Entocort EC

Also check with your doctor immediately if you develop itching, rash, fever, swelling in the face or throat, or trouble breathing. These could be signs of an allergic reaction.

Because Entocort EC's effects are largely restricted to the intestines, switching to this medication from a steroid that affects the entire body can allow previously suppressed allergies to reappear. If you develop symptoms such as a runny nose or eczema, tell your doctor about it.

Make sure your doctor knows if you have tuberculosis, high blood pressure, osteoporosis, ulcers, cataracts, or high pressure in the eyes (glaucoma), or if anyone in your family has had diabetes or glaucoma. Steroids should be used with caution under these circumstances.

Also make sure the doctor knows if you have a liver condition; you may need a lower dose of Entocort EC.

Because steroids can reduce the body's natural ability to cope with stress, you may need a higher dose when you undergo any type of surgery.

Possible food and drug interactions when taking Entocort EC

Grapefruit juice can increase the amount of Entocort EC in your blood stream. Do not drink grapefruit juice during your course of therapy with Entocort EC.

If Entocort EC is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Entocort EC with the following:

• Antifungal medications such as itraconazole and ketoconazole
• Erythromycin
• Indinavir
• Ritonavir
• Saquinavir

Special information if you are pregnant or breastfeeding

This drug should be used during pregnancy only if its benefits outweigh the possibility of harm to the developing baby. If you are pregnant or plan to become pregnant, notify your doctor immediately.

Steroid medications do appear in breast milk. This drug is not recommended for nursing mothers.

Recommended dosage for Entocort EC

ADULTS

The recommended dosage is 9 milligrams (three 3-milligram capsules) every morning for up to 8 weeks. Your doctor may reduce the dose to 6 milligrams per day for the last 2 weeks of treatment. If symptoms return, the doctor can prescribe another 8-week course of therapy.

Overdosage

High doses of steroids taken for long periods can produce the symptoms summarized under "Special warnings about this medication." Single massive overdoses are rare, but can have serious consequences. If you suspect an overdose, seek medical attention immediately.