Steroid therapy

Evidence-based neurology checklist on steroid therapy: Dosing Use the lowest dose necessary Consider alternate daily dosing Administer as a daily dose if there is associated diabetes mellitus Protect the gut with proton pump inhibitors (PPIs) Bone protection precautions Dietary precautions…

Dosing

  • Use the lowest dose necessary
  • Consider alternate daily dosing
  • Administer as a daily dose if there is associated diabetes mellitus
  • Protect the gut with proton pump inhibitors (PPIs)

Bone protection precautions

Dietary precautions

Tuberculosis prophylaxis: indications

Pneumocystis jirovecii (carinii) prophylaxis

Other precautions

Monitoring tests on steroids

Steroids and surgery

Adverse effects

References

  1. Amato AA, Russell JA. Neuromuscular Disorders. McGraw Hill New York 2008 p709.
  2. Moghadam-Kia S, Werth VP. Prevention and treatment of systemic glucocorticoid side effects. Int J Dermatol 2010; 49:239-248.
  3. Saygin D, Oddis CV. Glucocorticoids in myositis: initiation, tapering, and discontinuation. Curr Rheumatol Rep 2022; 24:47-53. 
  4. Kelly DM, Cronin S. PCP prophylaxis with use of corticosteroids by neurologists. Pract Neurol 2014; 14:74-76.
  5. Ledingham J, Gullick N, Irving K, et al. BSR and BHPR guideline for the prescription and monitoring of non-biologic disease-modifying anti-rheumatic drugs. Rheumatology (Oxford) 2017; 56:865-868.
  6. And 1 more. Subscribe to see the full list

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