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Question :

Posted On : 03 Mar 2013

A child who is on high dose steroid, do we have to consider giving him Calcium and Vitamin D for the bones_? And for how long_?

Expert Answer :

Answer Discussion :

J

JAYANT

0

yes .For 6 wks

12 years ago

D

dr.ali ahmed

0

yes for period of steroid treatment

12 years ago

C

clara pereira

0

No. He shoud do exercise and a diversified diet

12 years ago

S

saravanan pal

0

if planning to give steroids on long term and presence of other risk factors for fragile bones bone resorption inhibitors may be more useful than calcium.bone densitometry may be monitored. Calcium may be considered based on serum levels.

12 years ago

D

Deepa Bhandarkar

0

Yes.till steroid treatment continues

12 years ago

Answer 1

if the steroid is high dose but short them then treat normal, if high dose and long term need to look at alternative ways to reduce predinsone then if no options are available then consider vit d supplementation for the duration of the prednisone, but risk of hypercalcuria is increased so monitor urine ca and cr and keep ratio less then .25

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