Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Endocrinology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Pract Neurol. 2024 Jul 16;24(4):289-295. doi: 10.1136/pn-2023-003855.
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.
糖皮质激素常用于神经疾病，但会产生显著的不良反应，包括肾上腺功能不全、高血糖、骨质疏松和感染风险增加。长期使用皮质激素需要医生计划降低风险，包括监测和经常联合用药。本文强调了皮质激素处方的潜在风险，并汇集了最新的指导意见和多学科建议，以明确降低这些风险的方法。我们讨论了家庭血糖监测，并考虑了类固醇安全检查表，以促进更安全的类固醇处方。
