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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

Steroid tapering