6.3. Corticosteroids
6.3.1. Replacement therapy
Prescribing Notes:
Used in adrenocortical insufficiency and occasionally is used for the unlicensed indication of postural hypotension.
6.3.2. Glucocorticoid therapy
Prescribing Notes:
Uses include suppression of inflammatory and allergic disorders, cerebral oedema associated with malignancy, croup and chemotherapy-induced nausea and vomiting.
For Formulary advice relating to dexamethasone intravitreal implant, see section 11.4.1
Dexamethasone 40mg tablets (Neofordex®) are not recommended for use in NHS Scotland and are non-Formulary
Prescribing Notes:
- Used in adrenocortical insufficiency, shock and hypersensitivity reactions.
- Exludes hydrocortisone modified-release tablets/capsules (Plenadren® and Efmody®) which are not recommended for use by the SMC and are non-Formulary.
Restrictions:
Excludes 25mg tablets
Prescribing Notes:
Used in many inflammatory and allergic disorders.
Restrictions:
The treatment of autoimmune hepatitis it is restricted to specialist initiation in non-cirrhotic patients who are intolerant of conventional oral steroids (prednisolone) with severe corticosteroid-related side effects (actual or anticipated) such as psychosis, poorly controlled diabetes or osteoporosis.