Dexamethasone Instead of Prednisone for Acute Asthma

20 Dec

EMERGENCY MEDICINE NEWS:

–this month’s journal had a nice breakdown of a couple articles about using dex instead of prednisone to treat asthma exacerbations. head over there for details, its a decent read
10-SECOND VERSION:
corticosteroids (with bronchodilators) help avoid admission & ED relapse in acute asthma exacerbations
–dexamethasone has longer half-life (days) than prednisone (hours)
dex 0.6mg/kg daily (x 2 days) vs. prednisone 1mg/kg daily (x 5 days)
adult size: dex 16mg/day vs. pred 60mg/day

–limited studies, but generally dex was same or slightly better
–dex is probably ok alternative to pred

Reference(s): emergency medicine news: article, uptodate.com: prednisone, dexamethasone, picture

Advertisements

One Response to “Dexamethasone Instead of Prednisone for Acute Asthma”

Trackbacks/Pingbacks

  1. Dexamethasone: IV solution given PO | DAILYEM - September 10, 2013

    […] FROM AN OLD POST: –dexamethasone has longer half-life (days) than prednisone (hours) –dex 0.6mg/kg […]

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: