REXULTI 0.25mg Price

Overview

Welcome to Dwaey, specifically on REXULTI 0.25mg page.
This medicine contains an important and useful components, as it consists of
Brexpiprazoleis available in the market in concentration

Name

Calcipotriol

Precaution

Before initiating treatment with **Calcipotriol**, it is important for patients to consult their healthcare provider due to several key precautions: - **Hypercalcemia and Hypercalciuria**: Calcipotriol is a **vitamin D analog** and can increase the levels of calcium in the blood (**hypercalcemia**) or urine (**hypercalciuria**). Patients should be monitored for signs of **elevated calcium** levels, which may include nausea, vomiting, fatigue, and muscle weakness. Blood calcium levels should be checked periodically, particularly with prolonged use or if large amounts of the medication are applied. - **Skin Sensitivity**: While rare, **skin irritation** or **burning** sensations at the site of application may occur. In some cases, patients may experience **erythema** (redness), **itching**, or **peeling**. If these symptoms become severe, treatment should be adjusted. - **Pregnancy and Breastfeeding**: Calcipotriol should be used during pregnancy only if the potential benefit justifies the risk to the fetus, as excessive vitamin D can cause fetal harm. It is not known if it passes into breast milk, so breastfeeding mothers should exercise caution. - **Use on Large Areas**: Excessive use of Calcipotriol on large body surface areas should be avoided, as it can increase the risk of systemic absorption and side effects. The product should not be applied to broken or inflamed skin. - **Concurrent Use with Other Topical Treatments**: When combined with other topical treatments, especially corticosteroids, the potential for **skin irritation** and **skin thinning** increases. Patients should be cautious and follow healthcare provider guidance on combining treatments.

Indication

Calcipotriol is primarily used in the treatment of **psoriasis**, particularly for managing mild to moderate **plaque psoriasis**. Its indications include: - **Plaque Psoriasis**: It is most commonly prescribed as a topical treatment for **psoriasis vulgaris**, helping to reduce **inflammation**, **scaling**, and **redness** associated with the condition. - **Combination with Corticosteroids**: In some cases, Calcipotriol is used in combination with **topical corticosteroids** to treat more extensive or persistent psoriasis. This combination can offer better control of symptoms by targeting both inflammatory pathways and the skin's cell turnover. - **Secondary Use**: Occasionally, Calcipotriol is also used off-label for conditions where skin cell turnover is problematic, though its use is most common in the treatment of psoriasis.

Contra indication

Calcipotriol should not be used in certain situations to ensure patient safety. Contraindications include: - **Hypersensitivity to Calcipotriol**: Patients with a known hypersensitivity or allergic reaction to **calcipotriol** or any component of the formulation should not use this medication. - **Hypercalcemia or Hypercalciuria**: It should not be used in patients with a history of **hypercalcemia** or **hypercalciuria**, as it can exacerbate these conditions. - **Severe Renal Impairment**: Patients with significant kidney dysfunction (severe renal impairment) should avoid Calcipotriol, as the drug may be poorly metabolized and lead to toxicity. - **Pregnancy**: Although not absolutely contraindicated, the use of Calcipotriol during pregnancy should be avoided unless absolutely necessary and prescribed by a healthcare provider.

Side Effect

Like any medication, **Calcipotriol** can cause side effects. Some of the most common and serious side effects include: - **Common Side Effects**: - **Skin Irritation**: The most common side effect is localized **skin irritation**, which may present as redness, itching, or a burning sensation at the site of application. These effects are usually mild and subside with continued use. - **Dry Skin**: Some patients may experience **dryness** or **peeling** of the skin in the treated area. - **Worsening of Psoriasis**: Rarely, some patients may experience **worsening of their psoriasis** upon initiation of therapy, which can be managed by adjusting the treatment approach. - **Serious Side Effects**: - **Hypercalcemia**: Excessive use or absorption of Calcipotriol can lead to **hypercalcemia**, which may present as nausea, vomiting, weakness, fatigue, and confusion. **Hypercalciuria** (high calcium levels in the urine) can also occur, leading to kidney stones or other renal issues. - **Allergic Reactions**: Some patients may experience **allergic reactions** such as rash, swelling, or difficulty breathing. This requires immediate discontinuation of the drug and medical attention. - **Erythema or Blistering**: Severe reactions at the site of application, including significant redness or **blistering**, should prompt a review of treatment.

Pregnancy Category ID

3

Mode of Action

Calcipotriol works by mimicking the actions of **vitamin D** on the skin. It is a **synthetic analog** of vitamin D that acts by binding to the **vitamin D receptor** (VDR) in skin cells. This binding leads to several key effects that help treat psoriasis: - **Inhibition of Keratinocyte Proliferation**: Calcipotriol helps to slow down the **overproduction of keratinocytes** (skin cells), which is a hallmark of psoriasis. By regulating cell growth, it reduces the formation of **scaly plaques**. - **Reduction of Inflammation**: Calcipotriol also helps to **modulate the immune response** by reducing the production of inflammatory cytokines, thus decreasing the **inflammatory processes** that contribute to the redness and swelling of psoriasis. - **Normalizes Skin Turnover**: It helps in **normalizing the turnover rate** of skin cells, reducing the rapid skin shedding seen in psoriasis.

Interaction

Calcipotriol is primarily a topical treatment, so systemic drug interactions are less common. However, there are several important considerations regarding potential interactions: - **Topical Corticosteroids**: Calcipotriol is sometimes used in combination with **topical corticosteroids** for psoriasis. Prolonged use of this combination may increase the risk of **skin thinning** or **cutaneous atrophy**. It is important to follow healthcare provider instructions on using these drugs together. - **Other Vitamin D Analogs**: Concurrent use of Calcipotriol with other **vitamin D analogs** (either oral or topical) should be done cautiously, as this can increase the risk of **hypercalcemia**. The combined effect on calcium metabolism should be monitored. - **Systemic Absorption**: Though Calcipotriol is applied topically, excessive or prolonged use over large body areas can lead to systemic absorption. This increases the potential for interaction with other medications that affect calcium metabolism, such as **thiazide diuretics** (which increase calcium retention) or **calcium supplements**.

Pregnancy Category Note

Information not available

Adult Dose

The recommended dose of **Calcipotriol** for adults varies depending on the severity and extent of psoriasis: - **Topical Application**: The usual dose is to apply **a thin layer** of Calcipotriol to the affected area of the skin **once or twice daily**. Care should be taken to avoid applying it to sensitive areas like the face or genital regions unless directed by a healthcare provider. - The maximum dose for **adults** is typically **5 mg** per day, with a total weekly dose of **100 g**. Patients should follow the prescribed regimen and avoid overuse, especially on large body areas, to prevent potential systemic absorption and side effects.

Child Dose

Calcipotriol is generally considered safe for pediatric use, though it should be prescribed with caution: - **Pediatric Dosing**: For children, the application should be limited to **once daily**, and only on a **small area** of the skin. Excessive application on larger body areas should be avoided. - **Age Consideration**: Calcipotriol can be used in children **over the age of 2**. For those under 2 years of age, it should only be used under strict medical supervision and guidance. As with adults, monitoring for **elevated calcium levels** is critical, especially if used in large amounts or for prolonged periods. In all cases, patients should consult with their healthcare provider to ensure the appropriate use of **Calcipotriol**, taking into account individual health conditions, treatment goals, and potential side effects.

Renal Dose

For patients with **renal impairment**, dose adjustments are generally not necessary for topical use of Calcipotriol because it is not significantly absorbed into the systemic circulation. However, caution is advised in those with **severe renal dysfunction**, and regular monitoring of calcium levels may be warranted to avoid complications.

Administration

Information not available