سعر استونين اتش 0.1مجم 30 قرص 2022

Astonin-H (fludrocortisone acetate 0.1 mg) tablets by Amoun under licence from Merck KGaA (Germany), a mineralocorticoid; pack of 30 tablets.

• Mineralocorticoid replacement therapy in adrenocortical insufficiency (Addison's disease)Population: Children and adultsPatientenInfo-Service (Germany)
• Mineralocorticoid replacement therapy in salt-losing syndromePopulation: Children and adultsPatientenInfo-Service (Germany)
• Short-term treatment of severe hypoadrenergic orthostatic hypotension (dysautonomia) when general and physical measures are insufficientPopulation: Children and adultsPatientenInfo-Service (Germany)

• Replacement therapy: apart from hypersensitivity, no side effects are expected.International label, same product · PatientenInfo-Service (Germany)
• Short-term treatment of orthostatic hypotension: weight gain, oedema, hypokalaemia (with risk of arrhythmias, apathy, constipation, muscle weakness; possible worsening of myasthenia gravis), blurred vision, cardiac hypertrophy, hypertension, headache. Follow instructions on salt and fluid intake; potassium supplementation may be needed.International label, same product · PatientenInfo-Service (Germany)

• Hypersensitivity to fludrocortisone or any excipient.International label, same product · PatientenInfo-Service (Germany)
• Age over 65 years (does not apply to replacement therapy).International label, same product · PatientenInfo-Service (Germany)
• Hypotension due to organic heart disease; hypertension; hypokalaemia; metabolic alkalosis; hypovolaemic shock.International label, same product · PatientenInfo-Service (Germany)

• Careful individual dose titration with checks of weight, blood pressure and electrolytes is required.International label, same product · PatientenInfo-Service (Germany)
• A potentially fatal phaeochromocytoma crisis may occur (headache, sweating, palpitations, hypertension); tell the doctor if a phaeochromocytoma is suspected or known.International label, same product · PatientenInfo-Service (Germany)
• Report blurred vision or other visual disturbances to the doctor.International label, same product · PatientenInfo-Service (Germany)

• Enzyme inducers (barbiturates, phenytoin, primidone, rifampicin)May reduce the effect of Astonin H.PatientenInfo-Service (Germany)
• Female sex hormones, e.g. oral contraceptivesMay increase the effect of Astonin H.PatientenInfo-Service (Germany)
• Non-steroidal anti-inflammatory drugs (NSAIDs)May increase the effect of Astonin H.PatientenInfo-Service (Germany)

• Insufficient data in pregnancy; animal embryo-fetal studies showed reproductive toxicity. Astonin H must not be used during pregnancy except for replacement of endogenous mineralocorticoid deficiency, unless clearly necessary; in Addison's disease or salt-losing syndrome monitor blood pressure and serum potassium closely and adjust the dose.International label, same product · PatientenInfo-Service (Germany)
• There may be a small risk of cleft palate and intra-uterine growth retardation; hypoadrenalism may occur in the neonate; patients with pre-eclampsia or fluid retention require close monitoring.International label, same formulation · electronic medicines compendium (eMC)
• Unknown to what extent fludrocortisone passes into breast milk; decide on breastfeeding or therapy weighing the benefits for child and mother.International label, same product · PatientenInfo-Service (Germany)

English text not available for this section.