(LML) Patient with severe adverse effects due to steroids

Leprosy Mailing List – August 24,  2018

Ref.:    (LML) Patient with severe adverse effects due to steroids

From:  John Prestigiacomo, Baton Rouge, USA

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Dear Pieter,

Dr. Ramesh Sharma could try using Methotrexate dosed once a week with concomitant administration of Folic Acid 1mg po q day to control his patient's Type 1 reaction.

High dose clofazimine will eventually help but it will take up to three months for its anti-inflammatory action to take effect.  His patient may have constipation issues at higher Clofazimine doses.

 

John F. Prestigiacomo, MD, MBA

Medical Officer

National Hansen's Disease Programs

1770 Physicians Park Drive

Baton Rouge, LA 70816

Ph #:  (225) 756-3709

Ph #:  (800) 642-2477

Fax #: (225) 756-3706

E-Mail:  jprestigiacomo@hrsa.gov

NHDP Web Site:  http://www.hrsa.gov/hansens-disease/

Online Course:  "Awareness of Hansen's Disease in the US"

http://www.hrsa.gov/hansens-disease/onlinecourseawareness.html

 

 

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LML - S Deepak, B Naafs, S Noto and P Schreuder

LML blog link: http://leprosymailinglist.blogspot.it/

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