High Dose Corticosteroids in COVID-19 - Latest Update

Patients with severe COVID-19 can develop a systemic inflammatory response that can lead to lung injury and multisystem organ dysfunction. It has been proposed that the anti-inflammatory effects of corticosteroids might prevent or mitigate these deleterious effects. The Randomised Evaluation of COVID-19 Therapy (RECOVERY) trial showed that the mortality from COVID-19 was lower among patients who were randomized to receive dexamethasone than among those who received the standard of care. Please share your experiences with the use of steroids in treating severe and critical COVID-19 patients.......

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Absolutely in agreement with use of steroid in covid19 pneumonitis at earliest stage prevents post covid complications like fibrosis seen in number of pts a/w comorbidies Yes choice could be dexamethasone or prednisolone We must keep in mind salt retention during predenisolone therapy hence needs to use judiciously Doses vary from pt to pt and clinical status

Thanx dr Ashok Leel
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Yes , everybody is using steroid in Covid 19 infection due to its antiinflammatory action and prefer dexamethasone inj. But it control is for very short period or temporary action because scientific research has not been going on or no authority clinically recommended but steroid is definitely useful but judicious use not recommended due to fluid retention . Regular monitoring and constant evaluation required to avoid any eventuality.

Thanks Dr Shivraj Agarwal
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As pts who r covid positive,r going to b landed in one or other complication according to the severity of the disease,it is very useful to give dexamethasone.

In random evaluations cortico steroids has role in decrease inflamation and can prevent major lung damage and multi organ failure damage

If spo2 less then 95use steriod As per icmr guidelines

Timely controlled use of corticosteroids is very effective as we are using in Covid 19 positive cases as oral , injection and in nibulization with good results. Whole the medicines used in Covid 19 positive cases are only evidence based and empirical .Not very much logical .

I agree with Dr.Shivraj sir and Dr.Ashok leel sir..

YES IT. IS. USEFUL BUT. SHOULD. AVOID... ..INDISCRIMINATE. USE... NEEDS MONITORING

Information upto date

Really steroid works well to reverse the severe covid too

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