1990 results
Bioequivalence of Corticosteroid Doses - Dexamethasone Conversion
Dexamethasone 1mg
Betamethasone 1mg
Prednisolone 7mg
Hydrocortisone 30mg
Triamcinolone 5mg
Methylprednisolone 5mg

Dr. Keith Siau @drkeithsiau

#Bioequivalence
Corticosteroid Doses - Dexamethasone ... Conversion Dexamethasone ... 1mg Betamethasone ... Corticosteroid #conversion ... #pharmacology #Dexamethasone
REBEL Review 46: Corticosteroid Conversion Chart 

Glucocorticoid, Approximate Equivalent Dose (mg), Relative Anti-Inflammatory (Glucocorticoid) Potency, Relative
Corticosteroid Conversion ... Prednisone - Dexamethasone ... corticosteroid #steroid #conversion
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Syndrome #Disease #Algorithm ... #Workup #Dexamethasone
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... Saliva • Low dose dexamethasone ... protocol: - 1 mg dexamethasone ... Syndrome #diagnosis #algorithm
Systemic Glucocorticoid Dose Equivalents. 

Note: approximate equivalent dose is based on anti-inflammatory potency. Fludrocortisone is not
Also, dexamethasone ... Corticosteroid #Steroid #Conversion
Loop diuretic PO --> IV conversions 

Furosemide 40 mg PO = Furosemide 20 mg IV =
diuretic PO --> IV conversions ... Equivalent #Dose #Conversion
Treatment Schema for Standard-Risk Acute Lymphoblastic Leukemia
Induction: 
 • Vincristine, Steroid (dexamethasone), L-Asparaginase, Intrathecal (IT) methotrexate
Consolidation
Vincristine, Steroid (dexamethasone ... days), steroid (dexamethasone ... • Vincristine, Dexamethasone
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Differential Diagnosis Algorithm ... Adenoma (Positive Dexamethasone ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... findings (see algorithm ... stim test - dexamethasone ... Insufficiency #Diagnosis #Algorithm
Metoprolol and Carvedilol - Immediate to Extended Release Dose Conversions

Metoprolol 
Immediate (tartrate) -> Extended (succinate) 
25
Extended Release Dose Conversions ... ExtendedRelease #Dose #Conversion