ATTENTION MEDIA & OTHERS SEEKING INTERVIEWS!
If you represent a media company, are a student writing a report or anyone interested in interviewing our visitors, please seek permission (see email address at the bottom of the page) before posting your requests or emailing solicitations for any talk show, magazine, thesis, census or other interview on any message board on this site. If not, your posts WILL be removed. Please respect the privacy of our members.
Hi Anne, Dexamethasone is the least used steroid to treat CAH in the UK, mainly due to it's potency and therefore the difficulty in fine-tuning the dose. It used to be thought that it was 40 times the strength of hydrocortisone, but more recently recognised as actually being equivalent to double this (80:1). This could be why you were overtreated for so many years.
I know the treatment of choice amongst consultants tends to be either hydrocortisone or prednisolone (and this works very well for the majority of patients) but there are adults who actually prefer dexamethasone. If you felt better on dex, couldn't your consultant have tried gradually reducing the dose until it was at a more appropriate level rather than changing your medication altogether?
