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Dexamethasone Injection is a potent corticosteroid used to treat severe inflammation, allergic reactions, certain cancers, and immune-related disorders. It works by suppressing the immune system and reducing inflammation. This injection is commonly used in hospitals for conditions such as severe asthma, rheumatoid arthritis, cerebral edema, septic shock, and COVID-19 management (as adjunct therapy).
Active Ingredient: Dexamethasone Sodium Phosphate
Concentration: (varies per brand, typically 4mg/ml)
Excipients: Water for injection and stabilizers
Corticosteroid (Glucocorticoid)
Injection (solution for IV, IM, or intra-articular use)
Strength: Typically 4mg/ml in 50ml vial
Severe allergic reactions (anaphylaxis adjunct, asthma, hay fever)
Rheumatic disorders (rheumatoid arthritis, bursitis, gout)
Skin diseases (eczema, psoriasis, dermatitis)
Eye inflammation (as adjunct therapy)
Respiratory conditions (severe asthma, COPD exacerbations)
Brain swelling (cerebral edema, brain tumors)
Certain cancers (as part of chemotherapy regimen)
Septic shock (adjunctive treatment)
Autoimmune diseases (lupus, vasculitis)
COVID-19 (hospitalized patients requiring oxygen/ventilation)
💉 Administered under medical supervision only
Adults: Dose depends on condition and severity; ranges from 0.5mg – 24mg daily
IV/IM injection: May be given in divided doses
Cerebral edema: 10mg IV initially, then 4mg every 6 hours
Children: Dose based on weight and condition
Symptoms: Cushing’s syndrome (moon face, weight gain), high blood sugar, hypertension, fluid retention, confusion
Management: Supportive care; no specific antidote
If scheduled hospital dose is missed, consult doctor
Do not double dose or self-inject without supervision
Administered intravenously (IV), intramuscularly (IM), intra-articularly, or soft tissue injection
Given by healthcare professionals only
Do not self-administer unless instructed
Hypersensitivity to dexamethasone or excipients
Systemic fungal infections
Caution in patients with active tuberculosis or untreated infections
Recent live vaccination
Common:
Increased appetite, weight gain
Mood changes, restlessness, anxiety
Stomach upset, indigestion
Headache
Serious:
Cushingoid appearance (moon face, buffalo hump)
High blood sugar/diabetes
Osteoporosis with long-term use
Increased risk of infections
Visual disturbances (cataracts, glaucoma)
Stomach ulcers/bleeding
Long-term use can cause adrenal suppression and osteoporosis
Taper gradually after prolonged use — avoid sudden discontinuation
Monitor blood pressure, blood sugar, and bone health during treatment
Use cautiously in children (may affect growth)
Avoid close contact with infectious patients (chickenpox, measles)
NSAIDs/aspirin → ↑ risk of stomach bleeding
Anticoagulants (warfarin, heparin) → altered clotting effect
Antidiabetics → reduced effect due to hyperglycemia
Cytochrome P450 inducers (rifampin, phenytoin) → reduced corticosteroid levels
Vaccines → reduced efficacy and increased infection risk
Store at 20–25°C, away from direct light
Do not freeze
Discard vial safely after use as per biomedical waste rules
Prescription-only medicine
Dexamethasone is not a painkiller, but reduces inflammation and immune response
Inform your doctor about long-term corticosteroid use before surgery
Do not stop suddenly after prolonged use — tapering is necessary
Carry a steroid treatment card if on long-term therapy
Avoid alcohol and NSAIDs to reduce stomach irritation risk
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