Monday March 1, 2010

Q: Which steroid is preferable during treatment of Thyroid storm?


Answer: Dexamethasone (Decadron)

Dexamethasone (2 mg every 6 hours during first 24 hours) not only inhibit hormone production but also decreases peripheral conversion from T4 to T3. After acute episode subsides and there is an indication or suspicion of adrenal insufficiency Hydrocortisone (Solu-Cortef) 100 mg IV every 8 hours should be given.