If you are:
Only When Necessary:
Precaution: LIMITED DATA SUGGEST LOW LEVELS W/MATERNAL DOSE <20 MG/DAY, W/NO ADV EFFECT
An adult over 60:
management or monitoring precaution: Cardiovascular-Caution in chronic heart failure patients due to sodium and water retention with glucocorticoid use. Endocrine-May cause hyperglycemia or worsen glucose control in diabetics. Longer term use may cause osteopenia or osteoporosis. Neuro/Psych-Avoid in older adults with or at high risk of delirium because of inducing or worsening delirium.
Giving Rayos to a child under 12:
management or monitoring precaution: Long term use may lead to HPA-Axis suppression; slowed bone growth, osteoporosis and fractures.