Contraindications
As with all medicines, there are situations in which Fortecortin® should not be given. However, if an emergency occurs in which the administration of Fortecortin® can save lives, there is no contraindication. Fortecortin® must not be prescribed in cases of hypersensitivity to the ingredients of the drug. Further contraindications are: In general, Fortecortin® must not be injected in case of infections in the area of application.
- Joint instability
- Torn tendon
- Bleeding tendencies
- Infection of the joint or its surroundings.
Cautious use with
As already mentioned, Fortecortin® is anti-inflammatory and also dampens the immune system. Therefore the risk of contracting a bacterial, viral, fungal or parasitic infection increases when taking Fortecortin®. In addition, it lowers the physical reaction to pathogens that have already entered the body, which can make diagnosis very difficult.
If tuberculosis or hepatitis B is present in the body, it can be reactivated. Additional caution is required with live vaccinations. In this case, it is possible to take the vaccine 8 weeks before and 2 weeks after the vaccination.
However, the success of the vaccination may be reduced. If you have diabetes mellitus that is difficult to control, your blood sugar level must be monitored very closely when taking Fortecortin®. Caution is advised in the case of a tendency to thrombosis, an acute heart attack, heart failure, extremely high blood pressure, and osteoporosis.
Care must also be taken that the effect of Fortecortin® is enhanced in cases of existing liver cirrhosis (end stage of chronic liver disease with remodelling processes) or reduced thyroid activity. Since the intake of Fortecortin® is bad for the intestinal mucosa, can increase a stomach ulcer and increases the risk of intestinal perforation, it should only be taken in exceptional cases in the following diseases: The increased risk of joint infection must also be taken into account when taking Fortecortin® locally. Pregnancy: Fortecortin®, like all other dexamethasones, passes through the placental barrier and can thus have an effect on the unborn child.
An animal study has shown adverse effects on the fetus. Therefore, the use of Fortecortin® during pregnancy should not be attempted.Breastfeeding: Fortecortin® can pass into breast milk to a small extent and thus cause an adrenal cortex dysfunction in the newborn. If glucocorticoids have to be taken, breastfeeding should not be continued during this time.
- Severe ulcerative colitis
- Diverticulitis and other chronic inflammatory bowel diseases.