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Prednisolone is a synthetic analogue of the hormones cortisone and hydrocortisone. The drug causes significant anti-inflammatory, antiallergic, antiexudative, antishock, anti-toxic effects. Anti-inflammatory effect of prednisolone is achieved mainly associated with cytosolic glucocorticosteroid receptors. The complex between the hormone and the receptor penetrates into the nucleus of the target skin cell enhances expression of the genes that code synthesis of lipokortins, the substances which inhibits phospholipase A2 and reduce the synthesis of metabolic products of arachidonic acid cyclic known to participate in inflammatory reaction.
Antiallergic effect of the drug is explained by its ability to decrease number of basophils and inhibit synthesis and secretion of biologically active substances. Prednisolone is used to treat many different conditions such as allergic disorders, collagenosis (skin conditions), infectious nonspecific polyarthritis, psoriasis, lupus, ulcerative colitis, bronchial asthma, acute lymphoblastic and myeloid leukemia, neurodermatitis, eczema, Addison disease (decreased adrenal function), and many others.
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