A patient taking long-term oral prednisolone (10mg daily) for polymyalgia rheumatica requires cover for a dental extraction. What is the standard advi...

Question

A patient taking long-term oral prednisolone (10mg daily) for polymyalgia rheumatica requires cover for a dental extraction. What is the standard advice regarding their steroid dose according to the BNF?

Accepted Answer

Double the usual dose on the day of the procedure

Answer

No change needed if dose is below 20mg daily

Answer

Omit the dose on the day of the procedure

Answer

Take an extra 10mg hydrocortisone on the day

Answer

Switch to IV hydrocortisone

prescribing safety assessment MCQ (SBA): Steroid Cover

A patient taking long-term oral prednisolone (10mg daily) for polymyalgia rheumatica requires cover for a dental extraction. What is the standard advice regarding their steroid dose according to the BNF?