myUpchar प्लस+ के साथ पूरेे परिवार के हेल्थ खर्च पर भारी बचत

Summary

Ulcerative colitis (UC) is a long-term disorder which affects the large intestine of the digestive system. The primary symptoms of ulcerative colitis are abdominal pain and intestinal bleeding (which result from inflammation). Other common symptoms of ulcerative colitis include frequent bowel movements, bloody stools, and ulcers. People with a family history of ulcerative colitis are at a higher risk of developing it. Ulcerative colitis can get worse due to factors such as diet and environmental changes. It is diagnosed using various laboratory tests and physical examination. The treatment options for ulcerative colitis include medications and surgery. Although complications from ulcerative colitis are not very common, people may suffer from aggravated symptoms if the inflammation spreads.

  1. What is ulcerative colitis
  2. Types of ulcerative colitis
  3. Ulcerative colitis symptoms
  4. Ulcerative colitis causes and risk factors
  5. Prevention of ulcerative colitis
  6. Diagnosis of ulcerative colitis
  7. Ulcerative colitis treatment
  8. Ulcerative colitis prognosis and complications
  9. Medicines for Ulcerative Colitis
  10. Doctors for Ulcerative Colitis

What is ulcerative colitis

Ulcerative colitis affects people worldwide, most of whom are diagnosed with an inflammatory bowel disease before the age of 35. Ulcerative colitis primarily affects the large intestine. It is characterized by the inflammation of the lining of the colon and the rectum, which together form the large intestine. It begins in the rectum and the lower part of the colon. It is a lifelong condition which can be treated and managed but not cured.

Ulcerative colitis is a form of inflammatory bowel disease (IBD) which should not be confused with irritable bowel syndrome (IBS) or Crohn’s disease.

  • Irritable bowel syndrome is a far more common disorder which causes discomfort and symptoms like mild but recurring abdominal pain, bloating and constipation. However, in ulcerative colitis, the inflammation of the large intestine leads to sores and ulcers.
  • Crohn’s disease which can affect any part of the digestive tract. While ulcerative colitis mainly affects the lower part of the large intestine (the rectum). However, in some people it may affect the entire colon. 

Types of ulcerative colitis

Based on the areas of inflammation, ulcerative colitis can be of four types.

  • Ulcerative Proctitis
    In this form of ulcerative colitis, the inflammation is limited to the rectum. Ulcerative proctitis is a milder form of ulcerative colitis and has fewer complications.
  • Proctosigmoiditis
    This form of colitis affects the rectum and the lower part of the colon, which is located right above the rectum.
  • Left-sided colitis
    In left-sided colitis, the inflammation begins at the rectum and extends until the bend in the colon near the spleen.
  • Total colitis
    Also known as the pan-ulcerative colitis, this form affects the entire length of the colon. The symptoms are severe, and the risk of developing complications is also high.

Ulcerative colitis symptoms

There are some characteristic symptoms of ulcerative colitis which may be sometimes mistaken for indigestion. The most common symptoms include:

There are a few symptoms which are less common but are reported in those with ulcerative colitis. These symptoms are usually accompanied by the more common symptoms. The less common symptoms are mostly experienced during a flare-up (when the symptoms are suddenly too intense). These less common symptoms include:

In severe cases where there are six or more bowel movements in a day, additional symptoms may be seen such as:

Ulcerative colitis causes and risk factors

The exact cause of ulcerative colitis remains unknown. Most medical practitioners claim it to be a result of a problem with the immune system.

Causes

These include:

  • Genetics
    Studies report that more than one in four people suffering from ulcerative colitis have a family history of the condition. Research studies have also pointed out the presence of certain abnormal genes, which are present in people with ulcerative colitis.
  • Overactive immune system
    Researchers believe that an abnormal immune reaction in the intestine may be one cause of ulcerative colitis. Presence of certain bacteria or viruses may trigger an immune response, which attacks the inner lining of the large intestine. The immune response then leads to inflammation which gives rise to the symptoms.
  • Environmental factors
    Environmental factors such as stress and an intake of certain medications can also cause ulcerative colitis.

Risk Factors

As previously stated, the exact cause of ulcerative colitis remains unknown. Hence, the suspected causes also tend to be the risk factors of the condition.

  • Ulcerative colitis can occur in people of any age group. However, certain people may be at a higher risk of developing it. It is more likely to develop in people who:
    • Belong to the age group of 15-30 years.
    • Are older than 60 years,
    • Have a family history of an inflammatory bowel disease.
  • Non-steroidal anti-inflammatory (NSAIDs) drugs, antibiotics, and oral contraceptives may also increase the risk of developing ulcerative colitis.
  • Emotional stress or environmental stress may not necessarily increase the risk of developing ulcerative colitis, but, may trigger a flare-up and aggravate the symptoms.
  • Strangely enough, studies show that countries with developed sanitation systems have a higher ratio of people suffering from ulcerative colitis.

Prevention of ulcerative colitis

Since ulcerative colitis can stem from genetic causes and immune system related factors, the prevention of ulcerative colitis is not entirely possible. However, the symptoms can be managed to reduce the discomfort.

Diagnosis of ulcerative colitis

In order to diagnose a person with ulcerative colitis, several tests may be performed. These include:

  • Medical and family history
    The doctor will inquire about your medical history and overall health to understand the symptoms. Family history also provides important information regarding the severity of the condition and measures that can be taken to control the symptoms. While explaining the symptoms, it is important that you describe them clearly and specify the time duration for which they have been occurring.
  • Physical examination
    During a physical examination for diagnosing ulcerative colitis, the doctor will check for any abdominal distension or swelling. If you experience any pain or tenderness in the abdominal region, then you must inform the doctor about it.
  • Laboratory tests
    Laboratory tests such as blood and stool tests are the most common diagnostic tools for diagnosing ulcerative colitis
    • A blood test can help to determine conditions like anaemia, inflammation, any signs of infection, low albumin levels, and low protein levels as commonly seen in people with advanced ulcerative colitis.
    • A stool test may also be carried out. The stool sample provides significant information and can help in detecting infection or any other gastrointestinal disease.
  • Endoscopy
    Endoscopy of the large intestine is the most accurate way of diagnosing ulcerative colitis. An endoscopy can also be helpful in ruling out other conditions such as Crohn’s disease or cancer. There are two kinds of endoscopy of the large intestine that are carried out for diagnostic purposes.
  • Colonoscopy
    A colonoscopy involves the use of a narrow tube fitted with a tiny camera on one end. This helps the doctor to take a look inside the colon. The doctor is then able to examine the tissues lining the colon and the rectum. A colonoscopy helps to detect any swollen tissues, inflammation, or any abnormal growths such as polyps (pieces of tissue growing on the inner lining of the intestine). If the doctor suspects ulcerative colitis, then a biopsy may be needed for confirmation.
  • Flexible Sigmoidoscopy
    This test makes use of a flexible and narrow tube with an attached camera on one end. The tube is known as the sigmoidoscope. It allows the doctor to have a video image of the rectum, the sigmoid colon, and the descending colon. The person may be asked to move several times during the procedure to get a better view. Sigmoidoscopy also helps in detecting swelling, polyps, and ulcers. For both colonoscopy and flexible sigmoidoscopy, specific instructions will be provided by the doctor about how to prepare for the procedures and how to take care of oneself after the procedure.
  • Other diagnostic tests 
    These include diagnostic tests such as magnetic resonance imaging (MRI) and computed tomography (CT scan).

Ulcerative colitis treatment

Although there is no cure for ulcerative colitis, the aim of the treatment is to help the people regulate their immune system better. Ulcerative colitis can affect a person’s quality of life. A combination of treatment modalities can help in reducing the flare-ups and controlling the symptoms.

Medication

Medications prescribed for the treatment of ulcerative colitis work by reducing inflammation of the colon and letting the tissues heal naturally. Other symptoms like frequent bowel movements, pain, and bleeding can also be suppressed with medications. The medicines can help in reducing the number of flare-ups which will give time to the intestine to heal naturally. The medications not only induce and maintain remission but also help in improving the quality of the life in these people.

These medications include:

  • Aminosalicylates
    These are medications which help in controlling inflammation. They are prescribed to people with mild to moderate symptoms. Aminosalicylates are oral medications and are well tolerated.
  • Corticosteroids
    Corticosteroids work by reducing the activity of the immune system and reducing inflammation. These are usually prescribed to people with severe symptoms. They are meant for long-term use and can have a few side-effects like acne, weight gain, and mood swings.
  • Immuno-modulators
    These are only prescribed to people who do not respond to any other form of medication. Immuno-modulators suppress the immune system and reduce inflammation. These medications come with an added risk of infection and slightly increased risk of skin cancers. Hence, these can only be taken after proper medical consultation.
  • Biologics
    Biologics also target the immune system and suppress its activity in order to reduce inflammation.

Medications may be administered depending upon the area of the large intestine in which the symptoms are occurring. The medications may be administered as:

  • Enema (by flushing liquid medication into the rectum).
  • Rectal foam.
  • Suppository (inserting a solid and dissolvable medication into the rectum).
  • IV or intravenous (administration through the veins).
  • Some medications can be taken orally as well.

Combination therapy

Simultaneous use of two therapies to get effective results and manage the symptoms better is known as a combination therapy. However, a combination therapy is not widely prescribed since it has a few associated side-effects and could also reduce the effectiveness of the previous medications.

Surgery

  • People in whom the drug therapy is showing no improvement and complications have started, surgery may be recommended. Surgery involves removing the entire colon including the rectum to get rid of the symptoms entirely. There are different kinds of surgery for ulcerative colitis. The first one involves the removal of the entire colon and the rectum, along with, the creation of an opening on the abdomen through which the wastes are emptied into a pouch. This pouch is attached to the abdominal skin using an adhesive.
  • The other surgical option also removes the colon but involves the creation of an internal pouch which is attached to the anal sphincter muscle. Recovery from both the procedures can take 4-6 weeks.

Lifestyle management

Nutrition is important in the management of ulcerative colitis. Changes in the diet can help in managing the symptoms and reducing the flare-ups as well. Some recommended dietary changes include:

  • Avoiding sodas and carbonated beverages.
  • Consuming more fluids such as water and fruit juices.
  • Avoiding high fibre foods such as nuts and vegetable skins.
  • Avoiding spicy food.
  • Avoiding regular painkillers.
  • Eating small meals throughout the day instead of large meals.

In case of poor absorption of nutrients from the intestine, there are a few supplements which one can take after consulting the doctor. Depending on the symptoms, the following dietary recommendations may be made:

  • Low-salt diet.
  • Low-fibre diet.
  • Low-fat diet.
  • Lactose-free diet.
  • High-calorie diet.

It is very important to maintain a healthy diet, which has been planned according to a person’s symptoms. Hence, it is necessary to consult the doctor regarding the foods one must or must not consume.

It is recommended that a person with ulcerative colitis must undergo a colonoscopy every one to three years (once a year or once every 3 years, as recommended by the doctor).

Ulcerative colitis prognosis and complications

Prognosis

Ulcerative colitis is an unpleasant disease to deal with and can have a significant impact on the individual’s lifestyle. The longer the person suffers from the disease, the higher is the risk of complications. Long-term presence of ulcerative colitis also increases the risk of developing colon cancer. Hence, the course of treatment for ulcerative colitis has to be carefully chosen. During the treatment or even after surgery, regular check-ups are essential.

Complications

Complications arising from ulcerative colitis include:

  • Rectal bleeding
    The ulcers present in the intestine may open and bleed. Rectal bleeding can also cause anaemia. Individuals suffering from severe bleeding may require surgery to prevent further complications.
  • Dehydration
    When the large intestine is unable to absorb fluids and nutrients, the individual may suffer from dehydration and malabsorption.
  • Bone changes
    Bone changes such as osteoporosis (loss of bone) and osteopenia (decrease in bone density) may result from an intake of steroidal medications.
  • Megacolon
    Megacolon is a life-threatening complication which may arise when the deep tissue layers of the large intestine get damaged and the intestine stops functioning. Although this is a rare complication, it still needs to be looked out for.
Dr. Mahesh Kumar Gupta

Dr. Mahesh Kumar Gupta

गैस्ट्रोएंटरोलॉजी

Dr. Raajeev Hingorani

Dr. Raajeev Hingorani

गैस्ट्रोएंटरोलॉजी

Dr. Vineet Mishra

Dr. Vineet Mishra

गैस्ट्रोएंटरोलॉजी

Medicines for Ulcerative Colitis

Medicines listed below are available for Ulcerative Colitis. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
Kenacort 0.1% Oral PasteKenacort 0.1% Oral Paste60.8
Depo MedrolDepo Medrol 40 Mg/Ml Injection93.0
DepotexDepotex 125 Mg Injection320.0
IvepredIvepred 1000 Mg Injection975.0
MacpredMacpred 4 Mg Tablet36.0
Medrol TabletMedrol 100 Mg Tablet87.0
Mepresso IMepresso I 1000 Mg Injection1034.0
Nucort MNucort M 16 Mg Tablet86.0
Solu MedrolSolu Medrol 1000 Mg Injection1271.0
SterioSterio 16 Mg Tablet126.0
ZempredZempred 16 Mg Tablet86.0
AcepredAcepred 40 Mg Injection60.0
Acto PredActo Pred 16 Mg Tablet120.0
AldicordAldicord 16 Mg Tablet95.0
ApdermApderm 0.10% Cream55.0
CoeloneCoelone 16 Mg Tablet87.0
Delsone MDelsone M 16 Mg Tablet79.0
DepopredDepopred 40 Mg Injection44.0
DeposetDeposet 40 Mg Injection49.0
DispredDispred 0.1% Eye Drop29.0
DuraloneDuralone 16 Mg Tablet150.0
GrafmetGrafmet 500 Mg Injection666.0
LomicortLomicort 4 Mg Tablet37.0
LyopredLyopred 1000 Mg Injection995.0
Mega PredMega Pred 16 Mg Tablet110.0
MelpredMelpred 16 Mg Tablet100.0
MelsoneMelsone 16 Mg Tablet80.0
MepressoMepresso 1000 Mg Injection1034.0
Mepresso DMepresso D 40 Mg Injection31.0
Mepresso TMepresso T 16 Mg Tablet86.0
MepsonateMepsonate 125 Mg Injection238.0
MethoneMethone 16 Mg Tablet135.0
Monocortil MMonocortil M 16 Mg Tablet120.0
MpMp 1 Gm Injection952.0
MpredniMpredni 16 Mg Tablet117.0
MypredMypred 125 Mg Injection228.0
NupredNupred 16 Mg Tablet100.0
Orapred MOrapred M 4 Mg Tablet44.0
Ph MpaPh Mpa 0.1% Ointment80.0
Prascha MpPrascha Mp 16 Mg Tablet90.0
PredacePredace 1% Drop10.0
PredmetPredmet 10 Mg Drop18.0
PredsolePredsole 16 Mg Tablet98.0
PrelidPrelid 16 Mg Tablet99.0
PremisolPremisol 125 Mg Injection245.0
RednisolRednisol 16 Mg Tablet64.0
SanipredSanipred 1000 Mg Injection1200.0
SoftcorSoftcor 0.10% Cream85.0
Softcor MpSoftcor Mp 0.1% Cream95.0
SteronexSteronex 1000 Mg Injection1046.0
SuccimedSuccimed 125 Mg Injection238.0
CortipilCortipil 4 Mg Tablet39.0
GemdrolGemdrol 4 Mg Tablet13.0
MdcortMdcort Tablet133.0
MecortMecort Tablet25.0
MepredMepred 1000 Iu Injection1050.0
MeprestarMeprestar 4 Mg Tablet49.0
Mpa(Phc)Mpa Cream80.0
NicortNicort 16 Mg Tablet44.0
PilsonePilsone 16 Mg Tablet51.0
PrashchampPrashchamp 4 Mg Tablet28.0
Precort MPrecort M 8 Mg Tablet59.0
StirioStirio 4 Mg Tablet37.0
WinloneWinlone 16 Mg Tablet145.0
DefloxDeflox 0.3%/0.1% Eye Drops12.0
AsacolAsacol 400 Mg Tablet217.0
CoolgutCoolgut 1.2 Gm Tablet241.0
EtiasaEtiasa 500 Mg Sachet9.0
InflacolInflacol 400 Mg Tablet78.0
MesloMeslo 1200 Mg Tablet225.0
Mosart OdMosart Od 1200 Mg Tablet229.0
PentasaPentasa 1 Gm Sachet60.0
RowasaRowasa 1 G Sachet33.0
Vegaz OdVegaz Od 1200 Mg Tablet282.0
WalasaWalasa 400 Mg Tablet71.0
MesacolMesacol 4 Gm Enema82.0
MesalacureMesalacure 400 Mg Tablet80.0
MezakoolMezakool 400 Mg Tablet70.0
Procol OdProcol Od 1.2 Gm Tablet201.0
Salofalk GrSalofalk Gr 500 Mg Tablet74.0
MesaloMesalo Foam1045.0
PantesaPantesa Tablet41.0
ZemakoolZemakool Tablet73.0
ArethaAretha 50 Mg Tablet106.0
AzofitAzofit 50 Mg Tablet95.0
AzoprineAzoprine 50 Mg Tablet79.0
AzoranAzoran 25 Mg Tablet156.0
ImoprineImoprine 50 Mg Tablet90.0
ImuranImuran 50 Mg Tablet448.0
ImuzaImuza 50 Mg Tablet106.0
ThiopressThiopress 50 Mg Tablet90.0
TransimuneTransimune 50 Mg Tablet67.0
ZymurineZymurine 50 Mg Tablet98.0
AzapAzap 50 Mg Tablet75.0
AzawanAzawan 50 Mg Tablet85.0
AzimuneAzimune 50 Mg Tablet79.0
AzithioprineAzithioprine 50 Mg Tablet58.0
EmsoloneEmsolone 10 Mg Tablet21.0
KidpredKidpred Syrup25.0
MethpredMethpred 125 Mg Injection250.0
OmnacortilOmnacortil 10 Mg Tablet Dt9.0
Omnacortil ForteOmnacortil Forte 15 Mg Oral Suspension44.0
Prednisolone Acetate (Alcon Lab)Prednisolone Acetate 1% Drop66.0
Prednisolone Acetate (Aller)Prednisolone Acetate 10 Mg Suspension66.0
PredonePredone 1% Eye Drop29.0
Sol U PredSol U Pred 1 Gm Injection1042.0
WysoloneWysolone 10 Mg Tablet Dt14.0
ActicortActicort 10 Mg Tablet9.0
AdredAdred 20 Mg Tablet27.0
Apred(Acron)Apred 5 Mg Tablet4.0
ApredApred Drops35.0
AquapredAquapred 1% Eye Drops40.0
DefsoneDefsone 30 Mg Tablet299.0
DelsoneDelsone 10 Mg Tablet9.0
ElpredElpred Forte 15 Mg Syrup75.0
EmosolinEmosolin 5 Mg Tablet9.0
GopredGopred 1% Eye Drops37.0
Immupress D30Immupress D30 Tablet180.0
Immupress D6Immupress D6 Tablet40.0
KazipredKazipred Eye Drops36.0
LancepredLancepred 40 Mg Tablet24.0
MednisolMednisol 1 Gm Injection1131.0
MonocortilMonocortil 10 Mg Tablet6.0
Mpa(Chn)Mpa 80 Mg Injection82.0
MpssMpss 1 Gm Injection942.0
NisoloneNisolone 10 Mg Tablet9.0
NoloneNolone 16 Mg Tablet90.0
NucortNucort 0.5 Mg Drop11.0
Pcort (Pharmtak)Pcort 10 Mg Tablet7.0
PcortPcort Eye Drops10.0
P D NP D N Drop17.0
PednisolPednisol 10 Mg Tablet7.0
P LoneP Lone 1% W/V Eye Drop16.0
Pred AcetatePred Acetate Drop66.0
PredcipPredcip 5 Mg Tablet5.0
PreddiPreddi 5 Mg Tablet3.0
Pred FortePred Forte 1% W/V Eye Drop35.0
PredicortPredicort 10 Mg Tablet9.0
PredlyPredly 1% Eye Drop26.0
PrednijPrednij 5 Mg Tablet4.0
Prednij FortePrednij Forte 10 Mg Tablet8.0
PredninPrednin 1% Eye Drops40.0
Prednin APrednin A 1% Eye Drops16.0
PrednisafePrednisafe 1% Eye Drops28.0
Prednisolone Forte (Allergen)Prednisolone Forte Drops98.0
PredniwaPredniwa 1% Eye Drops29.0
PrednolonePrednolone 5 Mg Tablet6.0
PredsPreds 1% Drops19.0
PredsolPredsol 10 Mg Eye Drops35.0
PrendicarePrendicare 16 Mg Tablet116.0
PresolonPresolon 1% Drop10.0
RaycortRaycort 1%W/V Eye Drops66.0
RenisolRenisol 1% Drops8.0
SancortSancort 10 Mg Tablet8.0
SanpredSanpred 1% Eye Drops32.0
SiopredSiopred 1% Drops35.0
SodipredSodipred 1000 Mg Injection880.0
SolonSolon 10 Mg Tablet66.0
SolumarkSolumark 1000 Mg Injection1271.0
XtrapredXtrapred 0.25% Drops17.0
ZenpredZenpred 1 Gm Injection895.0
AnesolinAnesolin 30 Mg Injection60.0
CerucleanCeruclean Drop29.0
Engatt PEngatt P Eye Drops62.0
M PredM Pred 4 Mg Tablet45.0
PrecortPrecort 5 Mg Tablet85.0
PredinsolnePredinsolne Drops93.0
Prednisolone OpthoPrednisolone Optho Suspension43.0
GenticynGenticyn 10 Mg Injection45.0
BiodexoneBiodexone 4 Mg Injection6.0
DecamycinDecamycin 4 Mg Injection33.0
DecdanDecdan 0.5 Mg Tablet1.0
DexajectDexaject 4 Mg Injection9.0
DexaDexa Injection20.0
DexonaDexona 0.5 Mg Tablet3.0
Dex ZDex Z Powder67.0
MeridecaMerideca 4 Mg Injection33.0
OzurdexOzurdex 0.7 Mg Injection24303.0
ZydexaZydexa 4 Mg Injection26.0
AuradexAuradex 8 Mg Tablet60.0
DecakemDecakem Injection7.0
DecdakDecdak St 0.5 Mg Tablet2.0
DecicortDecicort 0.5 Mg Tablet3.0
DecmaxDecmax 4 Mg Tablet16.0
DecoliteDecolite 0.01% Drops15.0
DeksaDeksa 4 Mg Injection5.0
DemisoneDemisone 0.5 Mg Tablet2.0
DexacipDexacip 0.1% Drops8.0
DexageeDexagee 0.5 Mg Tablet12.0
DexalabDexalab 4 Mg Injection13.0
Dexamethasone 0.5 Mg TabletDexamethasone 0.5 Mg Tablet3.0
DexapenDexapen 4 Mg Injection6.0
DexarilDexaril 4 Mg Injection12.0
DexasoneDexasone 0.10% Eye/Ear Drops7.43
DicorsoneDicorsone 0.5 Mg Injection6.0
LabizoneLabizone 20 Ml Injection22.0
Lodex(Syntho)Lodex 0.05% Drops9.0
LupidexaLupidexa 0.5 Mg Tablet2.0
MethasoneMethasone Tablet4.0
RavicortRavicort 4 Mg Injection9.0
UdicortUdicort 4 Mg Injection35.0
WymesoneWymesone 0.5 Mg Tablet2.0
AgidexAgidex Injection18.0
DecadronDecadron Injection10.0
DeexaDeexa 4 Mg Injection7.0
DexajetDexajet Injection9.0
DexamarkDexamark 4 Mg Injection9.0
Dexamethasone 4 Mg InjectionDexamethasone 4 Mg Injection12.0
Dexamethasone Sodium PhosphateDexamethasone Sodium Phosphate Injection85.0
DexamoxDexamox Kid Forte Tablet44.0
DexanirDexanir Injection9.0
DexasoleDexasole Injection5.0
DexasporinDexasporin Injection6.0
Dex EDex E Powder17.0
DexometDexomet 0.25% W/W Cream128.0
DexonilDexonil 4 Mg Injection63.0
DexonDexon Injection25.0
DexzyDexzy Injection5.0
OsidexOsidex Injection5.0
StedexStedex 0.5%/0.1% Eye Drops12.48
ZoftadexZoftadex 4 Mg Injection190.0
AcucortAcucort 100 Mg Injection43.05
Cort SCort S 100 Mg Injection36.0
FmpFmp Tablet55.38
HisoneHisone 10 Mg Tablet77.24
HydrolinHydrolin 100 Mg Injection41.32
Lycortin SLycortin S Injection43.5
PrimacortPrimacort 100 Mg Injection36.36
Solu CortSolu Cort 1000 Mg Injection756.25
SuccicortSuccicort 100 Mg Injection59.0
TroycortTroycort 100 Mg Injection40.9
AlcortAlcort 100 Mg Injection28.5
Biosone(Biochem)Biosone 100 Mg Injection18.75
CortisumCortisum 100 Mg Injection26.25
EfcorlinEfcorlin 0.02%/0.025% Nasal Drops25.0
H CortH Cort 100 Mg Injection38.47
HycortHycort 100 Mg Injection43.05
Hydrocort(Phc)Hydrocort 100 Mg Injection26.87
HydrocortisoneHydrocortisone Sodium 100 Mg Injection38.8
LabocortLabocort 100 Mg Injection28.0
MulticortMulticort 100 Mg Injection21.25
NiticortNiticort 100 Mg Injection42.5
Pilcort HPilcort H 100 Mg Injection52.25
UltracortUltracort 100 Mg Injection57.46
UnicortUnicort 100 Mg Injection15.95
CortgeeCortgee 100 Mg Injection20.0
CortilupCortilup 100 Mg Injection48.0
CortipenCortipen Injection23.75
DexelexDexelex 100 Mg Injection600.0
EntofoamEntofoam 2 Gm Inhaler536.5
Hydrocort(Cip)Hydrocort Injection20.81
Hys 100Hys 100 1 Gm Injection43.06
IcortIcort Tablet34.2
IntacorlinIntacorlin 100 Mg Injection37.5
StecortStecort 1 Gm Injection26.25
WosoneWosone 100 Mg Injection18.75
WycortWycort 25 Mg Injection46.02
BudateBudate 0.5 Mg/2 Ml Respules567.0
BudecortBudecort 0.5 Mg Respules207.5
Budenase AqBudenase Aq 100 Mcg Nasal Spray195.5
BudezBudez Cr 3 Mg Capsule155.0
BunaseBunase 0.5 Mg Respules104.25
Derinide AqDerinide Aq 64 Mcg Nasal Spray274.0
DerinideDerinide 100 Mg Respicap100.0
PulmicortPulmicort 0.5 Mg Respules22.55
RhinocortRhinocort 64 Mcg Aquanase285.43
AlvonideAlvonide 0.5 Mg Respules27.93
Budesonide 0.5 Mg/MlBudesonide 0.5 Mg/Ml Respules11.02
BudventBudvent Easecaps 100 Mcg Capsule45.12
BunideBunide Cr 3 Mg Capsule317.31
Budeflam AqBudeflam Aq Aquanase171.31
AcortAcort 10 Mg Injection28.57
ComcortComcort 10 Mg Injection14.7
CortisprayCortispray 50 Mcg/Puff Nasal Spray219.0
D CortD Cort 10 Mg Injection33.0
OrawaysOraways 0.1% W/W Paste47.19
PericortPericort 4 Mg Tablet31.21
TriamadermTriamaderm 0.1% W/W Ointment112.0
TricortTricort 10 Mg Injection46.0
TrioraTriora 0.1%W/W Ointment52.0
VetalogVetalog Injection46.65
BonacortBonacort 40 Mg Injection25.87
CortimCortim 4 Mg Tablet35.0
CortrimaCortrima 0.01% Cream105.0
KenacortKenacort 0.1% Oral Paste52.7
KencortKencort 1000 Mg Injection1090.0
LedercortLedercort 0.1% Ointment95.56
LupicortLupicort 40 Mg Injection38.2
RetiloneRetilone 40 Mg Injection97.47
StancortStancort 40 Mg Injection27.5
TrijectTriject 40 Mg Injection109.52
TrilonTrilon 40 Mg Injection60.0
TriroidTriroid 10 Mg Injection38.65
LcortLcort Cream38.27
NasicoritnNasicoritn Nasal Spray216.0
OaceOace Cream33.27
CaldobCaldob 500 Mg Capsule120.0
CortimycinCortimycin Ointment60.0
CutisoftCutisoft 1% W/W Cream75.0
DaktacortDaktacort Gel53.68
DrocortDrocort Cream64.76
EldercoidEldercoid 0.1% Lotion42.0
HysoftHysoft 0.12% Cream92.61
LocoidLocoid 0.1% Lotion36.0
LocortLocort 1% Cream49.0
LycorLycor 1% Cream88.5
TendroneTendrone 0.5% Cream104.0
AtokidzAtokidz Lotion88.57
CutispotCutispot Cream180.0
DelsterDelster 1% Cream66.0
EfficortEfficort 0.127% W/W Cream160.0
Locoid LippoLocoid Lippo Cream43.0
Urea HcUrea Hc Cream46.47
DexacortDexacort Eye Drop17.73
Dexacort (Klar Sheen)Dexacort (Klar Sheen) 0.1% Eye Drop18.62
SolodexSolodex 0.1% Eye/Ear Drops7.23
Lupidexa CLupidexa C Eye Drop9.75
Ocugate DxOcugate Dx Eye Drop10.62
ExsoraExsora Ointment153.0
TessTess 0.1% Ointment57.0
TostiTosti Gel65.0
CinortCinort Gel54.0
TrioplastTrioplast Paste63.0
SaazSaaz 500 Mg Tablet45.25
SalazarSalazar 500 Mg Tablet38.85
SazoSazo 1000 Mg Tablet144.0
IwataIwata 500 Mg Tablet57.37
Sazo EnSazo En 500 Mg Tablet88.0
BalacolBalacol 750 Mg Capsule137.0
BalsacolBalsacol 750 Mg Capsule97.62
ColorexColorex 750 Mg Capsule109.0
CozabalCozabal 750 Mg Tablet90.0
IntazideIntazide 750 Mg Capsule136.5
6 Mp6 Mp 50 Mg Tablet74.87
PurinetonePurinetone 50 Mg Tablet66.25
RemicadeRemicade 100 Mg Injection41039.0
InfimabInfimab 100 Mg Injection32000.0
DexapinDexapin 1%/0.10% Eye Drop20.0
Gate DxGate Dx 0.1%/0.3% Drops37.35
4 Quin Dx4 Quin Dx Eye Drop17.84
Apdrops DmApdrops Dm 0.5% W/V/1% W/V Eye Drop108.0
Dexcin MDexcin M Eye Drop67.0
Mfc DMfc D Eye Drop88.0
Mflotas DxMflotas Dx 0.5%W/V/0.1%W/V Eye Drop90.0
Mo 4 DxMo 4 Dx Eye Drop80.0
Moxifax DxMoxifax Dx Eye Drop55.0
Moxitak DmMoxitak Dm Eye Drops20.12
MyticomMyticom Eye Drop75.74
Occumox DmOccumox Dm 0.5%/0.1% Eye Drop17.8
Mflotas DMflotas D Eye Drop18.08
Mflotas TMflotas T Injection18.08
MilflodexMilflodex Eye Drop115.0
Milflox DmMilflox Dm Eye Drop21.3
Mosi DMosi D Eye Drop11.25
MoxigramMoxigram 400 Mg Tablet115.86
Occumox DOccumox D Eye Drop17.8
4 Quin Pd4 Quin Pd 0.5% W/V/1% W/V Eye Drop76.92
Apdrops PdApdrops Pd 0.5% W/V/1% W/V Eye Drop26.0
CombaceCombace 0.5%/1% Eye Drops12.91
Mo 4 PdMo 4 Pd Ear Drop90.0
MoxipredMoxipred Eye Drops14.57
Moxigram PMoxigram P Eye Drop13.65
Occumox POccumox P Eye Drop19.75
Aflox DAflox D 0.3%/0.1% Drops15.4
Amoflox DAmoflox D 0.3%/0.1% Eye Drops11.15
Deflox DmDeflox Dm Eye Drops27.62
Festive DFestive D 0.3%/0.1% Drop26.0
Flan DxFlan Dx Eye Drops13.75
O Cebran DO Cebran D 0.3%/0.1% Drops18.0
Ofc DxOfc Dx 0.3%/0.1% Drops10.67
OfdexOfdex 0.3%W/V/0.1%W/V Eye/Ear Drops12.0
Ofelder DOfelder D 0.3%/0.1% Drops10.53
Ofen DxOfen Dx 0.3%/0.1% Drops25.76
Oflo DmOflo Dm 0.3%/0.1% Eye Drops10.95
Oflomac DxOflomac Dx 0.3%/0.1% Eye/Ear Drops7.51
Oflozen DOflozen D 0.3%/0.1% Drops11.04
Olin DOlin D 0.3%/0.1% Eye Drops35.9
Omeflox DxOmeflox Dx 0.3%/0.1% Drops10.82
O Syn DxO Syn Dx Drops10.05
Oxop DOxop D 0.3%/0.1% Eye Drops11.71
Zevid DZevid D 0.3%/0.1% Drops16.8
Zo DZo D 0.3%/0.1% Eye Drop8.69
Zuflo DZuflo D 0.3%/0.1% Eye/Ear Drops8.75
Zynoff DZynoff D 0.3%/0.1% Eye Drop9.06
Oflacin DxOflacin Dx Eye Drop11.68
OfrondOfrond Eye Drops8.75
Protoflox DProtoflox D Eye/Ear Drops9.12
Airtec FbAirtec Fb 6 Mcg/100 Mcg Capsule137.0
BudamateBudamate 400 Inhaler345.0
BudetrolBudetrol 12 Mcg/200 Mcg Inhaler275.94
Combihale FbCombihale Fb 6 Mcg/200 Mcg Inhaler275.94
ForacortForacort 100 Rotacap122.0
FormonideFormonide 20 Mcg/0.5 Mg Respules280.0
SymbicortSymbicort 4.5 Mcg/160 Mcg Turbuhaler550.0
Vent EcVent Ec Capsule17.36
Vent FbVent Fb 6 Mcg/100 Mcg Capsule102.53
Budamate ForteBudamate Forte 12 Mcg/400 Mcg Transcaps241.0
Budetrol ForteBudetrol Forte 12 Mcg/400 Mcg Capsule220.0
Digihaler FbDigihaler Fb 6 Mcg/200 Mcg Inhaler355.0
Fomtide NfFomtide Nf 12 Mcg/100 Mcg Inhaler219.24
FomtideFomtide 12 Mcg/200 Mcg Diskette325.0
Peakhale FbPeakhale Fb 6 Mcg/100 Mcg Inhaler214.0
Quikhale FbQuikhale Fb 6 Mcg/200 Mcg Inhaler304.0
SymbivaSymbiva 100 Mcg Capsule183.33
AnomexAnomex Suppository54.0
CorectCorect Suppository66.0
PileumPileum Suppository60.0
Appatoba DAppatoba D 0.3%/0.1% Eye Drops12.1
Itocin DItocin D 0.3%/0.1% Eye Drops21.25
Ocutob DOcutob D 0.3%/0.1% Eye Drops11.45
TobadexTobadex 0.3%/0.1% Eye Drops16.0
Tobaren DTobaren D 0.3%/0.1% Drops15.29
Tobaren DmTobaren Dm 0.3%/0.1% Eye Drops58.0
Tobazon DmTobazon Dm 0.3%/0.1% Drops9.92
TobradexTobradex 0.30%/.1% Drops18.29
Tobram DTobram D Eye Drops17.25
Toby DToby D 0.3%/0.1% Eye Drops11.08
Tojawa DTojawa D 0.3%/0.1% Drops13.67
TromadexTromadex 0.3%/0.1% Drops10.0
Paritob DParitob D Eye Drop37.71
TeradoxTeradox Eye Drops20.31
Tobacin DTobacin D Eye Drop35.9
Tobracid DmTobracid Dm Eye Drop13.56
Tobramed DTobramed D Eye/Ear Drops10.82
Tobrine DmTobrine Dm Eye Drops19.75
Tsun DTsun D Eye Drops19.15
TybroTybro Eye Drops40.0
Aquapred OAquapred O 0.3%/1% Eye Drops45.91
ExopredExopred 0.3%/1% Eye Drop46.8
Ofelder PaOfelder Pa 0.3%/1% Drops18.17
Oflo POflo P 3 Mg/10 Mg Eye Drops11.18
Ofray POfray P 0.3%/1% Eye Drops49.0
OmepredOmepred 0.3%/1% Eye Drops12.9
OploneOplone 0.3%/1% Eye Drops42.2
PredfaxPredfax 0.3%/1% Eye Drops10.36
Preds OPreds O 0.3%/1% Eye Drops42.0
ZypredZypred 0.3%/1% Eye Drop15.0
OcepredOcepred Eye Drop13.36
Tretcee HQ CreamTretcee Hq Cream89.0
Lomela LiteLomela Lite Cream75.0
NolasmaNolasma Cream90.47
Dexapin CDexapin C Eye Drop13.97
Belmycetine CBelmycetine C Ointment46.51
Chlorocol HChlorocol H Ointment70.0
Cortison OptichlorCortison Optichlor 10 Mg/5 Mg Ointment62.0
Renicol HRenicol H 1%/0.5% Eye Ointment0.0
Cd (Hicare)Cd Eye Ointment59.0
ChlorocortChlorocort Ointment61.01
ChloronixChloronix Eye Ointment57.15
Corti KemicetineCorti Kemicetine Ointment21.4
HcolHcol Eye Ointment39.93
ZemoistZemoist Eye Drops73.65
Biocip DBiocip D 0.3%/0.1% Drop9.8
Ceprolen DCeprolen D 0.3%/0.1% Eye Drops11.18
Ciplex (Leeford)Ciplex 0.3%/0.1% Eye Drops10.62
Cipromac D (Torque)Cipromac D Drop10.61
Ciprozen DCiprozen D 0.3%/0.1% Drops19.37
Kemocip DKemocip D 0.3%/0.1% Eye/Ear Drops9.71
Larcip DLarcip D 0.3%/0.1% Eye Drops7.25
Lucipro DLucipro D 0.3%/0.1% Eye/Ear Drops12.07
Zoxan DZoxan D 0.3%/0.1% Eye Drop8.59
Ahlox DAhlox D 0.3%/0.1% Eye Drops9.2
Cebran DCebran D Eye Drop9.33
Ceflox DCeflox D Drop26.0
Chlorodex (Sun)Chlorodex Drop10.0
Cifomed DCifomed D Drop16.75
Cipcos DCipcos D Drops14.0
Ciplox DCiplox D Eye/Ear Drops14.0
KemocipKemocip Eye/Ear Drops7.28
Swiflox DSwiflox D Eye Drop7.5
Garasol DGarasol D 0.3%/0.1% Drops11.5
Gencin D MGencin D M Drops18.0
Gentacip DGentacip D 0.3%/0.1% Drop9.62
Gentajin DGentajin D 0.3%/0.1% Eye Drops7.04
Gentamide DmGentamide Dm 0.3%/0.1% Eye Drops8.2
Gentapen DGentapen D 0.3%/0.1% Eye Drops8.36
Genticare DGenticare D 0.01%/0.3% Eye Drops9.66
GermentadGermentad 0.3%/0.1% Drops7.8
GlycortGlycort 0.3%/0.1% Drops10.0
Gentaglow DGentaglow D 0.3%/0.1% Eye Drops20.0
PyricortPyricort Eye Drop9.39
Biodexone NBiodexone N 0.5%/0.1% Eye Drops9.37
Dekortyn NDekortyn N 0.5%/0.1% Drops8.25
Dexacort NDexacort N 0.5%/0.1% Eye Ointment9.11
DexcinDexcin Eye/Ear Drops11.55
Opthodex NOpthodex N 0.5%/0.1% Drops9.41
Biosone CBiosone C Ointment50.0
Cecort (Optica)Cecort Ointment45.0
Retichlor HRetichlor H Ointment60.0
Biosone PBiosone P Eye/Ear Drops40.0
Ocupol DOcupol D Eye Drop13.44
Renicol PxRenicol Px Eye Drops21.0
Takchlor CTakchlor C 10 Mg/1 Mg/5000 Iu Ointment46.2
Deximon PDeximon P Eye Drops22.5
Imix 10Imix 10 Eye Drops30.0
Imix D 10Imix D 10 Eye Drops80.0
Imix D 5Imix D 5 Eye Drops47.5
Imix DImix D Eye Drops36.25
Ocupol DxOcupol Dx Drop75.61
BudesalBudesal 0.5 Mg/1.25 Mg Respules300.0
CortecyclineCortecycline Eye Ointment9.4
TerracortTerracort Eye/Ear Drops29.62
CortigenCortigen Eye Drops53.43
Genticyn HcGenticyn Hc Eye Drop17.93
Smuth SuspensionSmuth Suspension65.15
Crotorax HcCrotorax Hc Cream43.4
D ChlorexD Chlorex Eye Drops7.99
Decakem CDecakem C Eye Drops11.76
DecoDeco 0.5%W/V/0.01%W/V Eye/Ear Drops10.62
Dekortyn CDekortyn C 1%/0.1% Drops8.86
DexamonDexamon 1%/0.1% Drops9.8
DeximonDeximon 0.5%/0.1% Eye Drops47.55
Eptico DEptico D 5%/0.1% Drops9.66
KlorumdKlorumd 1%/0.1% Drops7.8
OpthodexOpthodex 1%/0.1% Eye Drops9.4
Opthodex SOpthodex S Drops9.75
PolydexPolydex 1%/0.1% Eye/Ear Drops43.75
RenidexRenidex 1%/0.1% Drops8.89
AvimonAvimon Eye Drops11.0
CareCare Drops51.05
Chlorgull DChlorgull D Eye/Ear Drops7.37
ChloridexChloridex Eye Drops20.87
Chlormet DmChlormet Dm Drops11.75
Chlorodex (Leeford)Chlorodex Eye Drop10.0
ClodilClodil Eye Drops35.87
Pc DexPc Dex Eye/Ear Drops37.98
PyrimonPyrimon Eye Drop11.4
VisomerVisomer Eye Drop23.93
CatarnilCatarnil Drops25.25
Fucidin HFucidin H 1%/2% Cream156.5
Fuseal HFuseal H 2%W/W/1%W/W Ointment118.0
Fuson HFuson H 1%W/W/2%W/W Cream50.0
Gatiquin PGatiquin P 0.3% W/V/1% W/V Eye Drop94.0
PredzyPredzy 3 Mg/10 Mg Eye Drops60.0
Gatsun PGatsun P 0.3%/1% Drops12.84
Siogat PSiogat P 0.3%/1% Eye Drops55.53
Zengat PZengat P Eye Drops13.1
Z PredZ Pred 0.3%/1% Eye Drops51.25
Gate PdGate Pd 3 Mg/10 Mg Eye Drops25.9
Gate P PGate P P 3 Mg/10 Mg Eye Drops28.35
KedexKedex 0.5%/0.1% Eye Drop50.0
KeralinKeralin Ointment70.0
KetrodexKetrodex Eye Drop70.0
Low DexLow Dex Eye/Ear Drops9.75
Mlobe PdMlobe Pd Eye Drop90.0
NordexNordex Eye Drops44.88
OrecureOrecure Ear Drops59.7
P.ColP.Col Drops25.0
PerfocynPerfocyn Ear Drop13.03
Ossilex AcOssilex Ac Drops21.87
SofradexSofradex Cream29.42
Sofradex FSofradex F Cream25.58
Tympalin CTympalin C Drops45.0
Hairmax ForteHairmax Forte Solution584.0
ADEL 36Adel 36 Pollon Drop215.0
Schwabe DamiaplantDamiaplant Drop450.0
IotrimIotrim Eye Ointment57.0
ADEL Nuphar Lut Mother Tincture QNuphar Lut Mother Tincture Q265.0

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