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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Taking Dexamethazone 8mg Be Safe For Pulmonary Embolism?

my husband is on steroids for about 14 months because of brain edema after brain irradiation due to brain tumor . he was hospitalized due to pulmonary embolism and was taking dexamethazone 8 mg for 6 weeks then moved to prednisolone 40 mg for about 3 weeks ,started to decrease prednisolone by 5 mg every other day,he is tachycardic hypotensive ,skin peeled from feet ,and temporal area above eye brawos . does he need to increase steroid dose again thank u very much
Fri, 20 Jan 2017
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Cardiologist, Interventional,  's  Response
Hi,

Steroids are generally not advisable for pulmonary embolism as a primary drug but if it's for your brain tumour then you have to take it looking in to risk benefit ratio. Tachycardia and hypotension seems to be caused by pulmonary embolism that to is massive. Get your CT chest done along with pulmonary CT ANGIO to check for infarct size &thrombus burden. You need to thrombolyse. I would suggest you go for the test if they are normal then only you should increase the steroid dose.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Deepesh Agarwal
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Could Taking Dexamethazone 8mg Be Safe For Pulmonary Embolism?

Hi, Steroids are generally not advisable for pulmonary embolism as a primary drug but if it s for your brain tumour then you have to take it looking in to risk benefit ratio. Tachycardia and hypotension seems to be caused by pulmonary embolism that to is massive. Get your CT chest done along with pulmonary CT ANGIO to check for infarct size &thrombus burden. You need to thrombolyse. I would suggest you go for the test if they are normal then only you should increase the steroid dose. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Deepesh Agarwal