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How Effective Is Steroid Therapy In Treatment Of Autoimmune Hepatitis?

Posted on Tue, 21 Jun 2016

Question: Hai doctor i have autoimmune hepatitis
doctor is given 40 mg steroids for first ten days and 30 mg for next ten days
my sgpt/sgot levels are fallen to 160/145 from a level of 700
then next 10days 20mg steroids with azaron 50mg
then 15 mg steroids with azaron 75 mg
next 12.5 mg steroids with azaron 100 mg
after that my levels are again raised to 220/145

then what is doctor next step?, am i responding to treatment ? ,what is XXXXXXX mg steroid that can be taken

Answered by Dr. Dr.P.Ratnakar Kini (4 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Was liver biopsy done?

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (5 minutes later)

yes done

am i responding to medical theorpy
is it possible to maintain steorids at 20 mg daily

Answered by Dr. Dr.P.Ratnakar Kini (20 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
The increasing liver enzymes in spite of taking steroids and azaron may indicate treatment failure.

You may require high dose steroid therapy.
Consult your Gastroenterologist about increasing the dose of medications to bring the disease under control.

Regards,
Dr.R.K

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar