Question: Is There An Alternative To Dexamethasone?

Can you just stop taking dexamethasone?

Do not stop taking dexamethasone without talking to your doctor.

Stopping the drug abruptly can cause loss of appetite, upset stomach, vomiting, drowsiness, confusion, headache, fever, joint and muscle pain, peeling skin, and weight loss..

Can dexamethasone make you gain weight?

Weight Gain From Steroids Steroids (such as prednisone or dexamethasone) may cause your child to gain excess weight. Steroids can cause an increase in appetite and a build up (retention) of fluid. On steroids, your child: May gain weight especially in the face and belly.

Can dexamethasone cause liver damage?

In the low-dose dexa group, moderate liver damage was seen, while mild liver damage was observed in the high-dose dexa group. CONCLUSION: Corticosteroids reduced liver damage produced by bile duct obstruction.

Is dexamethasone long acting?

Prednisone and methylprednisolone, which are intermediate-acting products, are four to five times more potent than hydrocortisone. Dexamethasone is a long-acting, systemic corticosteroid; its potency is about 25 times greater than the short-acting products.

Is there a natural alternative to steroids?

Currently, creatine is the only natural steroid that the Food and Drug Administration (FDA) approve for short-term use in healthy adults aged over 18 years to improve athletic performance.

Is hydrocortisone and dexamethasone the same?

Prednisone and dexamethasone are also synthetic glucocorticoids. Prednisone is 4 to 5 times more potent than hydrocortisone and has a longer duration of action, perhaps 12 hours or more. Dexamethasone is 40 to 50 times more potent than hydrocortisone and even longer-acting, 18 to 24 hours.

What is the best time to take dexamethasone?

You usually take dexamethasone tablets or liquid once a day. It’s best to take it in the morning so it does not affect your sleep. The most common side effects are sleep problems, mood changes, indigestion and weight gain.

How can I reduce the side effects of dexamethasone?

Self-care tips:Report to your physician any severe, persisting abdominal pain or black, tarry stools.Take the steroid mediation after a full meal or with antacids, as this may help reduce irritation of the stomach. Steroids can increase your appetite.Oct 31, 2019

Can dexamethasone cause eye problems?

Use of this medication for prolonged periods or in high doses may cause serious eye problems (such as high pressure inside the eyes and cataracts). Tell your doctor right away if any of these unlikely but serious side effects occur: vision problems, eye pain. This medication may mask the signs of an eye/ear infection.

Does dexamethasone make you pee a lot?

Talk to your doctor right away if you have more than one of these symptoms while you are using this medicine: blurred vision, dizziness or fainting, a fast, irregular, or pounding heartbeat, increased thirst or urination, irritability, or unusual tiredness or weakness.

What is the side effect of dexamethasone?

Stomach upset, heartburn, headache, trouble sleeping, or increased appetite may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Why do you have to wean off dexamethasone?

Adrenal gland production of cortisol stops when you take dexamethasone. For this reason, a person must be tapered off the drug slowly. This allows the adrenal glands to begin production of the natural cortisol again.

How do you wean off dexamethasone?

Dexamethasone should be tapered in a manner individualized to the patient. One of these taper schedules is recommended: Slow taper: Start with 4 mg twice daily for 7 days, then 2 mg twice daily for 7 days, then 1 mg twice daily for 7 days, then 1 mg once daily for 7 days.

What are the long term side effects of dexamethasone?

An overdose of dexamethasone is not expected to produce life threatening symptoms. Long term use of high doses can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

Can I take dexamethasone and hydrocortisone together?

Our results suggest that adding a physiologic dose of hydrocortisone to dexamethasone treatment can reduce the occurrence of serious neuropsychological adverse effects and sleep-related difficulties in pediatric patients with ALL.

Which is better prednisone or dexamethasone?

Dexamethasone is a long-acting glucocorticoid with a half-life of 36 to 72 hours, and is 6 times more potent than prednisone.

What can you not take with dexamethasone?

Dexamethasone may interact with other medicationsAntibiotics.Antifungal drugs. When used with dexamethasone, certain drugs used to treat fungal infections can increase the level of dexamethasone in your blood. … Blood thinners. … Cholesterol drugs. … Cushing’s syndrome drugs.Diabetes drugs. … Diuretics (water pills) … Epilepsy drugs.More items…

Why is dexamethasone used in end of life care?

Dexamethasone use in hospice can decrease pressure inside the skull for patients with brain cancer and other conditions including stroke and head injuries. Symptoms of increased intracranial pressure may present as lethargy, nausea/vomiting, seizures, and/or behavior changes.