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The patient tells you that she has recently begun to get shortness of breath on walking up hill. Since a shopping expedition at the weekend, the patient has noticed pain and swelling of the left knee. In addition, the patient has slight impairment of vision and high levels of anxiety, which causes her to rush. The following case study shows a situation where it would be appropriate for a physiotherapist supplementary prescriber to prescribe medication for a patient.
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However, the use of corticosteroids does depend on individual circumstances. In acute exacerbations, which could be life threatening, a high initial dose of corticosteroid can be given to induce remission.
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