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5As indicated abovecertain corticosteroidsbecause of their prolonged suppressive effect on adrenal activityare not recommended for alternate day therapyegdexamethasone and betamethasone

Once control has been establishedtwo courses are availableachange to ADT and then gradually reduce the amount of corticoid given every other day orbfollowing control of the disease process reduce the daily dose of corticoid to the lowest effective level as rapidly as possible and then change over to an alternate day scheduleTheoreticallycourseamay be preferable.

What are the possible late side effects of treatment with prednisonePatients may be an increased risk of developing cataracts or a reduction in bone density if they are treated with prednisone for a long period of time.

What can patients do to help alleviate or prevent discomfort and side effects?

Using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stressThereforebefore having surgery or emergency treatmentor if you get a serious illness/injurytell your doctor or dentist that you are using this medication or have used this medication within the past 12 monthsTell your doctor right away if you develop unusual/extreme tiredness or weight lossIf you will be using this medication for a long timecarry a warning card or medical ID bracelet that identifies your use of this medication.

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