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