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رغوة برينديسولون الشرجية، الحقنة الشرجية والتحاميل

Rectal prednisolone reduces inflammation of the rectum (proctitis) in conditions such as Crohn's disease and ulcerative colitis.

Read the leaflet that comes with the pack for full instructions for using the preparation.

A course of treatment usually lasts 2-4 weeks.

نظرة سريعة

  • Rectal prednisolone is a corticosteroid medicine used to treat inflammation in the lower bowel and rectum.

  • It comes as suppositories, a liquid enema, or a foam.

  • Read the manufacturer's leaflet for instructions on how to use your preparation.

  • Treatment courses usually last 2–4 weeks.

  • Keep all regular appointments with your doctor while using this medicine.

  • If you become ill or are exposed to measles, shingles, or chickenpox, contact your doctor.

About rectal prednisolone preparations

نوع الدواء

A corticosteroid (often referred to as a 'steroid')

يستخدم لـ

Proctitis; ulcerative colitis; Crohn's disease

متوفر كـ

Rectal solution, rectal foam and suppository

In inflammatory bowel conditions such as مرض كرون و التهاب القولون التقرحي, patches of inflammation develop in the lining of parts of your gastrointestinal tract. Both of these conditions can cause inflammation of the lower parts of your bowel and the rectum. Inflammation in the rectum is called proctitis. Symptoms of a flare-up of inflammation in the rectum are fresh bleeding and a feeling of wanting to go to the toilet frequently. It may be helpful during flare-ups such as these for you to be treated with a corticosteroid given rectally. This means giving the medication into your back passage, as an enema or suppository.

Prednisolone is a corticosteroid medicine, it is also referred to as a steroid medicine. It relieves the symptoms of a flare-up by reducing inflammation. There are three types of prednisolone formulation available for rectal use: suppositories, a liquid enema in a disposable pack with an application nozzle, and a foam which is administered using an applicator attached to an aerosol cannister.

Before using rectal prednisolone

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start using prednisolone it is important that your doctor knows:

  • إذا كنت تعاني من أي نوع من العدوى، أو إذا كنت قد أصبت بمرض السل (TB) من قبل.

  • If you (or anyone you are in close contact with) have recently had chickenpox, measles or shingles.

  • If you have ever had a blood clot in an artery or vein.

  • If you are pregnant or breastfeeding. This is because your doctor will want to monitor the progress of you and your baby closely.

  • If you have any of the following: high blood pressure, weakened bones (osteoporosis), epilepsy, an underactive thyroid gland, or a stomach ulcer.

  • إذا كنت قد تعرضت لنوبة قلبية، أو إذا كان لديك أي مشاكل أخرى في القلب.

  • If you or anyone in your family have diabetes mellitus, or increased eye pressure (glaucoma).

  • إذا كنت قد تلقيت مؤخرًا أي تطعيمات أو على وشك تلقيها.

  • إذا كنت تعاني من حالة تسبب ضعف العضلات، تُسمى الوهن العضلي الوبيل.

  • إذا كنت تتناول أي أدوية أخرى. يشمل ذلك أي أدوية تتناولها والتي يمكن شراؤها بدون وصفة طبية، بالإضافة إلى الأدوية العشبية والمكملات الغذائية.

  • If you have had an allergic reaction to a medicine, or if you have developed muscle pain after taking a steroid medicine.

How to use rectal prednisolone

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about prednisolone and will provide you with a full list of the side-effects which you may experience from using it. It will also give you a step-by-step guide on how to use the preparation you have been supplied with.

  • Follow the directions you have been given by your doctor about how much to use and when to use it. It is usual to be prescribed either one or two doses a day depending upon which preparation you have been supplied with. Your dose will be printed on the label of the pack to remind you about what the doctor said to you.

  • It is usual for a course of treatment to last 2-4 weeks, but your doctor will tell you what is right for you. The aim is to treat the flare-up but to keep the total amount of steroid treatment as low as possible.

تحقيق أقصى استفادة من علاجك

  • حاول الحفاظ على مواعيدك المنتظمة مع طبيبك. هذا لكي يتمكن طبيبك من متابعة تقدمك.

  • Prednisolone can suppress your immune system, so it is important if you become ill that you make an appointment to see your doctor straightaway. If you come into contact with anyone who has measles, shingles or chickenpox (or anyone who suspects they might have them), you should contact your doctor for advice as soon as possible.

  • If you are having an operation or dental treatment, tell the person carrying out the treatment that you are using a rectal steroid preparation. It is also important that, if you are due to have any vaccinations, you make sure that the person treating you knows that you are using prednisolone. Some vaccines are not suitable for you while you are being treated with prednisolone.

  • If you buy any medicines, check with your pharmacist that they are suitable for you to take with prednisolone.

Can rectal prednisolone cause problems?

Prednisolone can be absorbed into the body from rectal formulations, so these preparations can cause similar unwanted side-effects to oral steroids. However, because less of the medicine is absorbed when given rectally than when taken by mouth, the risk of side-effects is much lower.

Children are susceptible to side-effects from corticosteroids. The main concern is for children who need frequent courses, as it can have an effect on their growth and this may need to be monitored.

How to store prednisolone

  • احفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.

  • احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.

معلومات هامة عن جميع الأدوية

معلومات هامة عن جميع الأدوية

Never use more than the prescribed dose. If you suspect that someone has swallowed some of the medicine by accident, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.

هذا الدواء لك. لا تعطه لأشخاص آخرين حتى لو بدت حالتهم مشابهة لحالتك.

لا تحتفظ بالأدوية منتهية الصلاحية أو غير المرغوب فيها. خذها إلى صيدليتك المحلية التي ستتولى التخلص منها نيابة عنك.

إذا كان لديك أي أسئلة حول هذا الدواء، اسأل الصيدلي الخاص بك.

الإبلاغ عن الآثار الجانبية لدواء أو لقاح

إذا واجهت آثارًا جانبية، يمكنك الإبلاغ عنها عبر الإنترنت من خلال موقع بطاقة صفراء.

مدقق الأعراض

غير متأكد من خلط الأدوية؟

تحقق من التفاعلات المحتملة بين الأدوية والمكملات الغذائية والأطعمة قبل تناولها معًا.

الأسئلة الشائعة

How long do I need to keep prednisolone enema?

The duration of treatment with rectal prednisolone is typically 2-4 weeks. Your doctor will advise you on the exact course of treatment that is right for your condition. The goal is to treat the flare-up effectively while keeping the overall amount of steroid treatment as low as possible.

What if I miss a dose of rectal prednisolone?

The article does not specifically mention what to do if a dose is missed. It is always best to follow the directions given by your doctor or pharmacist. If you are unsure, you should refer to the manufacturer's printed information leaflet or contact your pharmacist for advice.

Can I use rectal prednisolone if I'm already taking other medications?

Yes, you can, but it's crucial to inform your doctor about all other medicines you are currently taking. This includes non-prescription drugs, herbal remedies, and complementary medicines. Your doctor needs this information to ensure prednisolone is suitable for you and to monitor for any potential interactions.

Are there any specific vaccines I should avoid while using rectal prednisolone?

Yes, if you are due to have any vaccinations, it's important to let the person treating you know that you are using prednisolone. Some vaccines are not suitable for people while they are being treated with this medication. Your doctor or the healthcare professional administering the vaccine will be able to advise you further.

How can I dispose of expired or unused rectal prednisolone?

You should not keep out-of-date or unwanted medicines. Take them to your local pharmacy, which will dispose of them for you safely and responsibly.

قراءة إضافية ومراجع

عن المؤلفعرض السيرة الذاتية الكاملة

صورة المؤلف

مايكل ستيوارت، MRPharmS

مدير مراجعة النشرات الطبية – متعاقد، صيدلي

بكالوريوس الصيدلة (مع مرتبة الشرف)، عضو الجمعية الملكية للصيادلة

مايكل هو صيدلي مجتمعي يمارس عمله في منطقة ميدلاندز وجنوب يوركشاير ولديه أكثر من 20 عامًا من الخبرة في تقديم المشورة بشأن الأدوية والحالات الطبية. لديه خلفية قوية في تدريب الرعاية الصحية، حيث قام بإنتاج وتقديم دورات تدريبية لفرق الصيدلة وموظفي دور الرعاية السكنية، بما في ذلك الممرضات. كما ساهم في مجالس استشارية للصيدلة لإدارة الحالات ذات الحدة المنخفضة في المجتمع.

حول المراجع

صورة المؤلف

سيد داجاني

تخرج سلطان دجاني من كلية الصيدلة في لندن عام 1994 وأصبح أصغر عضو منتخب في مجلس الجمعية الملكية للصيدلة منذ تأسيسها في عام 1842.

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