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Some side effects may require medical attentionOther side effects do not require medical attention and may go away during treatmentPatients should check with their physician about any side effects that continue or are bothersome.
The adverse effects of corticosteroids in pediatric patients are similar to those in adultssee ADVERSE REACTIONSLike adultspediatric patients should be carefully observed with frequent measurements of blood pressureweightheightintraocular pressureand clinical evaluation for the presence of infectionpsychosocial disturbancesthromboembolismpeptic ulcerscataractsand osteoporosisPediatric patients who are treated with corticosteroids by any routeincluding systemically administered corticosteroidsmay experience a decrease in their growth velocityThis negative impact of corticosteroids on growth has been observed at low systemic doses and in the absence of laboratory evidence of hypothalamic-pituitary-adrenalHPAaxis suppressioni.ecosyntropin stimulation and basal cortisol plasma levelsGrowth velocity may therefore be a more sensitive indicator of systemic corticosteroid exposure in pediatric patients than some commonly used tests of HPA axis functionThe linear growth of pediatric patients treated with corticosteroids should be monitoredand the potential growth effects of prolonged treatment should be weighed against clinical benefits obtained and the availability of treatment alternativesIn order to minimize the potential growth effects of corticosteroidspediatric patients should be titrated to the lowest effective dose.
Since complications of treatment with corticosteroids are dependent on the size of the dose and the duration of treatmenta risk/benefit decision must be made in each individual case as to dose and duration of treatment and as to whether daily or intermittent therapy should be used.
Use lowest possible dose to control condition under treatmentrisk/benefit decision must be made in each individual case as to dose and duration of treatment and as to whether daily or intermittent therapy should be used.
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corticosteroids such as decadron have been advocated both for treatment of meniere s disease and vestibular neuritis, in both cases, in an attempt to reduce the duration of a vertiginous episode.
