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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Could The Bleeding In Nose Be Due To Dexamethasone?

I have had 6 nose bleeds in a 24 hour period. They are really heavy for about three minutes then they stop. I do not get nose bleeds often. I did take dexamethasone two nights ago for some lab work I had done yesterday morning. Could this be a side effect and if so, when can I expect the symptoms to go away?
Wed, 12 Nov 2014
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Internal Medicine Specialist 's  Response
Hello,

Welcome to HCM and thank you for your query.
I understand your concern.
It is known that Dexamethasone rarely produces bleeding from the nose. This is usually as a result of increase in blood pressure documented by Dexamethasone especially if you were on a high dose as in Dexamethasone suppression test.
Have your blood pressure checked and if it is high use a diuretic to pass out the salt and fluid retained due to dexamethasone. If there is racing of the heart a beta blocker may be required for a few days.
This ought to disappear in a few days. If it persists or the bleeding is excessive/ uncontrolled, you should see an ENT doctor.
Take care.
Dr Noble Zachariah
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Could The Bleeding In Nose Be Due To Dexamethasone?

Hello, Welcome to HCM and thank you for your query. I understand your concern. It is known that Dexamethasone rarely produces bleeding from the nose. This is usually as a result of increase in blood pressure documented by Dexamethasone especially if you were on a high dose as in Dexamethasone suppression test. Have your blood pressure checked and if it is high use a diuretic to pass out the salt and fluid retained due to dexamethasone. If there is racing of the heart a beta blocker may be required for a few days. This ought to disappear in a few days. If it persists or the bleeding is excessive/ uncontrolled, you should see an ENT doctor. Take care. Dr Noble Zachariah