Corticosteroids: Difference between revisions

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==Types==
==Systemic Agents==
===Oral Agents===
===Oral Agents===
*[[Prednisolone]]
*[[Prednisolone]]
*[[Prednisone]]
*[[Prednisone]]
*[[Dexamethasone]]
*[[Dexamethasone]]
*[[Fludrocortisone]]
*[[Cortisone]], [[Hydrocortisone]]


===Parenteral Agents===
===Parenteral Agents===
*[[Methylprednisolone]]
*[[Methylprednisolone]]
*[[Dexamethasone]]
*[[Cortisone]], [[Hydrocortisone]]
*[[Betamethasone Sodium Phosphate/Betamethasone Acetate]]


===Inhalational Agents===
==Inhalational Agents==
*[[Flunisolide]]
*[[Fluticasone furoate]], [[Fluticasone propionate]]
*[[Triamcinolone acetonide]]
*[[Beclomethasone]]
*[[Beclomethasone]]
*[[Budesonide]] (Pulmicort)
*[[Ciclesonide]]
*[[Mometasone]] (Nasonex)
*Combination inhalers
**[[Azelastine hydrochloride/Fluticasone propionate]]*[[Fluticasone propionate/salmeterol xinafoate]]
**[[Budesonide/Formoterol]]
**[[Mometasone furoate/Formoterol fumarate]]
==Topical Agents==
===[[Topical steroids]], Dermatologic===
*[[Clobetasol]]
*[[Betamethasone]]
*[[Halobetasol]]
*[[Diflorasone diacetate]]
*[[Fluocinonide]]
*[[Halcinonide]]
*[[Amcinonide]]
*[[Desoximetasone]]
*[[Triamcinolone]]
*[[Mometasone[[
*[[Fluticasone ]]
*[[Halometasone]]
*[[Fluocinolone]]
*[[Hydrocortisone]]
*[[Flurandrenolide]]
*[[Desonide]]
*[[Alclometasone]]
===Ophthalmic Steroids===
*[[Loteprednol]] ((Alrex, Lotemax)
*Dexamethasone ophthalmic
*Difluprednate ophthalmic (Durezol)
*Fluorometholone
*Prednisolone acetate (Omnipred, PredFort), prednisolone sodium phosphate
*Rimexolone (Vexol)


==Relative Strengths==
==Relative Strengths==

Revision as of 08:38, 5 October 2016

Systemic Agents

Oral Agents

Parenteral Agents

Inhalational Agents

Topical Agents

Topical steroids, Dermatologic

*Halcinonide
*Amcinonide

Ophthalmic Steroids

  • Loteprednol ((Alrex, Lotemax)
  • Dexamethasone ophthalmic
  • Difluprednate ophthalmic (Durezol)
  • Fluorometholone
  • Prednisolone acetate (Omnipred, PredFort), prednisolone sodium phosphate
  • Rimexolone (Vexol)

Relative Strengths

Comparative Steroid Potencies[1]

Name Glucocorticoid potency Mineralocorticoid potency Duration of action (t1/2 in hours)
Cortisol (hydrocortisone) 1 1 8
Cortisone 0.8 0.8 oral 8, intramuscular 18+
Prednisone 3.5-5 0.8 16-36
Prednisolone 4 0.8 16-36
Methylprednisolone 5-7.5 0.5 18-40
Dexamethasone 25-80 0 36-54
Betamethasone 25-30 0 36-54
Triamcinolone 5 0 12-36
Beclometasone 8 puffs 4 times a day
equals 14 mg oral
prednisone once a day
- -
Fludrocortisone acetate 15 200 24
Deoxycorticosterone acetate (DOCA) 0 20 -
Aldosterone 0.3 200-1000 -

See Also

References

  1. From Liapi and Chrousos (ref. 2); Chapter 14. Glucocorticoid Therapy and Adrenal Suppression; http://www.endotext.org/adrenal/adrenal14/adrenalframe14.htm