Dexamethasone

Allergic reactions: 0.7520 mg daily, depending on the severity of the condition and patient response

Rheumatic disorders: 0.759 mg daily, depending on the specific condition and patient response

Cerebral edema: 2 mg orally 2 to 3 times daily

Nausea and vomiting associated with chemotherapy prophylaxis: 820 mg before chemotherapy, followed by 8 mg once to two times daily for the next 2 to 4 days

The healthcare provider typically determines pediatric dosing based on the child's individual needs and the severity of the condition.

Active Infections: Dexamethasone can suppress the immune system, making it harder for the body to fight infections. It may not be suitable for individuals with certain active infections, such as bacterial, fungal, or viral infections.

Diabetes: Dexamethasone can increase blood sugar levels and may require adjustment of diabetes medications or close monitoring of blood glucose levels in individuals with diabetes.

Osteoporosis: Prolonged use of dexamethasone can increase the risk of osteoporosis (bone thinning). Individuals with a history of osteoporosis or at high risk for osteoporosis should use dexamethasone with caution.

Pregnancy and Breastfeeding: The use of dexamethasone during pregnancy and breastfeeding should be discussed with a healthcare professional, considering the potential risks and benefits.

• Take dexamethasone exactly as prescribed by your doctor. Follow the instructions on the label and do not change the dosage without consulting your healthcare provider.
• It is usually taken with food or milk to help reduce stomach upset.
• Do not abruptly stop taking dexamethasone. Gradually reduce the dosage as instructed by your doctor to avoid potential withdrawal symptoms.
• Inform your healthcare provider about any other medications, vitamins, or herbal supplements you are taking to avoid potential drug interactions.
• Dexamethasone can increase the risk of infections, so take precautions to avoid exposure to sick individuals and practice good hygiene.
• Discuss with your doctor about potential side effects, such as changes in mood, sleep disturbances, or weight gain. They can help monitor and manage any issues that may arise.

• Increased appetite: Feeling hungrier than usual and potential weight gain.
• Difficulty sleeping: Trouble falling asleep or staying asleep.
• Indigestion: Stomach discomfort, upset stomach, or nausea.
• Swelling: Fluid retention, leading to swelling in the hands, feet, or face.

• Severe allergic reaction: Symptoms may include swelling of the face, lips, tongue, or throat; difficulty breathing or swallowing; and rash or hives.
• High blood sugar: Symptoms can include increased thirst, frequent urination, blurry vision, and fatigue.
• Mental health changes: Sudden mood swings, extreme irritability, or signs of depression.
• Stomach or intestinal issues: Severe stomach pain, black tarry stools, or vomiting blood.

• Infections: Dexamethasone can weaken the immune system, making you more susceptible to infections. Take precautions to avoid exposure to sick individuals and practice good hygiene.
• Adrenal Suppression: Prolonged use of dexamethasone can affect the adrenal glands, which produce important hormones. Abruptly stopping the medication can lead to adrenal insufficiency, so always follow your healthcare provider's instructions for tapering off the drug.
• Bone Thinning: Longterm use of dexamethasone can increase the risk of osteoporosis (bone thinning), especially in older adults. Make sure to consume enough calcium and vitamin D and discuss with your healthcare provider about measures to protect your bone health.
• Blood Sugar Imbalances: Dexamethasone can raise blood sugar levels, so individuals with diabetes need to monitor their blood glucose levels closely and adjust their diabetes medications as necessary.
• Mental Health Effects: Dexamethasone can cause mood changes, such as irritability or anxiety. If you notice significant changes in your mood or experience feelings of depression, discuss them with your healthcare provider.

Warfarin: Dexamethasone may decrease the effectiveness of warfarin, which is a blood thinner.

Nonsteroidal anti-inflammatory drugs (NSAIDs): Increased risk of stomach ulcers and bleeding when used concurrently with Dexamethasone.

Antidiabetic medications: Dexamethasone can increase blood sugar levels and may require adjustments in antidiabetic medicines.

Anticonvulsants (e.g., phenytoin, carbamazepine): Dexamethasone can reduce the effectiveness of anticonvulsant medications.

Cyclosporine: Dexamethasone may reduce the blood levels and effectiveness of cyclosporine, an immunosuppressant.

Vaccines: Dexamethasone may reduce the effectiveness of certain vaccines, especially live vaccines.

Ketoconazole: Dexamethasone can decrease the blood levels and effectiveness of ketoconazole, an antifungal medication.

Prednisone: Another corticosteroid medication used for its anti-inflammatory and immunosuppressive effects. It is available in various forms, including oral tablets, liquid solutions, and injections.

Methylprednisolone: Another corticosteroid used to treat inflammation, allergic reactions, and certain autoimmune conditions. It is available in oral, injectable, and intravenous forms.

Hydrocortisone: A corticosteroid medication used for various inflammatory conditions, including skin disorders and allergic reactions. It is available in different formulations, including creams, ointments, and oral tablets.

Betamethasone: A corticosteroid used to treat a range of inflammatory conditions, including dermatitis, eczema, and certain autoimmune disorders. It comes in various formulations, including creams, ointments, and injections.

Triamcinolone: A corticosteroid available in different forms, such as creams, ointments, and injections. It is used to treat various skin conditions, allergic reactions, and inflammatory conditions.

Dexamethasone Sodium Phosphate: Although it is also a form of dexamethasone, it is worth considering different formulations (such as oral tablets, liquid solutions, and injections) of the medication that may be more suitable for specific conditions or patient preferences.