What criteria do you use to decide the duration of IV steroids in patients with optic neuritis?
Is it necessary to do a taper afterward and what would be the recommended tapering schedule/duration?
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Do you routinely recommend oral steroid taper after IV steroids for patients with optic neuritis?
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1 Answer
Mednet MemberInvited Expert
Neurology · The University of Iowa
Answered on
This question has long gone unanswered because it is complicated.
Short optic nerve segment enhancement (MS):
In this situation, I do not routinely recommend steroid treatment. For the optic neuritis of multiple sclerosis, the Optic Neuritis Treatment Trial (Beck and Gal, PMID 18625951) clearly showe...
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