Package Leaflet: Information for the User
Dexamethasone TAD 4 mg tablets
Dexamethasone TAD 8 mg tablets
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
Contents of the pack
Dexamethasone TAD is a synthetic glucocorticoid. Glucocorticoids are hormones produced by the adrenal gland cortex. This medicine has anti-inflammatory, analgesic, and antiallergic effects, and suppresses the immune system.
Dexamethasone TAD is recommended for the treatment of rheumatic and autoimmune diseases (e.g., systemic lupus erythematosus, rheumatoid arthritis, juvenile idiopathic arthritis, polyarteritis nodosa), respiratory tract disorders (e.g., bronchial asthma, croup), skin disorders (e.g., erythroderma, pemphigus vulgaris), tuberculous meningitis only in combination with anti-infective treatment, blood disorders (e.g., idiopathic thrombocytopenic purpura in adults), cerebral edema, symptomatic treatment of multiple myeloma, acute lymphoblastic leukemia, Hodgkin's disease, and non-Hodgkin's lymphoma in combination with other medicines, palliative treatment of neoplastic diseases, prophylaxis and treatment of nausea and vomiting caused by chemotherapy, and prevention and treatment of post-operative vomiting, as part of antiemetic treatment.
Dexamethasone TAD 4 mg tablets
Dexamethasone TAD is used for the treatment of coronavirus disease 2019 (COVID-19) in adult and adolescent patients (at least 12 years of age with a body weight of at least 40 kg) with difficulty breathing and who require supplemental oxygen therapy.
Do not takeDexamethasone TADif:
Warnings and precautions
If you are being treated for COVID-19, do not stop taking any other steroid medication unless your doctor tells you to do so.
Talk to your doctor, pharmacist, or nurse before you start taking Dexamethasone TAD:
Mental problems can occur while taking steroids like Dexamethasone TAD:
Talk to your doctor if you (or someone taking this medicine) show any signs of mental problems.
This is especially important if you are depressed or might be thinking about suicide. In a few cases, mental problems have occurred when the dose was lowered or stopped.
Talk to your doctor before you start taking this medicine:
Treatment with this medicine can cause a pheochromocytoma crisis, which can be fatal. Pheochromocytoma is a rare tumor of the adrenal glands. Crises can have the following symptoms: headaches, sweating, palpitations, and high blood pressure. Contact your doctor immediately if you experience any of these signs.
Treatment with corticosteroids can reduce your body's ability to cope with infections. This can sometimes lead to infections caused by germs that rarely cause infection under normal circumstances (called opportunistic infections). If you have any type of infection during treatment with this medicine, contact your doctor immediately. This is especially important if you notice signs of pneumonia: cough, fever, difficulty breathing, and chest pain. You may also feel confused, especially if you are an elderly patient. You should also inform your doctor if you have had tuberculosis or if you have been in regions where intestinal worm infections are common.
It is important that while taking this medicine, you avoid contact with anyone who has had chickenpox, shingles, or measles. If you think you may have been exposed to any of these diseases, you should contact your doctor immediately. You should also inform your doctor if you have had any infectious diseases such as measles or chickenpox and if you have been vaccinated.
Contact your doctor if you experience symptoms of tumor lysis syndrome such as muscle cramps, muscle weakness, confusion, vision loss or changes, and difficulty breathing, in case you have a malignant hematological process.
Contact your doctor if you experience blurred vision or other visual disturbances.
Treatment with this medicine can cause central serous chorioretinopathy, an eye disorder that causes blurred or distorted vision. This usually occurs in one of the two eyes.
Treatment with this medicine can cause tendon inflammation. In extremely rare cases, the tendon can rupture. This risk is increased with certain antibiotics and kidney problems. Contact your doctor if you feel pain, swollen joints or tendons, or stiffness.
Treatment with Dexamethasone TAD can cause a disease called adrenal insufficiency. This can cause a change in the effectiveness of the medicine after stress and trauma, surgery, childbirth, or illness, and your body may not be able to respond normally to severe stress, such as accidents, surgery, childbirth, or illness.
If you have had an accident, are ill, have any other specific physical stress situation, or require any surgery (even at the dentist) or are going to be vaccinated (particularly with live viral vaccines) while taking or have finished taking dexamethasone, you should inform the person treating you that you are taking or have taken steroids.
If you need to have suppression tests (tests for hormone levels in the body), skin allergy tests, or tests for bacterial infections, you should inform the person doing the test that you are taking dexamethasone, as it may interfere with the results.
Your doctor may reduce the amount of salt in your diet and give you a potassium supplement while you are taking this medicine.
If you are an elderly patient, some of the side effects of this medicine may be more serious, especially thinning of the bones (osteoporosis), high blood pressure, low potassium levels, diabetes, and increased susceptibility to infections and skin thinning. Your doctor will monitor you more closely.
Children
If a child is taking this medicine, it is important that their doctor monitors their growth and development at frequent intervals. Dexamethasone TAD should not be used routinely in premature children with respiratory problems.
Other medicines and Dexamethasone TAD
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines:
Tell your doctor if you are taking or have recently taken other medicines, including those obtained without a prescription. You may have an increased risk of serious side effects if you take dexamethasone with these medicines
You should read the package leaflet of all medicines you take with Dexamethasone TAD, regarding the information of these medicines before starting treatment with Dexamethasone TAD. When using thalidomide, lenalidomide, or pomalidomide, special attention should be paid to pregnancy tests and prevention needs.
Dexamethasone TAD with food, drinks, and alcohol
Dexamethasone should be taken with or after food to minimize irritation of the gastrointestinal tract. Drinks containing alcohol or caffeine should be avoided. It is recommended to take small, frequent meals, as well as the possibility of taking antacids if your doctor recommends it.
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Dexamethasone TAD should only be prescribed during pregnancy and particularly in the first trimester, if the benefits outweigh the risks for the mother and the child. If you become pregnant during treatment with this medicine, do not stop taking Dexamethasone TAD, but inform your doctor immediately that you are pregnant. Corticosteroids can pass into breast milk. The risk to newborns/babies cannot be excluded. The decision to continue/break off breast-feeding or continue/break off treatment with dexamethasone should be made taking into account the benefit of breast-feeding for the child and the benefit of treatment with dexamethasone for the woman.
Driving and using machines
Do not drive, use tools, or machines, or perform any hazardous tasks if you experience side effects such as confusion, hallucinations, dizziness, tiredness, sleepiness, fainting, or blurred vision.
Dexamethasone TAD contains lactose
This medicine contains lactose. If your doctor has told you that you have an intolerance to some sugars, contact them before taking this medicine.
Take Dexametasona TAD only as your doctor has indicated. Your doctor will tell you for how long you should take dexametasona. In case of doubt, consult your doctor or pharmacist again.
Dexametasona TAD is presented in the form of 4 mg, 8 mg, 20 mg, and 40 mg tablets. The tablet can be divided into equal halves and provide additional doses of 2 mg and 10 mg or to facilitate swallowing.
Dexametasona is usually taken at doses of 0.5 to 10 mg per day, depending on the disease being treated.
In more severe diseases, doses above 10 mg per day may be required. The dose should be adjusted according to the individual patient's response and the severity of the disease. To minimize adverse effects, the lowest effective dose possible should be used.
Unless otherwise indicated, the following dosage recommendations apply:
The dosage recommendations mentioned below are for guidance only. The initial and daily doses should always be determined based on the individual patient's response and the severity of the disease.
The dose and frequency of administration vary according to the therapeutic protocol and associated treatment(s). The administration of dexametasona should follow the instructions for the administration of dexametasona when described in the technical data sheet of the associated treatments. If this is not the case, local or international treatment protocols and guidelines should be followed. Prescribing physicians should carefully evaluate which dose of dexametasona should be used, taking into account the patient's situation and disease status.
Long-term treatment
For the long-term treatment of various diseases, after initial therapy, treatment with glucocorticoids should be changed from dexametasona to prednisone/prednisolone to reduce adrenal cortex suppression.
Dexametasona 4 mg tablets
Use in adolescents: It is recommended to administer to pediatric patients (adolescents at least 12 years of age and 40 kg body weight) a dose of 6 mg once a day for up to a maximum of 10 days.
Use in children
If a child is taking this medication, it is essential that the doctor monitor their growth and development at frequent intervals.
If you take more Dexametasona TAD than you should
If you take too much medication, contact your doctor or hospital immediately.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone 91 562 04 20, indicating the medication and the amount ingested.
If you forget to take Dexametasona TAD
If you forget to take a dose, take it as soon as you remember unless it is almost time for the next dose.
Do not take a double dose to make up for forgotten doses.
If you interrupt treatment with Dexametasona TAD
If your treatment is going to be interrupted, you should follow your doctor's recommendations. He may recommend that you gradually reduce the amount of medication you are taking until you stop taking it completely. Different symptoms have been reported when treatment is interrupted too quickly, such as low blood pressure and, in some cases, relapse of the disease for which you took the treatment.
A "withdrawal syndrome" may also occur, which includes fever, muscle and joint pain, inflammation of the nasal lining (rhinitis), weight loss, itching of the skin, and inflammation of the eyes (conjunctivitis). If you interrupt treatment too soon and any of the mentioned symptoms appear, you should consult your doctor as soon as possible.
If you have any other doubts about the use of this medication, ask your doctor or pharmacist.
Like all medications, this medication can cause adverse effects, although not all people experience them.
Consult your doctor immediately if you experience severe mental problems. These can affect 5 out of 100 people who take medications like dexametasona. These problems include:
Consult your doctor immediately if you experience:
This medication can worsen existing heart problems. If you experience shortness of breath or swelling of the ankles, consult your doctor immediately.
Other adverse effects may be (frequency not known):
Reporting of adverse effects:
If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that does not appear in this prospectus. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaRAM.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medication.
Keep this medication out of sight and reach of children.
Do not use this medication after the expiration date that appears on the packaging after CAD. The expiration date is the last day of the month indicated.
This medication does not require any special storage temperature.
Keep in the original packaging to protect it from light and moisture.
Medications should not be thrown away through the sewers or in the trash. Deposit the packaging and medications you no longer need at the SIGRE Point in the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This way, you will help protect the environment.
Composition of Dexametasona TAD
Dexametasona TAD 4 mg tablets
Dexametasona TAD 8 mg tablets
Appearance of the product and package contents
4 mg tablets: white or almost white, round tablets with beveled edges and scored on one face (Thickness: 2.5-3.5 mm; Diameter 5.7-6.3 mm). The tablet can be divided into equal doses.
8 mg tablets: white or almost white, oval tablets and scored on one face (Thickness: 3.5-5.5 mm; Length 8.7-9.3 mm). The tablet can be divided into equal doses.
Dexametasona TAD 4 mg is available in boxes containing 10, 20, 28, 30, 50, 56, 60, 100, 10 x 1, 20 x 1, 28 x 1, 30 x 1, 50 x 1, 56 x 1, 60 x 1, and 100 x 1 tablets, in blisters.
Dexametasona TAD 8 mg is available in boxes containing 10, 20, 30, 50, 60, 100, 10 x 1, 20 x 1, 30 x 1, 50 x 1, 60 x 1, and 100 x 1 tablets, in blisters.
Only some package sizes may be marketed.
Marketing authorization holder
TAD Pharma GmbH, Heinz-Lohmann-Straße 5, 27472 Cuxhaven, Germany
Manufacturer
KRKA, d.d., Novo mesto, Šmarješka cesta 6, 8501 Novo mesto, Slovenia
or
TAD Pharma GmbH, Heinz-Lohmann-Straße 5, 27472 Cuxhaven, Germany
You can request more information about this medication by contacting the local representative of the marketing authorization holder:
KRKA Farmacéutica, S.L., C/ Anabel Segura 10, Pta. Baja, Oficina 1, 28108 Alcobendas, Madrid, Spain,
This medication is authorized in the member states of the European Economic Area and in the United Kingdom (Northern Ireland) with the following names:
Hungary: Dexamethasone Krka 4 mg tablet / Dexamethasone Krka 8 mg tablet
Bulgaria: ?????????? ???? 4 mg ???????? / ?????????? ???? 8 mg ???????
Czech Republic: Dexamethasone Krka 4 mg / Dexamethasone Krka 8 mg
Estonia: Dexamethason Krka
Croatia: Dexamethason Krka 4 mg tablets / Dexamethason Krka 8 mg tablets
Latvia: Dexamethason Krka 4 mg tablets / Dexamethason Krka 8 mg tablets
Lithuania: Dexamethasone Krka 4 mg tablets / Dexamethasone Krka 8 mg tablets
Poland: Dexamethasone Krka
Romania: Dexametazona Krka 4 mg tablets / Dexametazona Krka 8 mg tablets
Slovenia: Dexamethason Krka 4 mg tablets / Dexamethason Krka 8 mg tablets
Slovakia: Dexametazon Krka 4 mg tablets / Dexametazon Krka 8 mg tablets
Germany: Dexamethason TAD 4 mg tablets / Dexamethason TAD 8 mg tablets
Spain: Dexametasona TAD 4 mg tablets / Dexametasona TAD 8 mg tablets
United Kingdom: Dexamethasone 4 mg tablets / Dexamethasone 8 mg tablets
Portugal: Dexametasona Krka 4 mg tablets / Dexametasona Krka 8 mg tablets
Date of the last revision of this prospectus:July 2021
Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.es/
The average price of DEXAMETHASONE TAD 4 mg TABLETS in October, 2025 is around 9.59 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.