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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can The Side Effects Of A Steroid Syrup In An Child Be Managed?

My daughter is six year and 7 month old , and for skin treatment doctor given steriod syrup, and her weight is increases ed , so after couple of week when we notice, and cehck the pediatrics ,he informed about this, and then we back to skin doctor and ask them about this that weigiht is gained more in couple of weeks ~ 5 kg , and he ask to stop that medicine. but still today ~ 1.5 years, but weight is not normal ... as of today having 34 kg. Please advice is there any way to reduce the side effect of it?
Mon, 11 Jun 2018
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Pediatrician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I wish I knew what her skin condition is. And all of the treatment she is receiving for it. The dose of her steroid medication. How frequently she takes it. Does she take it every day? For how long has she been taking the steroid? Yes, you are correct. One of the side effects of taking a steroid by mouth is weight gain. To decrease the side effect one has to reduce the dose. Depending on the reason for taking the steroid, one could taper her dose: reduce the daily dose gradually over a few weeks. Give your daughter the medicine every other day. Change the steroid to a topical steroid(lotion or cream preparation) and stop giving steroid by mouth. There are newer, non-steroid topical medications to treat inflamed skin. They are tacrolimus and pimecrolimus (these are prescription only). They should be used only on active areas of inflammation and not to use long-term.

Hope I have answered your query. Let me know if I can assist you further.
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How Can The Side Effects Of A Steroid Syrup In An Child Be Managed?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I wish I knew what her skin condition is. And all of the treatment she is receiving for it. The dose of her steroid medication. How frequently she takes it. Does she take it every day? For how long has she been taking the steroid? Yes, you are correct. One of the side effects of taking a steroid by mouth is weight gain. To decrease the side effect one has to reduce the dose. Depending on the reason for taking the steroid, one could taper her dose: reduce the daily dose gradually over a few weeks. Give your daughter the medicine every other day. Change the steroid to a topical steroid(lotion or cream preparation) and stop giving steroid by mouth. There are newer, non-steroid topical medications to treat inflamed skin. They are tacrolimus and pimecrolimus (these are prescription only). They should be used only on active areas of inflammation and not to use long-term. Hope I have answered your query. Let me know if I can assist you further.