Effect of Long-Acting Parenteral Corticosteroids on Adrenal Function
作者:
George R. Mikhail,
Clarence S. Livingood,
Raymond C. Mellinger,
Thomas N. Paige,
Howard L. Salyer,
期刊:
Archives of Dermatology
(JAMA Available online 1969)
卷期:
Volume 100,
issue 3
页码: 263-268
ISSN:0003-987X
年代: 1969
DOI:10.1001/archderm.1969.01610270005001
数据来源: JAMA
摘要:
The duration of suppression of the pituitaryadrenal axis after single injections of three commonly used derivatives of 9-α-fluoroprednisolone was studied. Triamcinolone acetonide (TCA) in 40 mg doses decreased corticosteroid levels for as long as four weeks after injection, whereas 50 mg of triamcinolone diacetate (TCDA) and 9 mg of betamethasone acetate-phosphate mixture (BAP) had adrenal suppressive effects persisting for only one week. This correlates, to a great degree, with the duration of the therapeutic effect observed with each of these preparations. The data indicate that in selecting a depot corticosteroid preparation for intramuscular administration, it is essential to keep in mind the relatively prolonged adrenal suppression that occurs with TCA as compared to TCDA and BAP
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