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Steroid card — GPhC CRA MCQ

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EasyEndocrine TherapeuticsSteroid cardGPhC CRA

A patient has been prescribed prednisolone 10 mg daily for six weeks for polymyalgia rheumatica. They ask whether any steroid safety documents are needed. What is the legal classification/requirement?

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

Reveal the answer and explanation

Correct answer: E — Provide steroid counselling and ensure appropriate steroid card information

Longer courses of systemic corticosteroids can suppress the hypothalamic-pituitary-adrenal axis and require counselling about not stopping abruptly. Steroid treatment cards or emergency steroid information should be provided according to current guidance and local process. Morning dosing can reduce insomnia and mimic physiological cortisol rhythm. Warfarin alert cards are unrelated unless the patient is anticoagulated.

Reference: BNF; NHS Steroid Emergency Card guidance