There are many brands and forms of dexamethasone available. Not all brands are listed on this leaflet.

Dexamethasone is a steroid that prevents the release of substances in the body that cause inflammation.

Dexamethasone is used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders.

Dexamethasone may also be used for purposes not listed in this medication guide.

You should not use dexamethasone if you are allergic to it, or if you have:

• a fungal infection anywhere in your body.

Tell your doctor if you have ever had:

• liver disease (such as cirrhosis);
• kidney disease;
• a thyroid disorder;
• malaria;
• tuberculosis;
• osteoporosis;
• a muscle disorder such as myasthenia gravis;
• diabetes (steroid medicine may increase glucose levels in your blood or urine);
• glaucoma or cataracts;
• herpes infection of the eyes;
• stomach ulcers, ulcerative colitis, diverticulitis, inflammatory bowel disease;
• depression or mental illness;
• congestive heart failure; or
• high blood pressure.

Steroid medication affects your immune system. You may get infections more easily. Steroids can also worsen or reactivate an infection you've already had. Tell your doctor about any illness or infection you have had within the past several weeks.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant.

You should not breastfeed while using dexamethasone.

Use Zema Pak 6-Day (Oral) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

• muscle tightness, weakness, or limp feeling;
• blurred vision, tunnel vision, eye pain, or seeing halos around lights;
• shortness of breath (even with mild exertion), swelling, rapid weight gain;
• severe depression, unusual thoughts or behavior;
• a seizure (convulsions);
• bloody or tarry stools, coughing up blood;
• fast or slow heart rate, weak pulse;
• pancreatitis--severe pain in your upper stomach spreading to your back, nausea and vomiting;
• low potassium level--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling; or
• increased blood pressure--severe headache, blurred vision, pounding in your neck or ears, anxiety, nosebleed.

Dexamethasone can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Common side effects may include:

• fluid retention (swelling in your hands or ankles);
• increased appetite;
• mood changes, trouble sleeping;
• skin rash, bruising or discoloration;
• acne, increased sweating, increased hair growth;
• headache, dizziness;
• nausea, vomiting, upset stomach;
• changes in your menstrual periods; or
• changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using steroid medicine.

Avoid drinking alcohol while you are taking dexamethasone.

Do not receive a "live" vaccine while using dexamethasone. The vaccine may not work as well during this time, and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), polio, rotavirus, typhoid, yellow fever, varicella (chickenpox), and zoster (shingles).