Report of a case with the improvement of the psychic symptoms since three days after switching from betamethasone to prednisolone-The evaluation by POMS
10.2512/jspm.5.332
- VernacularTitle:ベタメタゾンからプレドニゾロンへ変更後３日目より精神症状が改善した１症例‐ＰＯＭＳを用いた評価
- Author:
Mika Baba
;
Mayumi Nishida
;
Ikuo Gomyo
- Publication Type:Journal Article
- Keywords:
palliative medicine;
betamethasone;
prednisolone;
psychic symptoms;
POMS
- From:Palliative Care Research
2010;5(2):332-337
- CountryJapan
- Language:Japanese
-
Abstract:
In palliative care setting, betamethasone is commonly used to relieve various symptoms such as general malaise, loss of appetite, fatigue and pain. In patients administered steroids, the psychic adverse effects should be cared as well as the physical adverse effects. Profile of Mood States (POMS) is a tool to evaluate a temporary mood and an affective state of a patient. The contracted version of POMS shortens intervention time by reducing question items. We administered betamethasone 3mg/day to the patient with digestive symptoms by bowel obstruction and the symptoms improved. Four months later, as the patient complained anxiety, irritation and insomnia, we prescribe predonisolone switching from equivalent dose of betamethasone. In this case we experienced that psychic symptoms improved without worsening digestive symptom since three days after the drug change. We evaluated a mood and an affective state before and after the drug change by using POMS contracted version. Palliat Care Res 2010; 5(2): 332-337
