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Dose of

dexamethasone

?

Study A

Day 7

Day 28

Dexa 8 mg

8.0 (+/-10.1)

Dexa 16 mg

7.3 (+/-14.2)

Study B

Day 7

Day 28

Dexa 4 mg

6.7 (+/-11.3)

7.1 +/- 18.2

Dexa 16 mg

9.1 (+/-12.4)

5.6 +/- 18.5

Randomized, double blinded study

Improvement in Karnofski score (mean +/- SD)

Vecht et al Neurology 44(4): 675; 1994

N=96

Loading dose not based on evidence, but

it does not cause serious side effects