Brain 17 Vienna

Steroid tapering

• Tapering should be persued as soon as clinically possible

• Short treatment => rapid tapering

• Long duration of therapy => slow tapering

=> Watch for signs of hypocortisolism! • Nausea, vomiting, headaches • Myalgia, hypotension

• Manifest hypocortisolism: substitution with hydrocortisone

=> average daily dose: 20-30 mg