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Steroid card — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsSteroid cardGPhC CRA

A patient is discharged after six weeks of prednisolone 20 mg daily for polymyalgia rheumatica. The prescription continues at 15 mg daily. What is the most appropriate action?

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Correct answer: D — Ensure steroid card counselling and gradual dose reduction plan are in place

Longer courses of systemic corticosteroids can suppress the adrenal axis and require careful tapering under medical supervision. Patients should receive steroid card counselling and know to tell healthcare professionals they use steroids. Abrupt cessation can be dangerous.

Reference: BNF; NICE CKS