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Glucocorticoid prescribing in neurology
  1. Andrew P Jones1,
  2. Miguel Debono2,
  3. Jennifer Walsh3,
  4. Cheryl Smith4,
  5. Leanne Hunt4,
  6. Fiona M McKevitt1
  1. 1Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
  2. 2Endocrinology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
  3. 3Metabolic Bone Centre, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
  4. 4Diabetes Department, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
  1. Correspondence to Dr Fiona M McKevitt, Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; fionamckevitt{at}nhs.net

Abstract

Glucocorticoids are commonly used for neurological disorders, but they can have significant adverse effects, including adrenal insufficiency, hyperglycaemia, osteoporosis and increased infection risk. Long-term use of corticosteroids requires the prescriber to plan risk mitigation, including monitoring and often coprescribing. This article highlights the potential risks of corticosteroid prescribing and draws together up-to-date guidance with multispecialty input to clarify ways of reducing those risks. We discuss home blood glucose monitoring and consider a steroid safety checklist to promote safer steroid prescribing.

  • CLINICAL NEUROLOGY
  • STEROIDS

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Footnotes

  • Contributors APJ manuscript writing and literature review. MD and JW editing of manuscript. LH and CS editing of manuscript and development of ‘grab bags’. FMM concept, steroid safety checklist and editing of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed by Aisling Carr, London, UK.

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