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Corticosteroid withdrawal — GPhC CRA MCQ

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HardEndocrine TherapeuticsCorticosteroid withdrawalGPhC CRA

A 55-year-old man has taken prednisolone 40 mg daily for five weeks for an inflammatory condition. His repeat prescription has stopped unexpectedly and he asks to buy painkillers instead. He feels weak and dizzy. What is the most appropriate action?

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Correct answer: B — Contact the prescriber urgently because abrupt corticosteroid withdrawal may be unsafe

After several weeks of systemic corticosteroid therapy, abrupt cessation can precipitate adrenal insufficiency and disease flare. Weakness and dizziness increase concern. The prescriber should clarify the tapering or continuation plan urgently. OTC analgesia does not address steroid withdrawal risk.

Reference: BNF; NICE CKS