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Warning-sign checks

Corticosteroids overdose: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services now for:

    • A seizure, collapse, or inability to wake
    • Trouble breathing or severe weakness
    • Severe confusion, hallucinations, or unsafe behaviour
    • Fainting or signs of very low blood pressure
    • Vomiting blood or passing black, tar-like stools
    • Repeated vomiting with severe weakness after stopping steroids

    And for anyone, someone who:

    • is unconscious, or cannot be woken
    • you believe has taken an overdose or swallowed something poisonous
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
  2. 2

    Is any of this happening?

    Be seen today

    Call a poison information service promptly after a suspected overdose, even if there are no symptoms.

    Have the medicine name, strength, estimated amount, time taken, age, weight, symptoms, and other medicines available if possible.

    Seek same-day medical advice for persistent vomiting, marked swelling, worsening weakness, unusual mood changes, very high home blood sugar readings, or signs of infection.

    Also get advice before changing or stopping a steroid that has been used regularly.

  3. 3

    Does any of this apply?

    Book an appointment

    And for anyone, someone who:

    • is having side effects from a medicine, or is struggling to take it as prescribed

The article also says

Do not drive yourself if you are confused, faint, or seriously unwell.

Every sign above is quoted from the sofidex article on Corticosteroids overdose. If you are not sure, err upward — it is always reasonable to be checked.