Product image of Klostenal (Beclometasone Dipropionate) supplied by GNH India

Klostenal

Active Ingredient:
Beclometasone Dipropionate
Origin:
EU

Klostenal (Beclometasone Dipropionate)

Beclometasone Dipropionate, the active ingredient in Klostenal, is a corticosteroid presented as a rectal formulation for rectal use. It is employed to treat inflammatory bowel disease and proctitis in adult patients, helping to reduce local inflammation and related symptoms through glucocorticoid receptor activation.

GNH India supplies Klostenal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to European Union regulatory standards for quality and safety. The product is manufactured under strict GMP conditions and is distributed to multiple continents.

Manufacturer / TM Owner

Medinitaly Pharma Progress S.R.L.

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Indications & Clinical Uses

Beclometasone Dipropionate in Klostenal is used to manage inflammatory conditions of the lower gastrointestinal tract.

  • Inflammatory bowel disease: reduces rectal inflammation and alleviates abdominal pain, diarrhea, and bleeding.
  • Proctitis: diminishes mucosal swelling, bleeding, and urgency, promoting symptom relief.
  • Distal ulcerative colitis: helps achieve remission of lesions confined to the rectum and sigmoid colon.

How It Works

  • Beclometasone Dipropionate acts as a glucocorticoid receptor agonist. After binding to intracellular receptors, the complex translocates to the nucleus where it modulates gene transcription, suppressing pro‑inflammatory cytokines, chemokines, and adhesion molecules while inducing anti‑inflammatory proteins. This results in decreased leukocyte infiltration and reduced production of mediators that drive intestinal inflammation.

Side Effects

Beclometasone Dipropionate may cause local and systemic adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Rectal irritation or burning.
  • Itching at the site.
  • Mild abdominal cramping.
  • Headache.

Serious or Rare Side Effects

  • Adrenal suppression with prolonged therapy.
  • Severe allergic reaction (rash, swelling, anaphylaxis).
  • Rectal bleeding or ulceration.
  • Systemic effects such as hyperglycemia or increased infection risk.

Precautions & Warnings

When using Klostenal, several precautions should be observed to minimize risks and ensure safe therapy.

  • Pregnancy: consult a healthcare professional before use.
  • Infection: avoid or treat active infections prior to initiating therapy.
  • Systemic absorption: limit duration to reduce risk of systemic corticosteroid effects.
  • Children: use with caution; monitor growth and adrenal function.
  • Hypersensitivity: discontinue if signs of allergic reaction occur.
  • Store at room temperature: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Beclometasone Dipropionate can interact with other medicines, affecting its safety or efficacy.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole) may increase systemic exposure.
  • Concurrent systemic glucocorticoids can cause additive adrenal suppression.
  • Live vaccines may have reduced effectiveness.

Moderate Interactions (Monitor Closely)

  • NSAIDs may raise the risk of gastrointestinal ulceration.
  • Antidiabetic agents may require dose adjustment due to altered glucose control.
  • Anticoagulants may increase bleeding tendency when rectal mucosa is irritated.

Frequently Asked Questions

Klostenal contains Beclometasone Dipropionate, a corticosteroid formulated for rectal administration. It is prescribed to treat inflammatory conditions of the lower gastrointestinal tract, such as inflammatory bowel disease, proctitis, and distal ulcerative colitis, by reducing local inflammation and alleviating symptoms like pain, bleeding, and urgency.

Beclometasone Dipropionate binds to intracellular glucocorticoid receptors, forming a complex that enters the cell nucleus and alters gene transcription. This suppresses the production of pro‑inflammatory cytokines, chemokines, and adhesion molecules while enhancing anti‑inflammatory proteins, leading to decreased leukocyte infiltration and reduced inflammation in the rectal mucosa.

The dosage of Klostenal is determined by the prescribing clinician based on the severity of the condition, patient age, and response to therapy. The prescriber will specify the amount, frequency, and duration of rectal administration, and patients should follow the written instructions without altering the regimen.

Safety of rectal Beclometasone Dipropionate during pregnancy or lactation has not been fully established. Healthcare providers should evaluate the potential benefits against possible risks, and the drug should only be used if deemed necessary. Women who are pregnant, planning pregnancy, or breastfeeding should discuss treatment options with their physician.

To request Klostenal, submit an enquiry on the product page at gnhindia.com, indicating the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide, and will ask for trade or institutional credentials. After verification, the sales team provides pricing, availability, shipping details—including any cold‑chain requirements—and assists with import documentation.

Klostenal’s active ingredient, Beclometasone Dipropionate, is a potent glucocorticoid with high local anti‑inflammatory activity and limited systemic absorption when used rectally. Compared with older agents such as hydrocortisone, it offers stronger receptor affinity and may achieve symptom control at lower doses, potentially reducing the risk of systemic side effects. Choice of therapy depends on clinical judgment and patient response.

Klostenal should be stored at room temperature, preferably below 25 °C, in its original packaging to protect it from moisture and light. Ensure the container is tightly closed when not in use, and keep it out of reach of children. Do not freeze or expose the product to extreme temperatures, as this may affect its stability.

Klostenal is administered rectally, typically as a suppository or enema, according to the prescriber’s instructions. The patient should insert the dose into the rectum, preferably after a bowel movement and before lying down, to allow optimal contact with the mucosa. Hand hygiene before and after administration is recommended to maintain sterility.

The most serious risks include adrenal suppression with prolonged use, severe allergic reactions such as anaphylaxis, and rectal bleeding or ulceration. Systemic corticosteroid effects, such as hyperglycemia, increased infection susceptibility, and bone density loss, may also occur if significant absorption happens. Patients should be monitored for these signs and report any concerning symptoms promptly.

Klostenal should be avoided in individuals with known hypersensitivity to Beclometasone Dipropionate or any excipients in the formulation. It is also contraindicated in patients with active untreated infections of the rectum, uncontrolled systemic fungal infections, or those receiving systemic corticosteroids where additive effects could be harmful. Pregnant or lactating women should only use it after a risk‑benefit assessment by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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