Dexamethasone TAD 8 mg tablets

Spain
Brand name Dexamethasone TAD 8 mg tablets
Form tablets
Active substance / Dosage
Prescription type Prescription Only Medicine
Registration number 81415
Manufacturer Tad Pharma Gmbh
Dexamethasone TAD 8 mg tablets tablets

Package leaflet: Information for the user

Introduction

Package leaflet: information for the user

Dexametasona TAD 4 mg tablets

Dexametasona TAD 8 mg tablets

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet. You may need to read it again.
  • If you have any questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any side effects not listed in this leaflet. See section 4.

Contents of the leaflet

  1. What Dexametasona TAD is and what it is used for
  2. What you need to know before taking Dexametasona TAD
  3. How to take Dexametasona TAD
  4. Possible side effects
  5. How to store Dexametasona TAD
  6. Contents of the pack and other information

1. What Dexamethasone TAD is and what it is used for

Dexamethasone TAD is a synthetic glucocorticoid. Glucocorticoids are hormones produced by the cortex of the adrenal glands. This medicine has anti-inflammatory, analgesic, and antiallergic effects, and suppresses the immune system.

Dexamethasone TAD is indicated for the treatment of rheumatic and autoimmune diseases (e.g., systemic lupus erythematosus, rheumatoid arthritis, juvenile idiopathic arthritis, polyarteritis nodosa), respiratory tract disorders (e.g., bronchial asthma, croup), skin conditions (e.g., erythroderma, pemphigus vulgaris), tuberculous meningitis only in conjunction with anti-infective treatment, blood disorders (e.g., idiopathic thrombocytopenic purpura in adults), cerebral edema, treatment of symptomatic multiple myeloma, acute lymphoblastic leukemia, Hodgkin's disease and non-Hodgkin's lymphoma in combination with other medications, palliative treatment of neoplastic diseases, prophylaxis and treatment of nausea and vomiting caused by chemotherapy, and prevention and treatment of postoperative vomiting, as part of antiemetic therapy.

Dexamethasone TAD 4 mg tablets

Dexamethasone TAD is used for the treatment of coronavirus disease 2019 (COVID-19) in adult and adolescent patients (aged at least 12 years with a body weight of at least 40 kg) who have difficulty breathing and require supplemental oxygen therapy.

2. What you need to know before taking Dexamethasone TAD

Do not take Dexamethasone TAD:

  • if you are allergic to dexamethasone or to any of the other ingredients of this medicine (listed in section 6).
  • if you have a systemic infection (unless you are receiving treatment).
  • if you have a stomach or duodenal ulcer.
  • if you are about to be vaccinated with live vaccines.

Warnings and precautions

If you are being treated for COVID-19, do not stop taking any other steroid medication unless your doctor tells you to.

Talk to your doctor, pharmacist, or nurse before starting Dexamethasone TAD:

  • if you have ever had severe depression or manic depression (bipolar disorder). This includes having had depression before or while taking steroid medicines such as dexamethasone.
  • if a close family member has had this condition.

Mental health problems may occur while taking steroids such as Dexamethasone TAD:

  • These conditions can be serious.
  • They usually begin within a few days or weeks after starting treatment.
  • They are more likely to occur at high doses.
  • Most of these problems resolve if the dose is reduced or treatment is stopped. However, if problems occur, you may need treatment.

Consult your doctor if you (or someone taking this medicine) show any signs of mental health problems.

This is especially important if you are depressed or may be thinking about suicide. In a few cases, mental health problems have occurred when doses were reduced or stopped.

Talk to your doctor before starting this medicine:

  • if you have kidney or liver problems (liver cirrhosis or severe renal failure),
  • if you have or suspect you have a phaeochromocytoma (a tumour of the adrenal glands).

if you have high blood pressure, heart problems, or have recently had a heart attack (myocardial rupture has been reported),

  • if you have diabetes or a family history of diabetes,
  • if you have osteoporosis (weakening of the bones), particularly if you are a postmenopausal woman,
  • if you have previously experienced muscle weakness with this or other steroids,
  • if you have glaucoma (increased pressure in the eye) or a family history of glaucoma, cataracts (clouding of the eye's lens causing vision loss),
  • if you have myasthenia gravis (a condition causing muscle weakness),
  • if you have an intestinal disorder or a peptic ulcer,
  • if you have psychiatric problems or have had psychiatric disorders worsened by this type of medicine,
  • if you have epilepsy (a condition causing repeated seizures or fits),
  • if you suffer from migraine,
  • if you have an underactive thyroid gland,
  • if you have a parasitic infection,
  • if you have tuberculosis, sepsis, or fungal eye infection,
  • if you have cerebral malaria,
  • if you have herpes (oral ulcers or genital herpes and ocular herpes simplex due to possible corneal perforation),
  • if you have asthma,
  • if you are being treated for blood vessel blockage due to blood clots (thromboembolism),
  • if you have corneal ulcers or corneal damage.

Treatment with this medicine may trigger a phaeochromocytoma crisis, which can be fatal. Phaeochromocytoma is a rare tumour of the adrenal glands. Symptoms of a crisis may include: headaches, sweating, palpitations, and hypertension. Contact your doctor immediately if you experience any of these symptoms.

Treatment with corticosteroids may reduce your body’s ability to fight infections. This may sometimes lead to infections caused by germs that rarely cause infection under normal circumstances (called opportunistic infections). If you develop any infection during treatment with this medicine, contact your doctor immediately. This is especially important if you notice signs of pneumonia: cough, fever, difficulty breathing, and chest pain. You may also feel confused, especially if you are elderly. You should also inform your doctor if you have had tuberculosis or if you have been to areas where intestinal worm infections are common.

It is important that while taking this medicine you avoid contact with anyone who has had chickenpox, shingles (herpes zoster), or measles. If you think you may have been exposed to any of these diseases, you should consult your doctor immediately. You should also inform your doctor if you have ever had infectious diseases such as measles or chickenpox and whether you have been vaccinated.

Contact your doctor if you experience symptoms of tumour lysis syndrome such as muscle cramps, muscle weakness, confusion, visual loss or changes, and difficulty breathing, in case you have a malignant haematological disorder.

Contact your doctor if you experience blurred vision or other visual disturbances.

Treatment with this medicine may cause central serous chorioretinopathy, an eye disorder causing blurred or distorted vision. This usually occurs in one of the two eyes.

Treatment with this medicine may cause tendon inflammation. In extremely rare cases, the tendon may rupture. This risk is increased when taking certain antibiotics or if you have kidney problems. Contact your doctor if you experience pain, or swelling or stiffness in your joints or tendons.

Treatment with Dexamethasone TAD may cause a condition called adrenal insufficiency. This may affect how well the medicine works during stress and trauma, surgery, childbirth, or illness, and your body may not be able to respond normally to severe stress such as accidents, surgery, childbirth, or illness.

If you have an accident, are ill, are under any other physical stress, or require any surgery (including at the dentist) or vaccination (particularly with live viral vaccines) while taking or after stopping dexamethasone, you must inform the person treating you that you are taking or have taken steroids.

If you need suppression tests (tests measuring hormone levels in the body), skin allergy tests, or tests for bacterial infections, inform the person performing the test that you are taking dexamethasone, as it may interfere with the results.

Your doctor may reduce the amount of salt in your diet and may give you potassium supplements while you are taking this medicine.

If you are elderly, some of the adverse effects of this medicine may be more serious, especially bone thinning (osteoporosis), high blood pressure, low potassium levels, diabetes, increased susceptibility to infections, and skin thinning. Your doctor will monitor you more closely.

Children

If a child is taking this medicine, it is important that their doctor regularly monitors their growth and development. Dexamethasone TAD should not be routinely used in premature infants with respiratory problems.

Other medicines and Dexamethasone TAD

Tell your doctor or pharmacist if you are taking, have recently taken, or might need to take any other medicines:

  • Anticoagulant medicines that thin the blood (e.g., warfarin)
  • Acetylsalicylic acid or similar (non-steroidal anti-inflammatory drugs) e.g., indometacin
  • Medicines used to treat diabetes
  • Medicines used to treat high blood pressure
  • Medicines used to treat heart problems
  • Diuretics (water tablets)
  • Amphotericin B injection
  • Phenytoin, carbamazepine, primidone (medicines for epilepsy)
  • Rifabutin, rifampicin, isoniazid (antibiotics used to treat tuberculosis)
  • Antacids – particularly those containing magnesium trisilicate
  • Barbiturates (medicines used to help sleep and relieve anxiety)
  • Aminoglutethimide (anticancer treatment)
  • Carbenoxolone (used in the treatment of stomach ulcers)
  • Ephedrine (nasal decongestant)
  • Acetazolamide (used for glaucoma and epilepsy)
  • Hydrocortisone, cortisone, and other corticosteroids
  • Ketoconazole, itraconazole (for fungal infections)
  • Ritonavir (for HIV)
  • Antibiotics including erythromycin, fluoroquinolones
  • Medicines that help muscle movement in patients with myasthenia gravis (e.g., neostigmine)
  • Cholestyramine (for high cholesterol)
  • Oestrogen hormones including oral contraceptives
  • Tetracosactide used in adrenal function tests
  • Sultopride used to calm emotions
  • Cyclosporine used to prevent transplant rejection
  • Thalidomide used e.g., for multiple myeloma
  • Praziquantel used for certain worm infections
  • Vaccination with live vaccines
  • Chloroquine, hydroxychloroquine and mefloquine (for malaria)
  • Somatotropin
  • Protirelin

Tell your doctor if you are taking or have recently taken other medicines, including those obtained without a prescription. You may have an increased risk of serious adverse effects if you take dexamethasone with these medicines.

  • Some medicines may increase the effects of Dexamethasone TAD, and your doctor may wish to monitor you closely if you are taking these medicines (including some HIV medicines: ritonavir, cobicistat).
  • Acetylsalicylic acid or similar (non-steroidal anti-inflammatory drugs) e.g., indometacin
  • Medicines for the treatment of diabetes
  • Medicines used to treat heart problems
  • Diuretics (water tablets)
  • Amphotericin B injections
  • Acetazolamide (used for glaucoma and epilepsy)
  • Tetracosactide used in adrenal function tests
  • Carbenoxolone (used in the treatment of stomach ulcers)
  • Chloroquine, hydroxychloroquine and mefloquine (for malaria)
  • Medicines used to treat high blood pressure
  • Thalidomide used e.g., for multiple myeloma
  • Vaccination with live vaccines
  • Medicines that help muscle movement in myasthenia gravis (e.g., neostigmine)
  • Antibiotics including fluoroquinolones.

You should read the leaflet of all medicines you take together with Dexamethasone TAD for information about these medicines before starting treatment with Dexamethasone TAD. Special attention to pregnancy testing and prevention requirements is needed when thalidomide, lenalidomide, or pomalidomide are used.

Dexamethasone TAD with food, drinks, and alcohol

Dexamethasone should be taken with or after food to minimise gastrointestinal irritation. Drinks containing alcohol or caffeine should be avoided. Small, frequent meals are recommended, as well as the possible use of antacids if advised by your doctor.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Dexamethasone TAD should only be prescribed during pregnancy, particularly in the first trimester, if the benefits outweigh the risks to the mother and unborn child. If you become pregnant while using this medicine, do not stop taking Dexamethasone TAD, but inform your doctor immediately that you are pregnant. Corticosteroids may pass into breast milk. Risk to newborns/infants cannot be excluded. A decision on whether to continue or stop breastfeeding or to continue or stop treatment with dexamethasone should be made, taking into account the benefit of breastfeeding to the child and the benefit of dexamethasone treatment to the woman.

Driving and using machines

Do not drive, operate tools or machinery, or perform any dangerous tasks if you experience adverse effects such as confusion, hallucinations, dizziness, tiredness, sleepiness, fainting, or blurred vision.

Dexamethasone TAD contains lactose

This medicine contains lactose. If your doctor has told you that you have an intolerance to certain sugars, consult with him before taking this medicine.

3. How to take Dexamethasone TAD

Take Dexamethasone TAD only as directed by your doctor. Your doctor will determine how long you should take dexamethasone. If in doubt, consult your doctor or pharmacist again.

Dexamethasone TAD is available as 4 mg, 8 mg, 20 mg, and 40 mg tablets. The tablet may be divided into equal halves, providing additional dose strengths of 2 mg and 10 mg, or to facilitate swallowing.

Dexamethasone is usually taken at doses of 0.5 to 10 mg daily, depending on the condition being treated.

In more severe conditions, doses above 10 mg per day may be required. The dose should be adjusted according to the individual patient's response and the severity of the disease. To minimize adverse effects, the lowest effective dose should be used.

Unless otherwise directed, the following dosage recommendations apply:

The dosage recommendations listed below are for guidance only. Initial and daily doses must always be determined based on the individual patient's response and the severity of the disease.

  • Cerebral edema: Initial dose and duration of treatment depend on the cause and severity: 6–16 mg (up to 24 mg) daily administered orally, divided into 3–4 individual doses.
  • Acute asthma: Adults: 16 mg/day for 2 days. Children: 0.6 mg/kg body weight for one or two days.
  • Croup: Children: 0.15 mg/kg–0.6 mg/kg as a single dose.
  • Acute skin disorders: Depending on the nature and extent of the disease, daily doses of 8–40 mg, in some cases up to 100 mg, followed by dose titration downward according to clinical needs.
  • Active phase of systemic rheumatic diseases: systemic lupus erythematosus: 6–16 mg/day.
  • Active, progressively severe rheumatoid arthritis: in rapidly destructive forms: 12–16 mg/day; with extra-articular manifestations: 6–12 mg/day.
  • Idiopathic thrombocytopenic purpura: 40 mg for 4 days in cycles.
  • Tuberculous meningitis: Patients with grade II or III disease receive intravenous treatment for four weeks (0.4 mg per kg body weight per day during week 1, 0.3 mg per kg per day during week 2, 0.2 mg per kg per day during week 3, and 0.1 mg per kg per day during week 4), followed by oral treatment for four weeks, starting at a total dose of 4 mg per day and reducing by 1 mg each week. Patients with grade I disease receive two weeks of intravenous treatment (0.3 mg per kg per day in week 1 and 0.2 mg per kg per day in week 2), followed by four weeks of oral treatment (0.1 mg per kg per day for 3 weeks, then a total of 3 mg per day, reducing by 1 mg each week).
  • Palliative treatment of neoplastic diseases: Initial dose and duration depend on the cause and severity: 3–20 mg/day. Very high doses up to 96 mg may also be used for palliative treatment. For optimal dosing and to reduce the number of tablets, combinations of lower doses (4 mg and 8 mg) and higher doses (20 mg or 40 mg) may be used.
  • Prophylaxis and treatment of cytotoxic-induced emesis, emetogenic chemotherapy with antiemetic treatment: 8–20 mg dexamethasone prior to chemotherapy, followed by 4–16 mg/day on days 2 and 3.
  • Prevention and treatment of postoperative nausea and vomiting, as part of antiemetic treatment: single dose of 8 mg before surgery.
  • Treatment of symptomatic multiple myeloma, acute lymphoblastic leukemia, Hodgkin’s disease, and non-Hodgkin’s lymphomas in combination with other medications: the usual dosage is 40 mg or 20 mg once daily.

The dose and frequency of administration vary depending on the therapeutic protocol and associated treatment(s). Dexamethasone administration should follow the instructions for dexamethasone administration when specified in the summary of product characteristics of the associated treatments. If not, local or international treatment protocols and guidelines should be followed. Prescribing physicians must carefully evaluate the appropriate dexamethasone dose, taking into account the patient's condition and disease status.

Long-term treatment

For long-term treatment of various diseases, after initial therapy, glucocorticoid treatment with dexamethasone should be switched to prednisone/prednisolone to reduce suppression of adrenal cortex function.

Dexamethasone 4 mg tablets

  • Treatment of Covid-19: In adult patients, a dose of 6 mg once daily is recommended for up to a maximum of 10 days.

Use in adolescents: It is recommended to administer a dose of 6 mg once daily for up to a maximum of 10 days to pediatric patients (adolescents at least 12 years of age and weighing 40 kg).

Use in children

If a child is taking this medicine, it is important that the doctor regularly monitors their growth and development.

If you take more Dexamethasone TAD than you should

If you take too much medication, contact your doctor or hospital immediately.

In case of overdose or accidental ingestion, contact your doctor or pharmacist immediately or call the Toxicology Information Service at telephone number 91 562 04 20, indicating the medication and the amount ingested.

If you forget to take Dexamethasone TAD

If you forget to take a dose, take it as soon as you remember, unless it is almost time for your next dose.

Do not take a double dose to make up for missed doses.

If you stop taking Dexamethasone TAD

If your treatment is to be discontinued, you must follow your doctor's recommendations. Your doctor may advise you to gradually reduce the amount of medication until you stop completely. Various symptoms have been reported when treatment is stopped too quickly, such as low blood pressure and, in some cases, relapse of the disease for which the treatment was prescribed.

A "withdrawal syndrome" may also occur, including fever, muscle and joint pain, inflammation of the nasal lining (rhinitis), weight loss, skin itching, and eye inflammation (conjunctivitis). If you stop treatment too early and any of the symptoms mentioned appear, you should consult your doctor as soon as possible.

If you have any further questions about the use of this medicine, ask your doctor or pharmacist.

4. Possible adverse effects

Like all medicines, this medicine can cause adverse effects, although not everybody gets them.

Consult your doctor immediately if you experience serious mental problems. These may affect 5 in every 100 people taking medicines such as dexamethasone. These problems include:

  • feeling depressed, including suicidal thoughts,
  • feeling extremely euphoric (mania) or mood swings,
  • feeling anxious, having sleep problems, difficulty thinking or confusion, and memory loss,
  • feeling, seeing, or hearing things that are not there, having strange or frightening thoughts, changes in behaviour, or feeling isolated.

Consult your doctor immediately if you experience:

  • severe abdominal pain, nausea, vomiting, diarrhoea, profound muscle weakness and fatigue, extremely low blood pressure, weight loss and fever, as these may be signs of adrenal insufficiency,
  • sudden abdominal pain, tenderness, nausea, vomiting, fever and blood in stools, which may be signs of intestinal perforation, especially if you have or have had a bowel disease.

This medicine may worsen existing heart problems. If you experience shortness of breath or swelling of the ankles, consult your doctor immediately.

Other possible adverse effects (frequency not known):

  • Increased risk of infections, including viral and fungal infections, e.g., thrush; reactivation of tuberculosis or other infections, e.g., eye infections if you have had them before,
  • Decrease or increase in the number of white blood cells, abnormal blood clotting,
  • Allergic reaction to the medicine, including potentially life-threatening allergic reactions (which may present as rash and swelling of the throat and tongue, and in severe cases, difficulty breathing or dizziness),
  • Problems with the body's hormonal regulation, swelling and weight gain, moon-shaped face (Cushingoid state), changes in endocrine system function following stress and trauma, surgery, childbirth or illness; your body may be unable to respond normally to severe stress such as accidents, surgery, childbirth or illness; growth retardation in children and adolescents; irregular or absent menstrual cycles (periods); excessive growth of body hair (particularly in women),
  • Weight gain, loss of protein and calcium imbalance, increased appetite, electrolyte imbalance, fluid retention, potassium loss which may lead to rhythm disorders, increased need for diabetes medication, previously undiagnosed diabetes becoming apparent, high levels of cholesterol and triglycerides in the blood (hypercholesterolemia and hypertriglyceridemia),
  • Extreme mood changes, worsening of schizophrenia (mental disorder), depression, inability to sleep,
  • Unusually severe headache with vision disturbances due to treatment withdrawal, seizures and worsening of epilepsy, dizziness,
  • Increased intraocular pressure, papilledema, thinning of ocular membranes, increased risk of viral, bacterial and fungal eye infections, worsening of symptoms associated with corneal ulcers, worsening of existing eye infections, eye protrusion, cataracts, blurred vision, visual disturbances, loss of vision,
  • Congestive heart failure in susceptible individuals, cardiac muscle rupture after a recent heart attack, cardiac decompensation,
  • High blood pressure, blood clots: formation of blood clots that may block blood vessels, for example in the legs or lungs (thromboembolic complications),
  • Hiccups,
  • Nausea, vomiting, stomach discomfort and bloating, inflammation and ulcers in the oesophagus, peptic ulcers which may perforate and bleed, inflamed pancreas (which may present as pain in the back and abdomen), flatulence, oesophageal candidiasis,
  • Thinning of delicate skin, unusual skin markings, bruising, redness and skin inflammation, stretch marks, visible inflammation of capillaries, acne, increased sweating, skin rash, swelling, reduced hair growth, unusual fat deposits, excessive hair growth, fluid retention in the body, capillary weakness leading to easy rupture observed as bleeding under the skin (increased capillary fragility), irritation of the skin around the mouth (perioral dermatitis),
  • Weakening of bones with increased risk of fractures (osteoporosis), bone necrosis, tendinitis, tendon rupture, muscle loss, myopathy, muscle weakness, premature interruption of bone growth (premature closure of epiphyses),
  • Changes in sperm count and motility, impotence,
  • Reduced response to vaccines and skin tests, slow wound healing, malaise,
  • A “withdrawal syndrome” may also occur, including fever, muscle and joint pain, inflammation of the nasal lining (rhinitis), weight loss, itchy painful skin nodules and eye inflammation (conjunctivitis).

Reporting of adverse effects:

If you experience any adverse effects, consult your doctor or pharmacist, even if they are possible adverse effects not listed in this leaflet. You can also report them directly via the Spanish Pharmacovigilance System for Human Medicines: https://www.notificaRAM.es. By reporting adverse effects, you can help provide more information on the safety of this medicine.

5. Storage of Dexamethasone TAD

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date stated on the packaging after EXP. The expiry date refers to the last day of the month indicated.

This medicine does not require any special storage temperature.

Store in the original packaging to protect from light and moisture.

Medicines must not be disposed of via wastewater or household waste. Dispose of unused medicines and their containers at the SIGRE collection point at your pharmacy. If you are unsure, please ask your pharmacist how to properly dispose of unused medicines and their packaging. This will help protect the environment.

6. Contents of the pack and other information

Composition of Dexamethasone TAD

  • The active substance is dexamethasone.

Dexamethasone TAD 4 mg tablets

  • Each tablet contains 4 mg of dexamethasone.

Dexamethasone TAD 8 mg tablets

  • Each tablet contains 8 mg of dexamethasone.

  • The other components (excipients) are monohydrate lactose, pregelatinized corn starch, anhydrous colloidal silica and magnesium stearate (E470b). See section 2 “Dexamethasone TAD contains lactose”.

Appearance of the product and pack contents

4 mg tablets: white or almost white, round tablets with bevelled edges, scored on one side (Thickness: 2.5–3.5 mm; Diameter: 5.7–6.3 mm). The tablet can be divided into equal doses.

8 mg tablets: white or almost white, oval tablets, scored on one side (Thickness: 3.5–5.5 mm; Length: 8.7–9.3 mm). The tablet can be divided into equal doses.

Dexamethasone TAD 4 mg is available in boxes containing 10, 20, 28, 30, 50, 56, 60, 100, 10 x 1, 20 x 1, 28 x 1, 30 x 1, 50 x 1, 56 x 1, 60 x 1 and 100 x 1 tablets in blisters.

Dexamethasone TAD 8 mg is available in boxes containing 10, 20, 30, 50, 60, 100, 10 x 1, 20 x 1, 30 x 1, 50 x 1, 60 x 1 and 100 x 1 tablets in blisters.

Only certain pack sizes may be marketed.

Marketing Authorization Holder

TAD Pharma GmbH, Heinz‑Lohmann‑Straße 5, 27472 Cuxhaven, Germany

Manufacturer

KRKA, d.d., Novo mesto, Šmarješka cesta 6, 8501 Novo mesto, Slovenia

Or

TAD Pharma GmbH, Heinz-Lohmann-Straße 5, 27472 Cuxhaven, Germany

For more information about this medicine, please contact the local representative of the Marketing Authorization Holder:

KRKA Farmacéutica, S.L., C/ Anabel Segura 10, Pta. Baja, Oficina 1, 28108 Alcobendas, Madrid, Spain

This medicine is authorized in the Member States of the European Economic Area and in the United Kingdom (Northern Ireland) under the following names:

Hungary: Dexamethasone Krka 4 mg tabletta / Dexamethasone Krka 8 mg tabletta

Bulgaria: ?e?????????? ???? 4 mg ???????? / ?e?????????? ???? 8 mg ????????

Czech Republic: Dexamethasone Krka 4 mg / Dexamethasone Krka 8 mg

Estonia: Dexamethason Krka

Croatia: Dexamethason Krka 4 mg tablete / Dexamethason Krka 8 mg tablete

Latvia: Dexamethason Krka 4 mg tabletes / Dexamethason Krka 8 mg tabletes

Lithuania: Dexamethasone Krka 4 mg tabletes / Dexamethasone Krka 8 mg tabletes

Poland: Dexamethasone Krka

Romania: Dexametazona Krka 4 mg comprimate / Dexametazona Krka 8 mg comprimate

Slovenia: Dexamethason Krka 4 mg tablete / Dexamethason Krka 8 mg tablete

Slovakia: Dexametazon Krka 4 mg tablety / Dexametazon Krka 8 mg tablety

Germany: Dexamethason TAD 4 mg Tabletten / Dexamethason TAD 8 mg Tabletten

Spain: Dexametasona TAD 4 mg comprimidos / Dexametasona TAD 8 mg comprimidos

United Kingdom: Dexamethasone 4 mg tablets / Dexamethasone 8 mg tablets

Portugal: Dexametasona Krka 4 mg comprimidos / Dexametasona Krka 8 mg comprimidos

Date of latest revision of this leaflet: July 2021

Detailed information on this medicine is available on the website of the Spanish Agency of Medicines and Health Products (AEMPS) http://www.aemps.es/