💧 Dexamethasone Oral Liquid 0.5 mg/5 mL (pediatric)
📘 Description:
- Dexamethasone is a synthetic corticosteroid used for its strong anti-inflammatory, anti-allergic, and immunosuppressant effects.
- Form: Oral syrup/suspension
- Strength: 0.5 mg per 5 mL
- Route: Oral
- Primarily used in pediatrics, but can also be used for adults requiring low-dose oral liquid
🩺 Medical Uses / Indications:
| Indications | Purpose |
|---|---|
| Severe allergic conditions | Asthma, angioedema, urticaria |
| Croup (laryngotracheobronchitis) | Reduces airway inflammation quickly |
| Autoimmune disorders | Juvenile idiopathic arthritis, lupus |
| Brain edema (in children) | Helps reduce intracranial pressure |
| Replacement in adrenal insufficiency | If hydrocortisone is not available or in emergency |
| Chemotherapy-associated nausea (in children) | Anti-emetic effect |
| COVID-19 (as per pediatric protocols) | Controls inflammation in respiratory complications |
✅ Advantages:
- Low concentration makes it suitable for precise dosing in children
- Well-absorbed orally, even in liquid form
- Fast onset for emergency pediatric conditions (like croup)
- Tolerable taste (often flavored for children)
- Easy alternative when tablet swallowing is difficult
⚠️ Precautions:
- Do not stop suddenly if used for more than a few days – risk of adrenal suppression
- Use cautiously in:
- Infections (can mask signs)
- Diabetes (may raise blood sugar)
- Ulcers or GI upset
- Children – long-term use can suppress growth
- Vaccinations: Avoid live vaccines during therapy
- Monitor for behavior changes, mood swings, or weight gain
🧊 Storage:
- Store at 15–30°C (59–86°F)
- Keep tightly closed in original container
- Shake well before use
- Keep out of reach of children
🗣️ Caregiver Advice:
- Use measuring spoon or oral syringe for accuracy
- Administer after food or with milk to reduce gastric irritation
- Rinse mouth if used long-term to prevent thrush
- Monitor for:
- Sudden mood changes
- Signs of infection
- Slow growth (if chronic use)