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RHEUMATOID/PSORIASIS ARTHRITIS REFERRAL FORM (AE) PHONE 888.370.1724 I FAX 877.645.7514 Remove above portion before faxing. Please complete the prescription form in its entirety and fax with secure
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01
Consult with your healthcare provider to determine the appropriate dose and duration of systemic glucocorticoid use
02
Take the medication with food to reduce the risk of gastrointestinal side effects
03
Follow the prescribed schedule for taking the medication
04
Do not suddenly stop taking systemic glucocorticoids without consulting your healthcare provider
05
Monitor for any potential side effects and report them to your healthcare provider

Who needs systemic glucocorticoid use and?

01
Individuals with severe inflammation or autoimmune conditions
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Patients with adrenal insufficiency
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Those undergoing organ transplantation
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People with severe asthma exacerbations
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Patients with rheumatoid arthritis or other autoimmune disorders
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Systemic glucocorticoid use refers to the administration of glucocorticoid medications that affect the entire body, usually taken orally or intravenously, used to treat various medical conditions such as inflammation, autoimmune disorders, and allergies.
Healthcare providers and professionals who prescribe systemic glucocorticoids may be required to file reports regarding their use, particularly in contexts involving regulatory compliance or monitoring for adverse effects.
To fill out a report for systemic glucocorticoid use, one must provide details including the patient's information, the specific glucocorticoid prescribed, dosage, duration of treatment, and any observed side effects.
The purpose of systemic glucocorticoid use includes reducing inflammation, suppressing immune responses, and managing symptoms in various conditions, thereby improving patient outcomes.
Required information includes patient demographics, diagnosis, medication details (including name, dosage, and route of administration), treatment duration, and any adverse reactions observed.
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