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Prolonged corticosteroid use may result in elevated intraocular pressureglaucomaor cataracts with possible damage to optic nervesand may enhance establishment of secondary ocular infections due to bacteriafungior virusesconsider referral to ophthalmologist for patients who develop ocular symptoms or use corticosteroid-containing products for more than 6 weeks.
Berylliosisfulminating or disseminated pulmonary tuberculosis when used concurrently with appropriate antituberculous chemotherapyidiopathic eosinophilic pneumoniassymptomatic sarcoidosis.
Stomach upsetheadachedizzinessmenstrual changestrouble sleepingincreased appetiteor weight gain may occurIf any of these effects persist or worsennotify your doctor or pharmacist promptly.
Corticosteroids can produce reversible hypothalamic-pituitary adrenalHPAaxis suppression with potential for glucocorticosteroid insufficiency after withdrawal of treatmentadrenocortical insufficiency may result from too rapid withdrawalmay be minimized by gradual reduction of dosagerelative insufficiency may persist for months after discontinuation of therapythereforein any situation of stress occurring during that periodreinstitute hormone therapyif patient is receiving steroids alreadymay increase dosage.
How is dexamethasone typically givenadministeredDexamethasone may be administered in several different waysorally as an elixir or tabletsintravenouslyinto a veinintramuscularlyinto a muscleintralesionlyinto a lesioninto soft tissueintraarticularlyinto the cavity of a jointas eye dropsor as a lotionThe dose depends on several factorsincluding the condition being treatedthe size of the patientthe particular regimen being used and the overall health of the patient.
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