神经内科的糖皮质激素处方。

IF 2.4 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2024-07-16 DOI:10.1136/pn-2023-003855

Andrew P Jones, Miguel Debono, Jennifer Walsh, Cheryl Smith, Leanne Hunt, Fiona M McKevitt

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引用次数: 0

摘要

糖皮质激素常用于治疗神经系统疾病，但会产生严重的不良反应，包括肾上腺功能不全、高血糖、骨质疏松和增加感染风险。长期使用皮质类固醇需要处方者制定风险缓解计划，包括监测和经常联合用药。本文强调了皮质类固醇处方的潜在风险，并汇集了最新指南和多专科意见，阐明了降低这些风险的方法。我们讨论了家庭血糖监测，并考虑使用类固醇安全清单来促进更安全的类固醇处方。

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Glucocorticoid prescribing in neurology.

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.

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.