Leprosy Mailing List – August 24, 2018
Ref.: (LML) Patient with severe adverse effects due to steroids
From: John Prestigiacomo, Baton Rouge, USA
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
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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