Listen for Patients on Steroids Complaining of Mood Changes

December 2014

You'll see increasing awareness about the psychiatric side effects of corticosteroids (prednisone, methylprednisolone, dexamethasone, etc).

Steroids can cause an imbalance of the stress hormone, cortisol...leading to anxiety, insomnia, depression, and other psychiatric changes.

Psychiatric effects can occur from steroids by ANY route...even nasals, high-potency topicals, or injections administered into a joint.

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Table of Contents

Medication Errors Encourage Patients to Use a New Pen Needle With Each Insulin Injection
Controlled Substances Feel Comfortable Dispensing Multiple Partial Fills of C-III, C-IV, and C-V meds
Diabetes Meds Avoid Covering Up the Weekly Calendar on the Back of Trulicity's Box
Vaccines Watch Antiviral Inventory Levels Closely to Avoid Treatment Delays
Hepatitis C Keep Harvoni for Hepatitis C in its Original Container
Wound Care Make Sure Rxs Include a Diagnosis Code if Billing Wound Care Supplies
Infection Control Use Proper Glove Technique if You Come in Contact With Blood or Bodily Fluids
Nausea & Vomiting Expect Chemo Patients to be on More Than One Antiemetic
Asthma Alert the Pharmacist if You See Controller Asthma Rxs for "As Needed" Use
Steroids Listen for Patients on Steroids Complaining of Mood Changes
Opioids Include an "Avoid Alcohol" Warning Label on Opioid Rxs
Counseling Invite Patients to Ask Questions About Their Medications
Contraceptives Let Patients Know That IUDs are Covered Under the Affordable Care Act