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Steroid card and adrenal suppression — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsSteroid card and adrenal suppressionGPhC CRA

A patient has taken prednisolone 30 mg daily for 5 weeks for polymyalgia rheumatica. He asks why the GP issued a steroid card. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DExplain that systemic steroid use can suppress adrenal function and the card alerts healthcare professionals

Prolonged systemic corticosteroid therapy can suppress the hypothalamic-pituitary-adrenal axis. A steroid card warns healthcare professionals that the patient may need steroid cover during illness, surgery or emergencies. It also supports safer prescribing and counselling. It does not authorise supply or remove infection risk.

Reference: BNF; NICE CKS