SteroidS in afya

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''Side effects'' - greatest limitation to use
//Gluco ..// (PIG ICE MOG)
Psychiatric - insomnia, mania, depression, psychosis (DIMP)
Immunosuppression - infection risk, TB reactivation
GI - peptic ulcer, pancreatitis
intracranial HT
Cushings - moon face, buffalo hump, striae
endocrine - imparied glc regulation, wt gain/inc appetite, hisutism, hyperlipid
Musculoskeletal - osteoporosis, proximal myopathy, avascular necrosis - femoral head
Ophthalmic - glaucoma, cataracts
growth in children suppressed
//Mineralo ...//
Fluid retention
HT

Double dose in intercurrent illness
gradual withdrawal if >40mgPred >1/52 or >3/52 Rx or repeated courses

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