Everything said here is technically correct, but to master your Critical Care: in hospital, we prefer methylprednisolone as it penetrates lung tissue much better. And I use it preferentially in CoVid, adjusting the dose of methylprednisolone to the CRP; not just a doltish dose of decadron 6 mg everyday. 6 mg decadron is about 32 mg methylprednisolone. Dosing and potency are relative. I start hypoxic CoVideers on a loading dose of 80mg methylprednisolone, then give it bid titrated to CRP reduction.
Great info. In the prehospital care it just makes more sense to use Dexamethasone. For severe cases we also use terbutaline SQ. It seems to work wonders.
Doctors in india are so advanced in asthma treatment , it’s funny to see you ask these questions now whereas this was the standard treatment for life threatening asthma in early 1990s in inida. Dexamethasone saved my life a few times. It was actually mixed with oral steroids and I can’t remember but I think I had methyl prednisone injected as well. The side effects were eating like a pig spots the treatment was just one injection but it’s a very powerful drug. It’s several times stronger than methyl predin.
I know you asked this question a year ago, but having just found it myself….what’s the common fear? Mine is whether Dexa has less scary effects than Methyl. I’m scared to death of methyl.
