When do you consider extended steroid tapers for acute asthma or COPD exacerbations?
In such cases, is there a specific regimen or approach you recommend?
2 Answers
Mednet MemberInvited Expert
Hospital Medicine · University of California San Francisco
Answered on
The data doesn't support extended tapers - 5 days of 40 pred equivalent are non-inferior, and extended courses can cause harm, including increases in mortality. I only use extended tapers for patients who have, in the past have rapid symptom recrudescence with the typical shorter course. Typically, ...
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Mednet MemberInvited Expert
Pulmonology · UConn Health Pulmonary Critical Care And Sleep Medicine
Answered on
Totally agree with Dr. @Dr. First Last.
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