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Glucocorticoid

Potency

Plasma

half-life (h)

Biological

half-life (h)

Mineralo-

corticoid effects

Hydrocortisone

1

8-12

1

Prednisone

5

3-4

12-36

0.8

Methylprednisolone

4

1.5-3

12-36

0.5

Dexamethasone

~ 30

2-5

36-54

0

Steroids: which compound?

Least amount of mineralocorticoid activity

=> Low rate of fluid retention

Long biological half-life

=> frequent dosing not required

Advantages of

dexamethasone: