Precortisyl forte

Warning!

- Corticosteroid medicines taken by mouth should be taken in the morning to mimic the natural production of corticosteroids by the body. They should be taken after food.
- If you are taking a corticosteroid for longer than three weeks you will usually be given a steroid card with your medicine. The card contains details of your prescriber, type of steroid, dose taken and the duration of treatment. It's purpose is to act as reminder that your medicine should not be stopped suddenly, and to provide information of your treatment in case of an accident. You should carry it with you at all times and show it to anyone who treats you (eg doctor, nurse, pharmacist, dentist).
- If you are taking this medicine long-term, your doctor may need to temporarily increase your dose if you experience any any additional illness, trauma or surgery during treatment. Discuss this with your doctor.
- If you have never had chickenpox you should avoid close personal contact with people who have chickenpox or shingles (herpes zoster). If you are exposed you should your doctor urgently, as these diseases can be life-threatening in people who are taking long-term steroids and whose immune system is suppressed.
- You should not stop taking this medicine suddenly, particularly if you have been taking it for longer than 3 weeks. This is because long-term use of the medicine suppresses the natural production of corticosteroids by the adrenal glands. This means that the body becomes temporarily reliant on the medicine. When it is time to stop treatment the dose should be tapered down gradually, to allow the adrenal glands to start producing adequate amounts of natural steroids again. Follow the instructions given by your doctor or pharmacist.
- This medicine may increase your susceptibility to infections and also mask the symptoms of these infections. Consult your doctor if you get an infection during treatment.
- The injection should not be administered directly into tendons or spinal and other joints without a large range of movement (non-diarthrodial joints).
- Injections into joints should only be given under sterile conditions.
- Although oral and injected corticosteroids are banned by the international olympic committee, injections of corticosteroids into joints are not.

Use with caution in

- Children
- Chronic liver disease
- Decreased kidney function
- Decreased liver function
- Diabetes
- Elderly people
- Epilepsy
- Family history of diabetes
- Family history of glaucoma
- Glaucoma
- Heart failure
- High blood pressure
- History of or current mental disorder
- History of steroid induced mental disturbances
- Hypothyroidism
- Osteoporosis
- Peptic ulcer
- Previous muscle disease (myopathy) caused by steroids
- Tuberculosis

Not to be used in

- Herpes simplex virus infection of the eye
- Infection of the joint or surrounding tissue (joint injection only)
- Infection throughout the body (systemic infection) unless treated with specific anti-infectives

This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Pregnancy and Breastfeeding

Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.

- This medicine should be used with caution during pregnancy, and only if the expected benefit to the mother is greater than any possible risk to the foetus. Seek medical advice from your doctor.
- This medicine passes into breast milk. Discuss its use during breastfeeding with your doctor.

Label warnings

- Follow the printed instructions you have been given with this medication.
- Take this medication with or after food.