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Doctor insights on: Treatment Corticosteroid Betamethasone Withdrawal Syndrome

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What is the best treatment for corticosteroid (betamethasone) withdrawal syndrome?

What is the best treatment for corticosteroid (betamethasone) withdrawal syndrome?

Steroid withdrawal: Patients on prolonged courses of steroids have a tendency to stop making a hormone known as cortisol. This results in "steroid withdrawal" or adrenal insufficiency. The most common treatment is a very slow taper off of steroids. Infrequently, patients will require lifelong steroids as a result.

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Dr. Stewart Tepper
253 Doctors shared insights

Betamethasone (Definition)

Betamethasone is a steroid that is given in 2 injections 24 hours apart when there is a strong possibility of preterm delivery. It is given between 24 and 34 weeks. It helps mature the lungs of the baby to decrease ...Read more


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What exactly the name, dose, regimen of topical corticosteroid and antihistamine that is used in lichen planus treatment? Patient aged 6 years

What exactly the name, dose, regimen of topical corticosteroid and antihistamine that is used in lichen planus treatment? Patient aged 6 years

See a doctor.: Most cases of lichen planus are relatively mild. Affected individuals who do not have symptoms do not need treatment. If the itch or appearance of the rash are unpleasant, topical corticosteroid creams may be applied. In some cases for localized, itchy, thick lesions, injections of corticosteroids may be given. You need to see a doctor for proper diagnosis and treatment.

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What is the truth behind gradual withdrawal of ophthalamic corticosteroids?? And why??

What is the truth behind gradual withdrawal of ophthalamic corticosteroids?? And why??

Depends: For treating a temporary eye problem, tapering is not usually required. But if you have an autoimmune problem with any part of your eye, tapering is needed in order to gauge how much steroid you need to control the inflammation.

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What are the side effects of treatment with corticosteroids?

What are the side effects of treatment with corticosteroids?

Many: This drug class has many side effects and needs to be used under guidance of a physician and only when appropriate. Serious side effects: hypertension, diabetes, steroid psychosis, bone problem, GI ulcerations, steroid muscle pain, infection...Common side effects: fluid retention, sweating, headache, insomnia, nervousness, muscle weakness, sugar imbalance, mood swings, vertigo, hair growth...

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Are oral corticosteroids used as a common treatment for corneal ulcers?

Are oral corticosteroids used as a common treatment for corneal ulcers?

Oral steroids: Due to possible systemic side effects and other available therapies, oral steroids are not commonly used in the treatment of infectious corneal ulcers. If the corneal ulcer is inflammatory in nature, oral steroids are commonly utilized. You need to see an eye doctor as soon as possible for proper evaluation and treatment.

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How to manage strong side effects of Corticosteroids pills for respiratory sarcodosis and also for long term treatment.

How to manage strong side effects of Corticosteroids pills for respiratory sarcodosis and also for long term treatment.

Steroids: There are non-steroid alternatives to steroids when needed to treat a chronic illness. Ask your doctor about these. Some include plaquenil, methotrexate, imuran, remicade (infliximab) and others. Long term use of steroids can cause many problems but should never be stopped suddenly or without medical supervision but there are alternatives.

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Ct scan confirmed sinusitis in 6 yr old. What is best treatment other than antibtics & corticosteroids? On cifex, aerius, avamys, xylalyn & sinarest.

Ct scan confirmed sinusitis in 6 yr old. What is best treatment other than antibtics & corticosteroids? On cifex, aerius, avamys, xylalyn & sinarest.

Sinusitis: You need to get to the bottom of this. See an allergist/immunologist, your child may have nasal allergies but his/her immune system also needs to be checked to rule out an immunodeficiency and they need to be checked for cystic fibrosis if the history is consistent.

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Itchiness around rectum, for almost 2 years, results are negative for parasites, the itch goes away under betamethasone treatment, but returns.

Itchiness around rectum, for almost 2 years, results are negative for parasites, the itch goes away under betamethasone treatment, but returns.

Pruritis ani: Is the condition. There are various causes including yeast infections, hemorrhoid, bile salt malabsorption, perspiration and dietary intake. Read about it online and see your doctor. Your diary of symptoms about when it is worse or better will be helpful.

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Is it safe to receive celestone steroid epidural injection in the neck while breastfeeding? How long should you wait to breastfeed after a treatment?

Is it safe to receive celestone steroid epidural injection in the neck while breastfeeding? How long should you wait to breastfeed after a treatment?

Short term use fine: A single injection is generally not considered a contraindication for BF. Steroids are stress hormones we make naturally & are sometimes given to infants. No delay is required. This is a long acting product that will remain in effect over several days.

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Previously caught ringworm & received treatment of clotrimazole & betamethasone dipropionate it's back & swollen filled with puss. Treatment options?

Previously caught ringworm & received treatment of clotrimazole & betamethasone dipropionate it's back & swollen filled with puss. Treatment options?

Ringworm: Ringworm doesn't typically become swollen and filled with pus. You may have an abscess and may require antibiotics and/or drainage of the area. Depending on the location, it also may be a kerion. See your PCP or other local doc for eval & treatment

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What is involved in low-dose corticosteroid therapy in juvenile idiopathic arthritis?

What is involved in low-dose corticosteroid therapy in juvenile idiopathic arthritis?

Hummmmm!: What is involved is simply taking an oral corticosteroid my mouth at a prescribed dose and having good follow up. Steroids are wonder drugs! They are also trecherous, cause injury and have serious side effects. We all have steroids ciruculating in our bodies in various amounts. It is the dosing, need for the drug, judicious use, thorough follow up that make them a success and not a danger.

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I'm 17yr diagnosed with iliopsoas snapping in july 2013 and also got treated nsaids corticosteroid, therapy but pain is increasing any home remedies?

I'm 17yr diagnosed with iliopsoas snapping in july 2013 and also got treated nsaids corticosteroid, therapy but pain is increasing any home remedies?

Iliopsoas release: Arthroscopy is the definitive way to fractionally lengthen a tight and snapping iliopsoas tendon via hip arthroscopy. Minimal morbidity and is outpatient surgery. Trial of rest, stretching, injections are important first lines of treatment, but when symptomatic snapping persists, arthroscopic psoas release is a good option.

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Is circumcision the only options for a case of phimosis with scar tissue? Is it the only option? The only thing to do? Or would the alternative treatments/options work? The steroid creams - betamethasone, stretching, preputioplasty, etc? What about partia

Is circumcision the only options for a case of phimosis with scar tissue? Is it the only option? The only thing to do? Or would the alternative treatments/options work? The steroid creams - betamethasone, stretching, preputioplasty, etc? What about partia

You choose: The choice of treatment depends directly on the risk/benefit assessment and your personal opinion. I agree with the respondents. A circumcision will be curative. Steroid creams work quite well and should be tried first if you desire an "intact" prepuce. If these fail, and you still do not want a circ, then you can opt for operative stretching/slit/or partial circ all of which can recur.

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What are the treatment of methamphetamine withdrawal syndrome?

There aren't any: In part because there is no true withdrawal syndrome. If people have been using methamphetamine, particularly in high dose binges, there is a "crash" that occurs after several days of use associated with fatigue, excessive sleep and overeating. It is self-limited and goes away after a couple days, followed by increasing craving for meth. Topirimate, a seizure drug, has helped to reduce craving.

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What kind of pills or treatment can somebody get for alcohol withdrawal syndrome?

What kind of pills or treatment can somebody get for alcohol withdrawal syndrome?

Support: Once you detox and are sober, you need to join a support group. Alcoholics anonymous and celebrate recovery are two excellent organizations that help people deal with alcohol addiction. I would suggest making arrangements to join a group as you are planning your entry into detox. They might be able to visit you in the detox center and help with your transition to home as well.

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Overdose of corticosteriods when I was 13 months, any treatment or help to prevent the continued side effects I have (headaches, weight gain, ir, osa)?

Overdose of corticosteriods when I was 13 months, any treatment or help to prevent the continued side effects I have (headaches, weight gain, ir, osa)?

While I don't: Know the details of your "overdose" of corticosteroids as a child, it's very unlikely it has had any long-term or significant side effects. Check w/your doctor.

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I have been using betnovate c (betamethsone valerate)to treat angular stomatitis. Once the treatment is finished it comes back after 2 weeks.?

I have been using betnovate c (betamethsone valerate)to treat angular stomatitis. Once the treatment is finished it comes back after 2 weeks.?

Angular chelitis: Saliva macerates and irritates this area leading to eczema, fissuring and secondary bacterial and yeast infections. Poorly fitting dentures and lip licking predispose to recurrence. Apply antiyeast creams twice daily. And mild steruid a few hours later. "stop topical therapy when inflammation is clear. Apply a thick protective ointment (aquaphor or chapstick at bedtime.

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Polymyalgia rheumatica. What are recommended treatments long term after acute treatment with corticsteroids? Severe pain and weakness was sudden in upper body, but there is a history of migraines, excema, esp. Sun sensitity, and osteo arhritis with spinal

Polymyalgia rheumatica. What are recommended treatments long term after acute treatment with corticsteroids? Severe pain and weakness was sudden in upper body, but there is a history of migraines, excema, esp. Sun sensitity, and osteo arhritis with spinal

One: One of the ways to get correct information from a computer is to have the correct (input) information in the computer. In medicine is the same, you need precise data to make the adecuate diagnosis. I don t mean to under estimate you impression of how you hands look or how they feel and I don t mean to under estimate your diagnosis of aquiles tendinitis or others, but in order to make the right diagnosis in rheumatology you need to have an appropiate history and physical exam, these two features give you a very very good hint of the diagnosis, that could then be confiorm by blood test or x rays etc.... Rheumatoid arthrtis is not always rheumatoid factor positive and there are 140 varieties of rheumatic diseases. I believe you need a rheumatologist to evaluate you and try to define what your ailments are to get the propper diagnosis and the propper therapy.

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What's the right treatment if u accidentaly swollow chloramphenicol eye drops while dropping into eyes and throat swells a bit. Corticosteriods?

What's the right treatment if u accidentaly swollow chloramphenicol eye drops while dropping into eyes and throat swells a bit. Corticosteriods?

Drink water: You will not get enough Chloramphenicol in your throat from swallowing a few drops unless you are hyperallergic. However it is unlikely, if you are hyperallergic, then your eye would likely react first. So the throat swelling in this case is either from another cause or is at worst minor. So take a glass of water and don't worry. How did you get this since it is no longer available in usa?

Dr. Jeffrey Stevens
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Dr. Patricia Foster
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Celestone (Definition)

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