What is the long-term safety and efficacy of prednisolone in treating asthma in children?5 answersPrednisolone has been extensively studied for treating asthma in children. Studies have shown that prednisolone is effective in managing acute asthmatic exacerbationsand has benefits compared to placebo in children with virus-triggered wheeze. However, concerns regarding its long-term safety and efficacy remain. While prednisolone has shown efficacy in preventing hospital admissions and reducing the need for systemic steroids in acute exacerbations, the evidence is not conclusive on its long-term effectiveness and safety. Dexamethasone, an alternative to prednisolone, has shown comparable efficacy in preventing hospital admissions and relapse events in pediatric patients with acute asthmatic exacerbations. Further research is needed to determine the comparative long-term safety and efficacy of prednisolone in managing asthma in children.
Whats the evidence for steroid injections for lateral epicondylitis5 answersSteroid injections have been a common treatment for lateral epicondylitis, although recent studies question their efficacy. A study analyzing data from 2010 to 2017 found a decline in the utilization of corticosteroid (CS) injections for lateral epicondylitis, possibly due to increasing evidence of their ineffectiveness. Another study compared the effects of triamcinolone and hyaluronic acid injections, showing short-lived pain relief and functional improvement with both treatments. Additionally, a case-control study suggested that combining corticosteroid injections with pie crusting of the common extensor origin provided better outcomes than injections alone, supporting the use of this combined approach for lateral epicondylitis treatment. Overall, while steroid injections may offer short-term pain relief, their long-term benefits remain uncertain, prompting a shift towards exploring alternative or combined treatment modalities.
Is prednisone given in the US for egg implantation?5 answersPrednisone is used in the US for egg implantation in certain cases. It is commonly prescribed for patients with a history of repeated implantation failures (RIF) after in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). However, there is ongoing debate regarding its efficacy and appropriate use. Some studies suggest that prednisone may improve pregnancy outcomes in women with RIF, while others argue that its use may not be warranted and could potentially be harmful. A study conducted in China found that prednisone did not improve live birth rates compared to placebo in patients with recurrent implantation failure. It is important to note that the use of prednisone may be associated with an increased risk of preterm delivery and biochemical pregnancy loss. Therefore, the decision to prescribe prednisone for egg implantation should be made on a case-by-case basis, taking into consideration the individual patient's medical history and specific circumstances.
Knee osteoarthritis 에 steroid injection 이 도움이 될까?5 answersIntra-articular corticosteroid injections (IACI) have shown benefits in knee osteoarthritis (KOA) treatment. Studies have found that patients with KOA who received IACI experienced significant improvements in pain scores, disability, stiffness, and range of motion. Additionally, IACI was found to be safe, with no significant deleterious effects on joint structure. Patients with a baseline WOMAC pain score ≥5 were more likely to benefit from IACI treatment. Reduced inflammation and pain after aspiration and corticosteroid injection were associated with changes in knee gait biomechanics and strength. However, it is important to note that there are conflicting data about the benefits and complications of IACI injections, and the long-term effects of IACI require further investigation.
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