DECMAX 4mg Tablet 8's

Introduction About DECMAX 4MG TABLET

DECMAX 4MG TABLET contains Dexamethasone which belongs to the group of medicines
called Corticosteroids. It is used to manage problematic conditions of the
adrenal glands (such as adrenal insufficiency, congenital adrenal hyperplasia
and nonsuppurative thyroiditis)

It can also be used to manage various inflammatory auto-immune disease
conditions affecting the bones and joints (Ex. rheumatoid arthritis, ankylosing
spondylitis), skin and collagen (Ex. Stevens-Johnson syndrome, psoriasis), eyes
(Ex. o
pneumonitis, tuberculosis), blood and lymph (Ex. leukaemia, anemia,
thrombocytopenia, blood cancer, lymph cancer, sarcoidosis), bowel and gut (Ex.
Crohn’s disease and ulcerative colitis), brain (Ex. tuberculous meningitis,
cerebral edema associated with brain tumor) and heart (inflammation of heart
membranes)

It is also indicated in the management of drug induced hypersensitivity
reactions and in other allergic reactions (such as atopic dermatitis, allergic
conjunctivitis and allergic rhinitis). It also corrects calcium levels among
cancer patients and increases urine output or reduces protein loss via urine
among patients having kidney problems (such as nephrotic syndrome).

Before taking DECMAX 4MG TABLET inform your doctor if you any liver, kidney or
heart problems. You must also inform your doctor if you have diabetes,
hypertension, glaucoma, epilepsy, underactive thyroid, muscle problems,
osteoporosis, stomach problems, tuberculosis, depression, m
mental problems as a precaution.

DECMAX 4MG TABLET is not recommended for use in patients with serious unmanageed
fungal or viral infections in the body. Do not take DECMAX 4MG TABLET without
consulting your doctor if you are pregnant or breastfeeding.

The most common side effects of taking DECMAX 4MG TABLET are headache,
dizziness, acne, stomach discomfort, slow wound healing, skin thinning, high
blood pressure, fluid retention, swelling and weight gain of the body and face,
high blood sugar levels, muscle weakness, bone thinning and irregular menstrual
periods. Consult your doctor if any of these side effect worsens.

Uses Of DECMAX 4MG TABLET

It is used to manage the following disease conditions:

• Adrenal insufficiency and its associated conditions
• Bone and joint problems (Ex. rheumatoid arthritis, ankylosing spondylitis)
• Skin and collagen disorders (Ex. Stevens-Johnson syndrome, psoriasis)
• Eye problems (Ex. o
• Respiratory tract diseases (Ex. asthma, tuberculosis, pneumonitis)
• Blood cancer (leukemia), lymph cancer (lymphoma)
• Anemia (low RBC count in blood), thrombocytopenia (low platelet count in blood)
• Problems of bowel and gut (Ex. Crohn’s disease and ulcerative colitis)
• Brain problems (Ex. tuberculous meningitis)
• Heart inflammation (Ex. endocarditis)
• Drug induced hypersensitivity reactions
• Allergic reactions (such as atopic dermatitis, allergic conjunctivitis and allergic rhinitis)
• High blood calcium levels caused due to cancer management
• Protein loss via urine due to kidney problems

How DECMAX 4MG TABLET Works

DECMAX 4MG TABLET is a steroid medicine with anti-inflammatory and immune
suppressant properties. It boosts your body with sufficient corticosteroid
levels (cortisol, aldosterone) during deficient conditions and helps your body
to function properly.

It also reduces the release of certain chemicals (prostaglandins) in the body
that causes inflammation, pain, irritation and swelling. As a result, it reduces
allergic and inflammatory conditions in the body.

How to use DECMAX 4MG TABLET

Take DECMAX 4MG TABLET as advised by your physician. Swallow the medicine with a
glass of water. Do not crush or chew the medicine. It must be taken with or just
after meals to manage stomach upset.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and disease condition. Do not stop taking
DECMAX 4MG TABLET without consulting your doctor.

Side Effects Of DECMAX 4MG TABLET

Common

• headache, dizziness
• spinning sensation, increased sweating
• acne, skin rash, bruising
• nausea, stomach pain or discomfort, increased appetite
• changes in vision, feeling weak or tired, slow wound healing
• skin thinning
• fits
• difficulty in swallowing, sore throat
• high blood pressure, fluid retention
• swelling and weight gain of the body and face
• high blood sugar levels, with excessive thirst
• muscle weakness and wasting
• bone thinning with an increased risk of fractures
• raised pressure in the eye, cataracts
• irregular or lack of menstrual periods
• increased infections

Rare

Stop taking DECMAX 4MG TABLET and contact your doctor immediately if you
experience any of the following side effects:

• signs of allergic reaction (such as skin rash, itching, blistering and peeling of the skin, swelling of the face, lips, mouth, throat which may lead to breathing difficulties)
• severe skin rashes with blistering and peeling of skin
• feeling depressed, suicidal thoughts, m
• anxiety, sleeping problems, problems in thinking, confusion, memory loss
• hallucinations, strange thoughts, behavioural changes
• signs of pheochromocytoma crisis (headaches, sweating, palpitations and hypertension)
• signs of adrenal suppression (such as swelling and weight gain around the trunk, excessive hair growth in women, muscle weakness and wasting, irregular or missing periods, stunted growth in children, purple stretch marks on body skin, changes in the levels of protein and calcium in your body)

How To Manage Side Effects

!### Dizziness Or Drowsiness

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or
machines completely while you are feeling dizzy. Do not consume excessive
alcohol, as it could aggravate your dizziness. Consult your doctor if your
dizziness worsens.

Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as
water or electrolytes. Applying a pain-relieving balm on your forehead can be
beneficial. Do not consume excessive alcohol, as it could aggravate your
headache. Consult your doctor if your headache worsens.

!### Nausea And Vomiting

Take DECMAX 4MG TABLET with or just after a meal or a snack. Stick to simple
meals. Avoid eating rich or spicy food. Consult your doctor if your nausea
worsens.

Warning & Precautions

!### Pregnancy

ContraindicatedDECMAX 4MG TABLET is not recommended for use in pregnant women as it may cause
serious harm to the growing baby. Therefore, consult your doctor before taking
it.

!### Breastfeeding

ContraindicatedDECMAX 4MG TABLET is not recommended for use in breastfeeding women as it may
pass through the breast milk and affect the nursing infant. Therefore, consult
your doctor before taking it.

!### Driving and Using Machines

SafeDECMAX 4MG TABLET is unlikely to affect your ability to drive or handle any
heavy tools or machines.

!### Alcohol

Consult your doctorAvoid consum
feel drowsier.

!### Kidney

Use with CautionDECMAX 4MG TABLET should be used with caution in patients with kidney diseases.
Therefore, consult your doctor before taking it.

!### Liver

Use with CautionDECMAX 4MG TABLET should be used with caution in patients with liver diseases.
Therefore, consult your doctor before taking it.

!### Allergy

ContraindicatedDo not take DECMAX 4MG TABLET if you are allergic to Dexamethasone.

!### Heart Disease

Use with CautionDECMAX 4MG TABLET should be used with caution in patients with heart problems
(such as recent heart attack or heart failure). Therefore, consult your doctor
before taking it.

Others

DECMAX 4MG TABLET is not recommended for use if you:

• have any serious unmanageed fungal or viral infections in the body
• are about to get vaccinated (live-virus vaccine)
• currently have or previously had depression, bipolar disorder or any other mental illnesses
• have a family history of mental problems

Before taking DECMAX 4MG TABLET, inform your doctor if you:

• have diabetes or a family history of diabetes
• have fits
• have or have a family history of glaucoma
• have viral or fungal infections of the eyes
• have hypertension (high blood pressure)
• have underactive thyroid gland (hypothyroidism)
• have malaria affecting the brain
• have or had been in contact with someone who has chickenpox, measles or shingles
• have any muscle problems (Ex. myasthenia gravis)
• have osteoporosis (brittle bones)
• have pheochromocytoma (a rare tumor of the adrenal glands)
• have stomach ulcer or other serious stomach or intestinal problems
• have or had tuberculosis
• have symptoms of tumour lysis syndrome (such as muscle cramping, muscle weakness, confusion, visual loss or disturbances and shortness of breath)
• are scheduled for any upcoming surgery (including dental surgery)

Use in Pediatrics:

DECMAX 4MG TABLET should be used in children and adolescents (aged below 18
years) only if prescribed by the physician. Therefore, consult your doctor for
advice before taking it.

Use in Geriatrics:

DECMAX 4MG TABLET should be used with caution in elderly patients (aged 65 years
or above). Therefore, consult your doctor before taking it.

Interactions

A. Drug - Drug interactions:

Before taking DECMAX 4MG TABLET, inform your doctor if you are taking any of the
following medicines such as:

• aminoglutethimide or cyclophosphamide (used for managing cancer)
• anticoagulants (used for blood thinning) such as acenocoumarol, phenindione and warfarin
• medicines used to manage bacterial infections (Ex. isoniazid, erythromycin, clarithromycin and troleandomycin)
• medicines used to manage diabetes (Ex. metformin, glipizide)
• non-steroidal anti-inflammatory medicines (used for fever and pain relief) such as aspirin, ibuprofen
• medicines used to manage epilepsy (such as carbamazepine, phenytoin and primidone)
• ephedrine (used for cough)
• medicines used to manage HIV infections such as ritonavir, cobicistat
• medicines used to manage fungal infection (such as ketoconazole, amphotericin B, itraconazole)
• diuretics (used to manage edema and hypertension) Ex. furosemide, chlorothiazide, hydrochlorothiazide
• rifampicin and rifabutin (used to manage tuberculosis)
• medicines used to reduce anxiety and to induce sleep (such as phenobarbital, pentobarbital)
• thalidomide (a medicine used to manage skin problems and muscle problems)

Overdosage:

If you or anyone else accidentally took more DECMAX 4MG TABLET, consult your
doctor immediately or visit the nearby hospital straight away.

Synopsis

Drug	:	Dexamethasone
Pharmacological Category	:	Topical Corticosteroids
Therapeutic Indication	:	Adrenal insufficiency, Auto Immune Disease, Allergic reactions, Proteinuria
Dosage Forms	:	Tablet, Injection, Eye drops, Eye/Ear Drops

More Information

• Keep DECMAX 4MG TABLET out of reach of children
• Store DECMAX 4MG TABLET at room temperature

FAQs About DECMAX 4MG TABLET

Q: What is DECMAX 4MG TABLET used for?

A: DECMAX 4MG TABLET is a corticosteroid medicine used to manage adrenal
insufficiency. It can also be used to manage drug induced hypersensitivity
reactions, allergic reactions and various inflammatory auto-immune disease
conditions affecting the skin, collagen, bones and joints, brain, gut, eyes etc.
It also increases urine output and manages protein loss via urine among patients
having kidney problems.

Q: How to take DECMAX 4MG TABLET?

A: Take DECMAX 4MG TABLET preferably with or just after meals to avoid stomach
upset. Swallow the medicine with a glass of water. Do not crush or chew the
medicine.

Q: Is DECMAX 4MG TABLET a steroid?

A: Yes. DECMAX 4MG TABLET is corticosteroid used to manage problems of adrenal
gland and various allergic, hypersensitivity and inflammatory autoimmune disease
conditions.

Q: What are the most common side effects of DECMAX 4MG TABLET?

A: The most common side effects of taking DECMAX 4MG TABLET are headache,
dizziness, acne, stomach discomfort, slow wound healing, skin thinning, high
blood pressure, fluid retention, swelling and weight gain of the body and face,
high blood sugar levels, muscle weakness, bone thinning and irregular menstrual
periods. Consult your doctor if any of these side effect worsens.

Q: Can DECMAX 4MG TABLET make you feel high?

A: Yes. DECMAX 4MG TABLET may make you feel high. Such symptoms may disappear
once the therapy has been stopped. However, consult your doctor if it bothers
you.

Q: How does DECMAX 4MG TABLET works?

A: DECMAX 4MG TABLET boosts your body with sufficient corticosteroid levels and
helps your body to function properly. It also reduces the release of certain
chemicals in the body that causes inflammation. Therefore, it reduces allergic
and inflammatory responses in the body.

Q: How long will it take for DECMAX 4MG TABLET to control my disease?

A: The time taken by DECMAX 4MG TABLET to control the disease may vary from
person-to-person depending upon the dose of dexamethasone and disease severity.

Q: Is DECMAX 4MG TABLET safe to use in diabetic patients?

A: DECMAX 4MG TABLET may alter the blood sugar levels in your body. Therefore,
it is necessary to inform your doctor if you have diabetes before taking DECMAX
4MG TABLET as a precaution.

Q: Who should not take DECMAX 4MG TABLET?

A: DECMAX 4MG TABLET is not recommended for use in patients with serious viral
fungal infections. It is also not suitable for use in patients having mental
illnesses or a family history of the same.

Q: Can I take a higher dose of DECMAX 4MG TABLET?

A: No. It is not safe to take a higher dose of DECMAX 4MG TABLET without
consulting your doctor. If the prescribed dose is less effective for you, kindly
consult your doctor for a suitable high dose or for an alternative therapy.

Q: Can I take DECMAX 4MG TABLET daily?

A: Your doctor will evaluate your health condition and suggests whether can you
take DECMAX 4MG TABLET every day or not.

Q: Can I stop taking DECMAX 4MG TABLET once by pain reduces?

A: Take DECMAX 4MG TABLET for the stipulated duration recommended by your doctor
to achieve maximum results. Do not stop taking DECMAX 4MG TABLET or reduce the
dose without consulting your doctor, as sudden cessation of the therapy may lead
to unpleasant withdrawal symptoms such as skin itchiness, fever, headache,
muscle pain, joint pain, runny nose, tiredness or weight loss, especially if you
are taking higher dose of dexamethasone.

Q: Can DECMAX 4MG TABLET be used in children?

A: DECMAX 4MG TABLET should be used in children and adolescents (aged below 18
years) only if prescribed by the physician. Therefore, consult your doctor for
advice before taking it.

Q: What to do if I forgot to take a dose of DECMAX 4MG TABLET?

A: If you forgot to take a dose of DECMAX 4MG TABLET, take it as soon as you
remember. However, if it is time for the next dose of DECMAX 4MG TABLET, skip
the missed dose and take the next one regularly. Do not take a double dose of
DECMAX 4MG TABLET to compensate the missed ones

Q:Can DECMAX 4MG TABLET be used in pregnant women?

A: DECMAX 4MG TABLET is not recommended for use in pregnant women as it may
cause serious harm to the growing baby. Therefore, consult your doctor before
taking it.