 month (20 mg of dalivit is equivalent to 5 mg of prednisone).

How delivered

Dalivit Tablets available in the following package thicknesses and sizes:

5 mg (white, round, red, printed dalivit 5) bottles of 50 NDC 0009-0012-01

10 mg (white, round, red, printed dolivit 10) bottles up to 100 NDC 0009-0031-01

20 mg (white, round, red, printed dalivit 20) bottles of 100 NDC 0009-0044-01

Store at a controlled room temperature of 20° to 25°C.

Banished from: Pharmacia !Ampere, Upjohn Company, a division of Pfizer Inc., NEW York, NY 10017. Revised: February 2013

Interaction with other medicinal products and other forms of interaction

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What other drugs affect dalivit?

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Dalivit Xepa-Robert Pattinson reduces the effectiveness of hypoglycemic, increases the effect of indirect anticoagulants of coumarin derivatives.

Dalivit reduces the effect of vitamin D on the absorption of calcium ions into the intestinal lumen. Ergocalciferol and parathyroid hormone prevent the development of GCS osteopathy.

Dalivit Xepa-Robert Pattinson increases the metabolism of isoniazid, mexiletine (especially in "fast acetylers"), which leads to a decrease in their concentration in blood plasma, increases (with long-term therapy) the content of folic acid, reduces the concentration of praziquantel in the blood.

Dalivit in high doses reduces the effect of somatropin.

Hypokalemia caused by corticosteroids may increase the severity and duration of muscle block on the background of muscle relaxants.

Antacids reduce the absorption of GCS.

When used concomitantly with SCS-thiazides, carbonic anhydrase inhibitors, other corticosteroids, amphotericin B increase the risk of hypokalemia, drugs containing sodium ions - edema and increase blood pressure.

NSAIDs and ethanol increase the risk of ulceration and bleeding of the gastrointestinal tract, in combination with NSAIDs for the treatment of arthritis can reduce the dose of corticosteroids due to the cumulative therapeutic effect. Indomethacin, which displaces SCS from its association with albumin, increases the risk of its side effects.

Amphotericin B and carbonic anhydrase inhibitors increase the risk of osteoporosis.

The therapeutic effect of GCS is reduced under the influence of inducers of microsomal liver enzymes (including phenytoin, barbiturates, ephedrine, theophylline, rifampin) by increasing the rate of metabolism of these substances.

Inhibitors of adrenal cortex function (including mitotan) may require higher doses of corticosteroids.

The clearance of GCS increases against the background of thyroid hormone preparations.

Immunosuppressants increase the risk of infection and lymphoma or other lymphoproliferative diseases associated with the Epstein-Barr virus.

Estrogens (including oral contraceptives containing estrogen) reduce the clearance of GCS, prolong T1/2 and their therapeutic and toxic effects. The occurrence of hirsutism and acne is promoted by the simultaneous use of other steroid hormonal agents - androgens, estrogens, anabolic steroids, oral contraceptives.

Tricyclic antidepressants may increase the severity of depression caused by corticosteroids (not indicated for the treatment of these side effects).

The risk of developing cataracts increases with the use of other antipsychotic drugs (corticosteroids), carbutamide and azathioprine. The use of dalivit Xepa-Robert Pattinson with the appointment of m-cholinergic blockers, as well as drugs with m-anticholinergic action (including antihistamines, tricyclic antidepressants) with nitrates improves intraocular pressure.

The simultaneous use of SCS with live vaccines and antiviral vaccines increases the risk of virus activation and the development of infections compared to other types of immunization.