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Inhaled Steroids do not improve acute exacerbations. Three previous RCTs have looked at oral prednisolone and oral dexamethasone. Justin Hamlin, DO on December 18, 5: This systematic review and meta-analysis aimed to determine whether intramuscular or oral dexamethasone is equivalent or superior to a 5-day course of oral prednisone or prednisolone.
Child Health Update Zinc supplementation for pediatric pneumonia.
Support Center Support Center. Aside from the known side effects of steroids, convincing a child to take oral steroids can be difficult. In summary, these studies showed that slight differences exist in vomiting and compliance favouring dexamethasone; however, more studies are needed to further investigate these effects.
We do not capture any email address. Nick Genes, MD on January 4, 2: Pediatr Infect Dis J.
What was the primary outcome?
Can J Clin Pharmacol. Rick Body April 9, 19 Comments. Corticosteroids have been used to treat asthma for approximately 50 years. Message Body Your Name thought you would like to see the Pediatrics web site.
There are various triggers of acute exacerbation of asthma. Efficacy of oral corticosteroids in the treatment of acute wheezing episodes in asthmatic preschoolers: In addition, patient symptom scores improved with steroid therapy; however, no significant comparisons could be made owing to a lack of standardization in the use and reporting of scores between the studies. More studies are needed to ascertain the optimal dose, duration, and choice of systemic steroids, especially in the ambulatory care setting.
More studies are needed to ascertain the optimal dose, duration, and choice of systemic steroids, especially in the ambulatory care setting. Journal List Can Fam Physician v.
Again, there was no significant difference between the two groups. Sign Up Log In. Studies have found these routes to be equally effective, with the oral route being less painful and invasive. In fact, the only liquid option I have is 0. Do you have questions about the effects of drugs, chemicals, radiation, or infections in children?
Prednisone is shorter acting, with a half-life of 18 to 36 hours. Prednisone vs dexamethasone Few trials compare oral dexamethasone head-to-head with oral prednisone.