Glucocorticoid adverse effects

Our topic today wasadverse effects of glucocorticoids. These are commonly used drugs with significant adverse effects. If we wish to limit unwanted effects we need to know how common they are, harness patient ' s concerns to help us and have a plan for when we use steroids.Your talks showed that you had put effort into researching the topic, but there needs to be a little more planning on the presentation side. The time allowed means that you have to be concise, and to make it sharp you must always be precise. Numbers (10%) not descriptors (quite common). List your sources on the handout so the audience can follow up if they want to.Here are some useful papers. The links are to abstracts but the full versions are only a password away via ATHENS.Monitoring adverse effects of low dose glucocorticoid therapy: EULAR recommendations for clinicalk trials and daily practice. MC van der Goes et alAnn Rheum Dis 2010;69:1913-1919Epidemiology of glucocorticoid-assoiated adverse events. AK McDonough et al.Curr Opin Rheumatol 2008 Mar;20(2):131-7.Patients ’ and rheumatologists’ perspectives on glucocorticoids. MC van der Goes et al.Ann Rheum Dis 2010;69:1015-1021.The acronym below which is an aide-memoire for reducing adverse drug effects in general. Apologies to its author, who I can ' t remember, but I first heard it at a meeting about 5 years ago.S...Stratify: is the patient at higher risk of an ADR: comorbidities, drugs, age.A...Assess: Hepatitis status, TB risk, vaccinations up t...
Source: MJM Wardrounds - Category: Universities & Medical Training Source Type: blogs