Core IM | Internal Medicine Podcast

#129 Steroids: 5 Pearls Segment

31 snips
Jun 28, 2023
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ADVICE

Choosing Steroids

  • Consider glucocorticoid and mineralocorticoid activity when choosing steroids.
  • Dexamethasone is best for emergencies needing anti-inflammatory effect, like spinal cord compression.
INSIGHT

Steroid Spectrums

  • Glucocorticoid activity (anti-inflammatory effect) and mineralocorticoid activity (salt/water retention) exist on opposite spectrums.
  • High glucocorticoid activity usually means low mineralocorticoid activity, and vice-versa.
ADVICE

Minimizing HPA Suppression

  • Choose steroids with the lowest potency and half-life for the indication to minimize HPA axis suppression.
  • This reduces the risk of adrenal insufficiency.
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