Xilopred 16 mg 20 tablets
Available at Pharmaegy Pharmacy. Use as directed by your doctor.
Xilopred 16 mg 20 tablets
Active ingredient:
Methylprednisolone — 16 mg.
Description:
Synthetic glucocorticosteroid with anti-inflammatory, immunosuppressive, and anti-allergic effects.
Used for conditions requiring systemic hormonal therapy.
Indications:
- Endocrine disorders: adrenal insufficiency, congenital adrenal hyperplasia.
- Rheumatic diseases: rheumatoid arthritis, juvenile arthritis.
- Autoimmune diseases: systemic lupus erythematosus, dermatomyositis.
- Allergic conditions: severe rhinitis, bronchial asthma, serum sickness.
- Skin diseases: pemphigus vulgaris.
- Hematological disorders: idiopathic thrombocytopenic purpura.
- Neoplasms: leukemias, lymphomas.
- GI diseases: ulcerative colitis, Crohn's disease.
- Other: sarcoidosis, tuberculous meningitis (with anti-TB therapy).
Dosage and Administration:
- Initial dose depends on the disease (see table in leaflet).
- Maintenance dose: minimal effective, taken once in the morning or every other day.
- Withdrawal: gradual, under medical supervision.
- Children and elderly: use with caution, minimal effective dose.
Examples:
Rheumatoid arthritis: 4–16 mg/day.
Systemic lupus: 20–100 mg/day.
Bronchial asthma: up to 64 mg/day.
Contraindications:
- Systemic fungal infections.
- Hypersensitivity to methylprednisolone or excipients.
- Live vaccination during immunosuppression.
- Severe infections without specific therapy.
Precautions:
- Infections: Increased susceptibility to bacterial, viral, fungal infections.
- Endocrine effects: Adrenal suppression, Cushing's syndrome.
- GI: Ulcers, perforation, pancreatitis.
- Cardiovascular: Hypertension, thrombosis.
- Nervous system: Psychiatric reactions (depression, mania).
- Ophthalmology: Cataracts, glaucoma.
- Metabolism: Hyperglycemia, hypokalemia.
- Bones: Osteoporosis (especially in postmenopausal women).
Adverse Effects:
Common (>1%):
Sleep disturbances, weight gain, edema.
Dyspepsia, hyperglycemia.
Rare (<0.1%):
Thrombosis, osteoporosis, psychiatric reactions.
Cataracts, glaucoma.
Long-term use: Adrenal insufficiency.
Pregnancy and Lactation:
Pregnancy: Only if strictly indicated (risk of fetal growth retardation).
Lactation: Excreted in breast milk (use with caution).
Storage:
Store below 30°C in a dry place.
Package:
Carton box containing 2 blisters of 10 tablets.