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When tapering moderate to high doses of long term steroids do you routinely monitor for adrenal insufficiency?

Do you attempt to taper fully or maintain at a low dose?
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In your practice, what duration of steroids necessitates a taper?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Rheumatology · Mobile Medical Care Inc
Answered on

This is always a good question on which to reflect. In general, moderate dosing of steroids (> or = 20 mg prednisone equivalents) for 5 days or less do not need a taper and pose low risk of adrenal suppression, and by extension chronic adrenal insufficiency. Up to date suggests that up to 3 weeks is...

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Mednet Member
Mednet Member
Neurology · University of Minnesota
Answered on

5-day course - no taper; 9-day course with taper.

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