Steroid-induced psychosis

Background

  • In 718 hospitalized patients, 4.6% of patients on 40 mg or higher per day of prednisone had psychiatric symptoms[1]
    • Incidence rises to 18.4% for patients receiving more than 80 mg per day
  • Mechanism unproven but thought to be increased dopamine due to induction of tyrosin hydroxylase by corticosteroids[2]

Clinical Features

Differential Diagnosis

Evaluation

Workup

Diagnosis

Management

Disposition

See Also

External Links

References

  1. Acute adverse reactions to prednisone in relation to dosage. Clin Pharmacol Ther. 1972;13:694-698.
  2. J Pharm Technol. 2021 Apr; 37(2): 120–126. Published online 2020 Dec 2.