Drug Safety Update
August 2017: Corticosteroids: rare risk of central serous chorioretinopathy with local as well as systemic administration. Local administration includes inhaled, intranasal, epidural, intraarticular, topical dermal and periocular routes. Advise patients to report any blurred vision or other visual disturbances.
Prescribing Notes
Budesonide rectal foam enemas are the preferred, most cost-effective rectal option
Budesonide CR is less effective than conventional corticosteroids but may have fewer side effects.
Budesonide CR or Beclometasone Dipropionate MR (Clipper®) have been agreed for use as “specialist initiation”. They must only be initiated using the locally agreed prescribing pathways which have been developed with specialist guidance.
