NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
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6 Endocrine system

6.3 Corticosteroids

6.3.1 Replacement therapy

Preferred list
FLUDROCORTISONE

Prescribing Notes:

Used in adrenocortical insufficiency and occasionally is used for the unlicensed indication of postural hypotension.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4252.htm

Total Formulary
HYDROCORTISONE (injection)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4276.htm

6.3.2 Glucocorticoid therapy

Preferred list
DEXAMETHASONE

Prescribing Notes:

Uses include suppression of inflammatory and allergic disorders, cerebral oedema associated with malignancy, croup and chemotherapy-induced nausea and vomiting.

For Formulary advice relating to dexamethasone intravitreal implant, see section 11.4.1

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4271.htm

HYDROCORTISONE (tablets)

Prescribing Notes:

  • Used in adrenocortical insufficiency, shock and hypersensitivity reactions.
  • Exludes hydrocortisone modified-release tablets (Plenadren®) which is not recommended for use by the SMC and is non-Formulary.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4276.htm

PREDNISOLONE

Restrictions: Excludes 25mg tablets

Prescribing Notes:

Used in many inflammatory and allergic disorders.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4258.htm

Total Formulary
CORTISONE

Restrictions: Restricted to specialist initiation.

METHYLPREDNISOLONE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4284.htm

TRIAMCINOLONE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4294.htm

BETAMETASONE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4265.htm

BUDESONIDE (capsules)

Restrictions: The treatment of autoimmune hepatitis it is restricted to specialist initiation in non-cirrhotic patients who are intolerant of conventional oral steroids (prednisolone) with severe corticosteroid-related side effects (actual or anticipated) such as psychosis, poorly controlled diabetes or osteoporosis.