At 09:32 18/12/98 , you wrote:
>If tapering off is not necessary up to 10 days , then any views on what
>duration of treatment would require a tapering regimen ?
>
>>A tapering course of steroids was not necessary after an initial course of
>40 mg of prednisolone daily for >10 days in patients hospitalized for acute
>asthma.
>
>>O'Driscoll BR, Kalra S, Wilson M, et al. Double-blind trial of steroid
>tapering in acute asthma. Lancet. >1993 Feb
>
>>ACP Journal Club. 1993 July-Aug;119:7.
Although at first sight this is a knotty problem isn't the answer more
straigtforward in normal practice. I wouldn't taper a 14 day course either.
Most people who need steroids for more than 14 days need them long enough
for tapering to feel appropriate and safe.
If anyone knows reason to change hope they will post this.
Julian
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