How would you like to be able to purchase a medicine that could once and for all solve all existing health problems. But so far this is not possible. And therefore, everyone is forced to spend a lot of time, money and effort to maintain their physical condition at the level necessary for the normal functioning of the body. The search for a quality highly specialized drug sometimes takes an incredible amount of time. This article is written to help you save a little. Below we will consider a detailed description of a drug called Hydrocortisone-Richter, which is actively used in modern medicine to combat a number of diseases. And in all these cases, this amazing medication is effective, as you can see during the reading. Who is Hydrocortisone Richter indicated for? How should it be used? What are the contraindications to its use? How safe is it? Is it necessary to consult a doctor or enough personal knowledge to draw up an individual treatment regimen? Are there any substitutes for the drug in question? You can find out all this and some other nuances of using the Hydrocortisone Richter drug by reading this article.
Structure
The main active ingredients that make up the Hydrocortisone-Richter are hydrocortisone acetate in the amount of one hundred twenty-five milligrams, as well as lidocaine hydrochloride in the amount of twenty-six and a half milligrams. Auxiliary components for the drug in question are polysorbate 80; povidone; sodium phosphate; tpropyl parahydroxybenzoate; sodium dihydrogen phosphate; methyl parahydroxybenzoate; sodium chloride; dimethylacetamide; water for injections.
Pharmacological properties
The drug "Hydrocortisone-Richter" is a glucocorticosteroid. The main effect that the drug in question has on the patient's body is anti-inflammatory.
"Hydrocortisone-Richter" must be administered intra- or periarticularly or intramuscularly.
Lidocaine is an effective analgesic (local anesthetic), which has an effect on the necessary area of the body for an extremely short time. The substance also has a membrane stabilizing effect.
In the event that this drug is administered intraarticular or periarticular, the active substances enter the systemic circulation for a short time. Active components demonstrate a high level of protein binding (it exceeds ninety percent). In the patient’s liver, the drug breaks down into the following substances: tetrahydrocortisone and tetrahydrocortisol. The latter in conjugated form are excreted by the kidneys.
Important! The drug freely overcomes the placental barrier, so it can affect the fetus.
Lidocaine also passes into breast milk, which is dangerous for the baby during breastfeeding.
The elimination half-life is about one to two hours.
Indications
The main diseases in which the use of the drug "Hydrocortisone-Richter" is indicated are brachio-scapular periarthritis, tendovaginitis, osteoarthritis, provided there is synovitis (does not apply to infectious arthritis), as well as bursitis, rheumatoid arthritis and epicondylitis.
Today, the drug in question is increasingly used to combat various diseases of the respiratory tract, larynx and nasopharynx (laryngitis, asthma, bronchitis, sinusitis, runny nose and the like), as well as ears (otitis media of varying severity).
Application
In order to cope with ENT diseases, use "Hydrocortisone-Richter" for inhalation. The instructions for use of the agent in question are thus extremely simple. It is important to start by contacting a competent specialist who would be able to prescribe a minimum dose of the drug that would be effective in this particular case. This is necessary to ensure that the use of the drug "Hydrocortisone-Richter" for inhalation is truly safe. It would be extremely reckless to make such decisions on your own. It is also important that the attending physician prescribe the proportions of the preparation of the working solution for the procedure in question. If you carefully follow the recommendations received from a specialist, then the use of the drug "Hydrocortisone-Richter" for inhalation will be truly saving in the fight for good health.
The drug in question is also used for otitis media. In such cases, it is recommended to drip two milliliters of Hydrocortisone-Richter solution into the ear. Repeat the procedure three to four times a day. As directed by the attending physician, you can combine this drug with a solution of an antibiotic suitable for the patient.
Also , Hydrocortisone-Richter (instructions for use contain such information) can be used directly to treat joint diseases. In this case, the drug is administered intraarticularly or periarticularly. During the day, the drug "Hydrocortisone-Richter" (suspension) should not be injected into more than three joints. The next injection can be made only three weeks after the previous one.
The same joint can be exposed to the drug "Hydrocortisone-Richter" (suspension) no more than three times a year. This is due to the adverse effect of this drug on hyaline cartilage.
In what doses should hydrocortisone-Richter be used in this case? The instructions for use recommend that adults administer from five to fifty milligrams of the substance, depending on how large the joint is and how bad the disease is. The children's dose is from five to thirty milligrams. However, this amount must be divided into several injections during the day.
For the treatment of diseases of the nose, special complex drops should be prepared . It is necessary to mix the ampoule "Dioxidine", "Mesatone" and the drug in question and shake thoroughly. Next, you should instill this solution with the drug "Hydrocortisone-Richter" in the nose (two drops three times a day).
Self-medication is not always effective and can even become dangerous. And it does not depend on what you are struggling with - otitis media, arthritis, sinusitis, or you want to use Hydrocortisone-Richter for inhalation. The instructions contain only the average recommended dosages. The exact amount of the drug and the scheme of its use can be established in each individual case only by the attending physician.
Contraindications
There are some conditions under which in no case can you use the solution for injection or drops of Hydrocortisone-Richter. So, you can’t use the drug in question if you have an infected joint, problems with the Achilles tendon, a tendency to form blood clots, Itsenko-Cushing's syndrome, systemic infection without specific therapy, as well as individual intolerance to one or another component of the drug.
Also, the drug is prohibited to take during the period of bearing a child (in particular, in the first trimester). In the second and third trimesters, the drug should be taken only if the benefit to the mother will be many times higher than the risk to the fetus. And the use of the drug "Hydrocortisone Gideon Richter" has an extremely negative effect on the development of the fetus. In particular, it provokes a lag in development. During breastfeeding, the use of the drug is also prohibited.
You can not enter the drug intraarticularly if there is pathological bleeding, infectious arthritis, intraarticular bone fracture , osteoarthritis without synovitis, bone destruction, periarticular infection, periarticular osteoporosis, joint deformation, unstable joint, transferred arthroplasty.
It is important to always be under the supervision of a physician if the patient is elderly or has the following diseases: diabetes mellitus, duodenal ulcer or stomach ulcer, osteoporosis, herpes, tuberculosis, epilepsy, glaucoma, measles, arterial hypertension, chronic heart failure.
Side effects
What side effects can a Hydrocortisone Richter (suspension) medication cause? The instruction contains information on the following negative reactions that could potentially occur during therapy with the drug in question. Among them:
- growth retardation;
- steroid diabetes;
- Itsenko-Cushing's syndrome;
- decreased glucose tolerance;
- inhibition of adrenal function;
- nausea;
- hypokalemia;
- hiccups;
- thromboembolism;
- flatulence;
- peptic ulcer;
- heart failure;
- bleeding
- peripheral vasodilation;
- vomiting
- increase in blood pressure;
- irritability;
- pancreatitis
- insomnia;
- esophagitis;
- increased appetite;
- headache;
- anxiety;
- weight gain;
- euphoria;
- mental disorders;
- corneal ulceration;
- excitation;
- increased sweating;
- hallucinations;
- cataract;
- damage to the optic nerve;
- infections of the organs of vision;
- cerebellar pseudotumor, glaucoma;
- depression;
- dizziness;
- paranoia;
- disorientation;
- delirium;
- epileptiform convulsions;
- arthralgia;
- myalgia;
- osteoporosis;
- growth retardation;
- decrease in muscle mass;
- muscle spasm;
- fatigue
- steroid myopathy;
- hypernatremia;
- tendon damage;
- opportunistic infections;
- arrhythmia;
- fluid retention;
- increased weakness;
- skin rash;
- exacerbation of infections (including latent tuberculosis);
- itching
- folliculitis;
- anaphylactic shock;
- ecchymoses;
- steroid acne;
- telangiectasia;
- skin atrophy;
- paresthesia;
- hirsutism;
- swelling of the tissues;
- necrosis of surrounding tissues;
- adrenal insufficiency;
- leukocytosis;
- malaise.
If the patient is in old age, then the risk of any of these side effects increases significantly.
Also, a number of the above reactions may occur due to exceeding the prescribed dosage or taking the medicine for too long. Under such conditions of use of the Hydrocortisone-Richter agent, the instruction advises symptomatic treatment, since there is currently no specific antidote.
Features
It is important to introduce the drug in question, taking into account all the rules of antiseptics, which will help to avoid infection by any pathogenic microorganisms.
It is forbidden to vaccinate the patient during therapy with the indicated drug. This is due to the possible inhibition of antibody synthesis.
During the use of the drug "Hydrocortisone-Richter" (suspension), the instructions for use recommend that you follow a certain diet. The sodium content in food consumed should be reduced, while the potassium content should be significantly increased. It is also necessary to consume a sufficient amount of protein.
It is important to regularly monitor the following indicators: blood coagulation, diuresis, glucose concentration in the blood, blood pressure and body weight. This will help in time to identify possible abnormalities and adjust the treatment regimen.
The drug in question significantly slows down the growth and development of children and adolescents. Therefore, it is important that the treatment regimen is composed by an experienced specialist. As a rule, the lowest possible doses are prescribed for the shortest possible time.
Interaction with other drugs
Cardiac glucosides used simultaneously with the drug in question have a much more toxic effect on the patient's body.
The drug significantly accelerates the elimination of acetylsalicylic acid.
Concurrent use with live vaccines provokes the development of infections due to the activation of viruses.
Accelerates the metabolism of substances such as mexiletine and isoniazid. Therefore, their concentration in blood plasma decreases sharply.
The risk of developing a toxic effect of paracetamol on the patient’s liver is increased.
High doses of the drug in question offset the effects of growth hormone somatropin.
Hypoglycemic drugs while taking this drug also become less effective.
Increased intraocular pressure due to the simultaneous use with antihistamines and tricyclic antidepressants.
Analogs
If for any reason (for example, the presence of certain contraindications) you are not able to use the drug "Hydrocortisone-Richter", it would be wise to find information about its substitutes in order to find the right drug for you. So, for the main active substance, the analogues of the drug in question are suspensions of "Kortef" and "Solu-Kortef." A similar mechanism of action is distinguished in the following drugs: Prednisone (ointment for external use); Kenalog (suspension); "Dexapos", "Prenacid", "Maxidex", "Ozurdeks" (eye ointments); "Polkotrolon", "Medopred", "Megadexan", "Flosterone", "Ivapred" (suspensions). It is important to remember that each of these drugs has its own characteristics and unique cases when it should be used. Therefore, it would be most reasonable to provide an opportunity for a specialist to choose the appropriate analogue of the drug in question, which would be effective in your case and would not harm your body.
Reviews
What do people say about the effectiveness of the drug in question? About the drug "Hydrocortisone-Richter" reviews are left by both patients and attending physicians. The vast majority declare its unconditional effectiveness, amazing results for a short period of treatment, as well as a lasting effect (there is no need to repeat the course many times). These reviews indicate that the drug is really trustworthy and you should pay attention to it.
However, there is another side to the coin. Namely: sometimes patients complain of negative adverse reactions after the use of the drug in question. Sometimes they cause a lot of inconvenience and require specific treatment. Sometimes there are much more serious symptoms, for example, a delay in the development of the child. However, all these consequences can be avoided if you carefully examine the instructions for use of the drug. It clearly indicates all the possible side effects and focuses on the need for medical supervision. If you admit that the attending physician does not have control over the patient's condition (especially if it is your own child), be prepared to face some unpleasant consequences. It is better not to allow the situation to develop in this way and pay enough attention to following all the recommendations. Self-medication with the drug in question is unacceptable and dangerous.
Now you are fully equipped. Having received such comprehensive information about the drug "Hydrocortisone-Richter", you can make a truly informed decision as to whether to use it in your individual case. But even if it turns out that this is exactly what you need now, do not rush to purchase and use the medicine. Do not be too lazy to discuss this type of treatment with your doctor. He will be able to build a treatment plan taking into account all the existing nuances and help you get around all the pitfalls, which are many when using the drug in question. Indeed, despite all its undeniable effectiveness, Hydrocortisone-Richter has many side effects that entail quite serious consequences. Only a competent specialist can help avoid their development, under whose supervision it is recommended that this drug be treated. Only in this case, this kind of therapy will bring you invaluable benefits, eliminating the unpleasant symptoms of the disease. Spending a little time on consulting a doctor, you can save a lot of money and your own emotional and physical forces, which otherwise would have to be spent on dealing with severe adverse reactions and complications. The more conscious you are about the health of your body, the more gratitude it will answer you for many years to come.
Always choose only the highest quality treatment for yourself and your family! Good luck to you!