Pediatricians, endocrinologists, and other knowledgeable colleagues, I have a short question, if you could please help me.
I am a PCP, temporarily staying in a rural area of my country due to family reasons. Here I’m often needed to treat children, as the region lacks almost any kind of specialist.
My question is related to the possible adverse effects (short or long term) of acute corticosteroid use for symptomatic relief in young children. I’m talking about treatments of ~1mg/kg/day of prednisolone for 3-5 days, in cases of urticaria, upper respiratory infections, etc.
One reason I often chose corticosteroids, other than the great symptomatic relief, is that parents here frequently come the doctor seeking antibiotics, and are very resistant to accepting antihistamines/NSAIDs/whatever-would-be-1st-choice. When I prescribe, for example, prednisolone, a medication they either don’t know, or believe to be “strong”, they are much more comfortable with not pouring unnecessary amoxicillin (or worse, azithromycin), down their kids throats.
What would be the cons for this young population?
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