
Originally Posted by
phaedo
Depending on how much and how long is really the largest determining factor for negative side effects of corticoidsteroids. The studies you're referring to, for example, show that corticosteroid CAN cause fat gain around the abdomen and thinning of the appendages, but only under certain conditions. In other words, you develop Cushings when used in excess.
Do corticoid steroids need a PCT? In short, no. If used for long terms, such as those treated for adrenal insufficiency, then the hydrocortisone or predisone (for example) are slowly tapered (over the course of months). When used for post-surgical inflammation concerns, tapering provides no real benefit since your adrenals will likely recover with proper cortisol output.
How long has your father used dexamethasone?