NESTACORT 6 Tablet 6's

Introduction About NESTACORT 6 TABLET

NESTACORT 6 TABLET contains Deflazacort which belongs to the group of medicines
called Anti-Inflammatory and Immunomodulator Drugs. It is used to manage
inflammation in asthma (inflamed airways), arthritis (pain and inflammation in
the joints) and allergies.

NESTACORT 6 TABLET is also used in management of problems with your skin,
kidney, heart, digestive system, eyes or blood and where your body has growths
(tumours). It also used to manage rejection after organ transplant operations.

NESTACORT 6 TABLET is not recommended for use in patients who have any
unmanageed systemic infection and had any vaccinations with live viruses.

Before taking NESTACORT 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 pe

NESTACORT 6 TABLET is generally not recommended for use in pregnant and
breastfeeding women unless clearly advised by the doctor. NESTACORT 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 NESTACORT 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 NESTACORT 6 TABLET

• Manage inflammation including asthma, arthritis and allergies
• Manage skin, heart, kidney, eyes, digestive system or blood problems
• Manage tumour problems
• Suppress the immune system in transplant operations

How NESTACORT 6 TABLET Works

NESTACORT 6 TABLET works by managing 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 manages autoimmune disease
conditions where immune system attacks the body tissues. It also supresses white
blood cells along with immune system to manage the body from attacking foreign
tissue in organ transplantation.

How to use NESTACORT 6 TABLET

Take NESTACORT 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 NESTACORT 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 NESTACORT 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

NESTACORT 6 TABLET is generally not recommended for use in pregnant women unless
considered clearly necessary. Consult your doctor before taking NESTACORT 6
TABLET.

!### Breastfeeding

NESTACORT 6 TABLET should be used with caution in breastfeeding women unless
considered clearly necessary. Consult your doctor before taking NESTACORT 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 NESTACORT 6
TABLET.

!### Kidney

NESTACORT 6 TABLET should be used with caution in patients with kidney problems.
Consult your doctor before taking NESTACORT 6 TABLET.

!### Liver

NESTACORT 6 TABLET should be used with caution in patients with liver problems.
Consult your doctor before taking NESTACORT 6 TABLET.

!### Allergy

Do not take NESTACORT 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

NESTACORT 6 TABLET should be used with caution in patients who had or have
tuberculosis. Consult your doctor before taking NESTACORT 6 TABLET.

!### Heart Disease

NESTACORT 6 TABLET should be used with caution in patients with high blood
pressure or heart problems. Consult your doctor before taking NESTACORT 6
TABLET.

Others

NESTACORT 6 TABLET is not recommended for use if you:

• have any unmanageed systemic infection (affecting the whole body)
• had any vaccinations with live viruses

Before taking NESTACORT 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 pe
• 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 m
• have any close family member with mental illnesses

Use in pediatrics:

NESTACORT 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:

NESTACORT 6 TABLET should be used with caution in elderly patients due to
increased risk of side effects. Consult your doctor before taking NESTACORT 6
TABLET.

Interactions

A. Drug-Drug interactions:

Before taking NESTACORT 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 manage 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 management (Ex. metformin or tolbutamide)
• medicines used for epilepsy (Ex. phenobarbitone, primidone, phenytoin, carbamazepine, acetazolamide)
• oral contrace
• medicines used in tuberculosis management (Ex. rifampicin or rifabutin)
• medicines used for managing 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 NESTACORT 6 TABLET, consult
your doctor immediately or visit the nearby hospital.

Synopsis

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

More Information

• Keep NESTACORT 6 TABLET out of reach of children
• Store at room temperature

FAQs About NESTACORT 6 TABLET

What is NESTACORT 6 TABLET used for?

NESTACORT 6 TABLET is used to manage 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 management and to suppress the immune
system after transplant operations to manage organ rejection.

Does NESTACORT 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
NESTACORT 6 TABLET. Always consult your doctor for advice before taking
NESTACORT 6 TABLET.

What are the side effects of NESTACORT 6 TABLET?

NESTACORT 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 NESTACORT 6 TABLET suddenly?

No, you should not stop taking NESTACORT 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 management with NESTACORT 6 TABLET, the dose will be gradually
reduced.

Can I take vaccine while taking NESTACORT 6 TABLET?

If you are going to have any injections or vaccinations, tell the doctor that
you are taking NESTACORT 6 TABLET. This includes those needed for a foreign
holiday. Some vaccines should not be given to patients taking this medicine.
This is because NESTACORT 6 TABLET can affect the way some vaccines work.

Useful Diagnostic Tests

• Fasting blood sugar
• Postprandial blood sugar
• Liver function test
• Complete blood count