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Endocrine. Decreased carbohydrate and glucose tolerance.development of cushingoid state.hyperglycemia.glycosuria.hirsutism.hypertrichosis.increased requirements for insulin or oral hypoglycemic agents in diabetes.manifestations of latent diabetes mellitus.menstrual irregularities.secondary adrenocortical and pituitary unresponsiveness (particularly in times of stress.as in trauma.surgery.or illness).suppression of growth in pediatric patients.
You and your doctor will need to determine if the benefits of taking Decadron outweigh the potential risks.
Frequency not reported . Bradycardia.cardiac arrest.cardiac arrhythmias.cardiac enlargement.circulatory collapse.congestive heart failure.fat embolism.hypertension.hypertrophic cardiomyopathy in premature infants.myocardial rupture following recent myocardial infarction.syncope.tachycardia.thromboembolism.thrombophlebitis.vasculitis.edema [Ref]
If the patient is receiving steroids already.dosage may have to be increased.
Decreased carbohydrate and glucose tolerance.development of cushingoid state.hyperglycemia.glycosuria.hirsutism.hypertrichosis.increased requirements for insulin or oral hypoglycemic agents in diabetes.manifestations of latent diabetes mellitus.menstrual irregularities.secondary adrenocortical and pituitary unresponsiveness (particularly in times of stress.as in trauma.surgery.or illness).suppression how much decadron for croup growth in pediatric patients.
The adverse effects of corticosteroids in pediatric patients are similar to those in adults (see ADVERSE REACTIONS ). Like adults.pediatric patients should be carefully observed with frequent measurements of blood pressure.weight.height.intraocular pressure.and clinical evaluation for the presence of infection.psychosocial disturbances.thromboembolism.peptic ulcers.cataracts.and osteoporosis. Pediatric patients who are treated with corticosteroids by any route.including systemically administered corticosteroids.may experience a decrease in their growth velocity. This negative impact of corticosteroids on growth has been observed at low systemic doses and in the absence of laboratory evidence of hypothalamic-pituitary-adrenal (HPA) axis suppression (i.e..cosyntropin stimulation and basal cortisol plasma levels). Growth velocity may therefore be a more sensitive indicator of systemic corticosteroid exposure in pediatric patients than some commonly used tests of HPA axis function. The linear growth how much decadron for croup pediatric patients treated with corticosteroids should be monitored.and the potential growth effects how much decadron for croup prolonged treatment should be weighed against clinical benefits obtained and the availability of treatment alternatives. In order to minimize the potential growth effects of corticosteroids.pediatric patients should be titrated to the lowest effective dose.
When corticosteroids are administered concomitantly with potassium-depleting agents (e.g..amphotericin B.diuretics).patients should be observed closely for development of hypokalemia. In addition.there have been cases reported in which concomitant use of amphotericin B and hydrocortisone was followed by cardiac enlargement and congestive heart failure.
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