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STEROIDS:
👉Prednisone = Cortisone = Dexamethasone = Hydrocortisone Acetate.
👉5mg = 25mg = 0.75mg = 20mg.
👉Hydrocortisone.
* Synthetic version of cortisol.
* Short acting, active form of glucocorticoid.
👉Prednisolone/prednisone.
* Intermediate acting.
* Four times more glucocorticoid activity than cortisol.
👉Methylprednisolone
* Active form of synthetic glucocorticoid.
* Intermediate acting.
* Five times more glucocorticoid activity than cortisol.
👉Dexamethasone
* Long acting.
* 30 times more glucocorticoid activity than cortisol.
👉Patients taking physiological dose of 5mg prednisone or 20mg hydrocortisone/day or higher, for a period of ≥ 3 weeks should be considered at risk of HPA axis suppression.
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10 medications to prescribe post myocardial infarction.
1. Beta blocker
2. Aspirine for life
3. Ticagrelor/ prasugrel clopidogrel for 6 -12 months
4. Statines
5. ACEi
6. PPi
7. Eplérénone if EF < 40%
8. Furosémide if signs of HF
9. GTN Spray
10. Nicotine Patch if smoker.
