This large population based study found the incidence of neuropsychiatric effects within 3 months of steroids was 22 per 100 person years of exposure, which was dose related, and ranged from suicidality, mania, delirium, confusion, depression, and panic disorder. Patients on steroids should be monitored for these symptoms, and the dose should be minimized where feasible (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.