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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45945
Experience:  Board Certified Physician
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My husband had his prednisolone tabs, 15mg, stopped suddenly

Customer Question

My husband had his prednisolone tabs, 15mg, stopped suddenly on admission to hospital, it was an oversight not a medical decision, he had none for two days, 3mg for two days but vomited immediately, then 15mg for six days, 40mg for two days then 35mg for four days. This was all because there was uncertainty about steroids. Would he have had symptoms because of the lack of steroids and would he have any trouble.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

yes, sudden stoppage of steroids can lead to adrenal insufficiency.

Dr. David :

but if he continued on his course of steroids this should be fine

Dr. David :

why was he taking the prednisone for?

Dr. David :

hello?

Customer:

He was a long term, 20 years user, what are the symptoms, he died on the seventeenth day, he had mesenteric ischemia this led to a bowel infarction, it was misdiagnosed as an upper GI bleed, at times hey were not sure if it was upper or lower over the seventeen days. he had four peroids of Hypoension

Dr. David :

I am sorry about your husband's passing.

Dr. David :

adrenal insufficiency can lead to hypoglycemia (low blood sugar), dehydration, weight loss, and disorientation and weakness and fatigue.

Dr. David :

his hypotension could also be possibly related to his lack of steroids.

Dr. David :

steroids can help keep up blood pressure.

Dr. David :

depending on how weak he was, loss of steroids for 2 days could have caused low blood pressure for two days.

Customer:

He had steroids for Sarcoidosis and chronic eczema. He was admitted with a Upper GI Bleed which was treated but he continued to be very ill. His Post Mortem showed his Adrenal Gland was mildly Atropic.

Dr. David :

with long term use of steroids, the adrenal glands will become atrophic

Dr. David :

because his adrenal glands were no longer producing steroids.

Dr. David :

because he was taking steroids orally chronically.

Dr. David :

so two days without steroids would have caused his body to be without any steroids at all

Dr. David :

and on the second day his blood pressure could have dropped

Dr. David :

and his glucose levels could have dropped.

Dr. David :

and this would have put him more at stress.

Dr. David :

when patients go into the hospital, they are often given more steroids to help with excessive stress the body is on when they are admitted

Dr. David :

so taking away steroids is a worse situation and doesn't help.

Customer:

Thank you for your information.

Dr. David :

you are welcome

Dr. David :

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Dr. David :

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