DEFBIG 6 Tablet 10?s Allschoolabs -

Description

INTRODUCTION
DEFBIG 6 TABLET contains Deflazacort which belongs to the group of medicines called Anti-Inflammatory and Immunomodulator Drugs. It is used to treat inflammation in asthma (inflamed airways), arthritis (pain and inflammation in the joints) and allergies. ???
DEFBIG 6 TABLET is also used in treatment of problems with your skin, kidney, heart, digestive system, eyes or blood and where your body has growths (tumours). It also used to prevent rejection after organ transplant operations.
DEFBIG 6 TABLET is not recommended for use in patients who have any untreated systemic infection and had any vaccinations with live viruses.
Before taking DEFBIG 6 TABLET, inform your doctor if you have epilepsy, problems in liver, kidney or heart, diabetes, high blood pressure, mental health problems, osteoporosis, glaucoma, oesophagitis, ulcerative colitis, diverticulitis or peptic ulcer and pheochromocytoma. ????
DEFBIG 6 TABLET is generally not recommended for use in pregnant and breastfeeding women unless clearly advised by the doctor. DEFBIG 6 TABLET should be used with caution in children and elderly patients due to increased risk of side effects.
The most common side effects of taking DEFBIG 6 TABLET are excessive facial hair, increased weight, skin redness, rash, nausea and abdominal pain. Consult your doctor if any of the side effects worsen.
USES OF DEFBIG 6 TABLET

Treats inflammation including asthma, arthritis and allergies

Treats skin, heart, kidney, eyes, digestive system or blood problems

Treats tumour problems

Suppress the immune system in transplant operations
?
HOW DEFBIG 6 TABLET WORKS
DEFBIG 6 TABLET works by preventing the release of certain chemicals involved in the immune and allergic reactions, that result in inflammation. This type of action can reduce inflammation in a particular area, control various diseases characterised by excessive inflammation and treats autoimmune disease conditions where immune system attacks the body tissues. It also supresses white blood cells along with immune system to prevent the body from attacking foreign tissue in organ transplantation.
DIRECTIONS FOR USE
Take DEFBIG 6 TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
SIDE EFFECTS OF DEFBIG 6 TABLET

COMMON

Excessive facial hair

Increased weight

Puffy face appearance (cushingoid appearance)

Skin redness, rash and striae (stretch marks)

Abdominal obesity or pain

Need to urinate more often than normal

Constipation

Irritability, abnormal behaviour

Fever, back pain, bruise, nausea

Nosebleeds

UNCOMMON

Feeling full or bloated, indigestion, heartburn

Increase in appetite or weight gain around the face

Lose weight or feel weak

Signs of diabetes (increased thirst and needing to pass water more often than usual)

Increased blood pressure and water retention

Signs of low levels of potassium in the blood (tiredness, confusion, muscle weakness or muscle cramps)

Mood changes, difficulty in sleeping

Return of tuberculosis (TB) infection

Acne

Infections appear more easily than usual

RARE

Bleeding under the skin, redness

General muscle weakness or tiredness
Stop taking DEFBIG 6 TABLET and contact your doctor immediately if you experience any of the following side effects:
Signs of allergic reaction (swelling of the hands, feet, ankles, face, lips or throat which may cause difficulty in swallowing or breathing along with itchy, lumpy rash or nettle rash)

Signs of stomach ulcer (black tarry stools or notice fresh or clotted blood in the stool or dark bits that look like coffee grounds in your vomit)

Signs of pancreatitis (severe stomach pain which may reach through to your back)

Feeling depressed, including suicidal thoughts

Feeling anxious or high, having problems sleeping, difficulty in thinking or confusion and memory loss

Feeling, seeing or hearing things which do not exist

Signs of pheochromocytoma crisis (awareness of your heartbeat, increase in heart rate (palpitations), excessive sweating, high blood pressure, severe headaches or feeling shaky)

Signs of tumour lysis syndrome (changes in blood tests such as increased levels of uric acid, potassium or phosphorus and decreased level of calcium may result in muscle cramping, muscle weakness, confusion, visual loss or disturbances, shortness of breath, seizures, irregular heartbeat or reduced amount or darkening of urine)

Very sore throat, difficulty in swallowing and the inside of the mouth may have white areas on the surface

Headache, which is usually worse in the morning, on coughing or straining and nausea along with fits, fainting, eyesight problems, painful eyes or confusion

HOW TO MANAGE SIDE EFFECTS
Nausea:
Stick to simple meals while taking this medicine. Avoid eating oily rich, fried or spicy foods. Do not lie down or sleep immediately after eating. Consult your doctor if the symptom does not improve.???????
Constipation:
Take fiber rich foods in your diet such as fresh fruits, vegetables and whole grain cereals and drink plenty of fluids. Exercise more regularly (such as daily walk) and stay active. Consult your doctor if the symptom gets worse.?
Stomach pain:
Try to rest and relax. Eat and drink slowly or try to have smaller and frequent meals. Keep a heat pad on your stomach. If the symptom does not improve, consult your doctor.
WARNING & PRECAUTIONS

PREGNANCY
DEFBIG 6 TABLET is generally not recommended for use in pregnant women unless considered clearly necessary. Consult your doctor before taking DEFBIG 6 TABLET.
BREASTFEEDING
DEFBIG 6 TABLET should be used with caution in breastfeeding women unless considered clearly necessary. Consult your doctor before taking DEFBIG 6 TABLET.
DRIVING AND USING MACHINES
Do not drive or operate any machines if you feel dizzy or feel like everything around you is spinning or feel disorientated (vertigo) after taking DEFBIG 6 TABLET.
KIDNEY
DEFBIG 6 TABLET should be used with caution in patients with kidney problems. Consult your doctor before taking DEFBIG 6 TABLET.
LIVER
DEFBIG 6 TABLET should be used with caution in patients with liver problems. Consult your doctor before taking DEFBIG 6 TABLET.
ALLERGY
Do not take DEFBIG 6 TABLET if you are allergic to Deflazacort. It should be used with caution in patients who have ever had a bad reaction such as muscle weakness to any steroids.
LUNGS
DEFBIG 6 TABLET should be used with caution in patients who had or have tuberculosis. Consult your doctor before taking DEFBIG 6 TABLET.
HEART DISEASE
DEFBIG 6 TABLET should be used with caution in patients with high blood pressure or heart problems. Consult your doctor before taking DEFBIG 6 TABLET.?
OTHERS
DEFBIG 6 TABLET is not recommended for use if you:
Have any untreated systemic infection (affecting the whole body)

Had any vaccinations with live viruses
Before taking DEFBIG 6 TABLET, inform your doctor if you:
Have epilepsy

Have diabetes

Have high levels of uric acid in the blood?

Have osteoporosis

Have an eye disease that causes detachment of the retina and bulging eyes

Have or anyone in your family has an eye problem called glaucoma

Have an underactive thyroid gland

Have oesophagitis, ulcerative colitis, diverticulitis or peptic ulcer

Have athlete?s foot, thrush and cold sores

Have any problems with your blood vessels such as a blood clot

Have a pheochromocytoma

Have haematological malignancy

Are going to have an operation

Have ever had severe depression or manic-depression (bipolar disorder) or psychosis

Have any close family member with mental illnesses
Use in pediatrics:
DEFBIG 6 TABLET should be used with caution in children. Your child?s doctor may adjust the dose based on child?s age and body and dose may be initiated with the lowest effective dose. Consult your child?s doctor for advice.
Use in geriatrics:
DEFBIG 6 TABLET should be used with caution in elderly patients due to increased risk of side effects. Consult your doctor before taking DEFBIG 6 TABLET.
INTERACTIONS
A. Drug-Drug interactions:
Before taking DEFBIG 6 TABLET, inform your doctor if you are taking any of the following medicines:
Medicines used to relieve pain (Ex. aspirin, ibuprofen)

Aminoglutethimide (used for some types of cancer)

Ketoconazole (used to treat fungal infections)

Medicines used to remove excess water from the body (Ex. spironolactone, triamterene or amiloride)

Warfarin (used for thinning blood)

Medicines used in diabetes treatment (Ex. metformin or tolbutamide)

Medicines used for epilepsy (Ex. phenobarbitone, primidone, phenytoin, carbamazepine, acetazolamide)

Oral contraceptives such as oestrogens (used to prevent pregnancy)

Medicines used in tuberculosis treatment (Ex. rifampicin or rifabutin)

Medicines used for treating high blood pressure (Ex. verapamil, atenolol and propranolol)

Medicines for indigestion and heartburn (Ex. aluminium hydroxide, magnesium carbonate and calcium carbonate)

Salbutamol and theophylline (used for asthma)
Overdosage:
If you or anyone else accidentally takes too much of DEFBIG 6 TABLET, consult your doctor immediately or visit the nearby hospital.
SYNOPSIS

Drug :??
Deflazacort
Pharmacological Category :??
Glucocorticoids
Therapeutic Indication :??
Autoimmune diseases, Prevent rejection of organ transplantation and tumours
Dosage Forms :??
Tablet, Oral suspension, Suspension, Syrup
MORE INFORMATION

Keep DEFBIG 6 TABLET out of reach of children

Store at room temperature

FAQs ABOUT DEFBIG 6 TABLET
What is DEFBIG 6 TABLET used for?
DEFBIG 6 TABLET is used to treat inflammation including asthma, arthritis, allergies and problems in skin, heart, kidney, eyes, digestive system or blood. It is also used in certain type of cancer treatment and to suppress the immune system after transplant operations to prevent organ rejection.
Does DEFBIG 6 TABLET increase blood sugar?
Yes, you might experience increased thirst and needing to pass water more often than usual which could be signs of diabetes. If you are already diabetic, your doctor may prescribe more of your diabetes medicine to balance the effects of DEFBIG 6 TABLET. Always consult your doctor for advice before taking DEFBIG 6 TABLET.
What are the side effects of DEFBIG 6 TABLET?
DEFBIG 6 TABLET can cause common side effects such as excessive facial hair, increased weight, puffy face appearance, skin redness, abdominal pain, constipation, irritability, abnormal behaviour, fever, back pain, bruise, nausea and nosebleeds. If any of these side effects get worsen, consult your doctor immediately.
Can I stop taking DEFBIG 6 TABLET suddenly?
No, you should not stop taking DEFBIG 6 TABLET without consulting your doctor because it may cause problems such as high temperature, runny nose, red eyes, aching muscles and joints, itchy skin, and weight loss along with vomiting, headache and drowsiness. This is more likely to happen in children. If you had to stop the treatment with DEFBIG 6 TABLET, the dose will be gradually reduced.
Can I take vaccine while taking DEFBIG 6 TABLET?
If you are going to have any injections or vaccinations, tell the doctor that you are taking DEFBIG 6 TABLET. This includes those needed for a foreign holiday. Some vaccines should not be given to patients taking this medicine. This is because DEFBIG 6 TABLET can affect the way some vaccines work.
REFERENCES
1. KD. Tripathi. Steroids, Corticosteroids. Essentials of medical pharmacology. Fourth edition. 2013. Chapter 19. Page ? 284 to 297.
2. Anthony Markham & Harriet M. Bryson. Deflazacort ? A Review of its Pharmacological Properties and Therapeutic Efficacy. October 2012 [Accessed on 15th June 2022] https://link.springer.com/article/10.2165/00003495-199550020-00008
3.?Laura C. McAdam, Amanda L. Mayo, Benjamin A. Alman, and W. Douglas Biggar. The Canadian experience with long term deflazacort treatment in Duchenne muscular dystrophy. [Revised in May 2012] [Accessed on 15th June 2022]?https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440807/
4.?Sanofi S.r.l. Electronic Medicines Compendium (EMC). [Revised in August 2022] [Accessed on 15th June 2022]?https://www.medicines.org.uk/emc/files/pil.6287.pdf
5. Marathon Pharmaceuticals. U.S. Food & Drug Administration. [Revised in February 2017] [Accessed on 15th June 2022]?https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/208684s000,208685s000lbl.pdf
USEFUL DIAGNOSTIC TESTS