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What Are The Side Effects Of Metandien100 mg/L, IL‑6 >50 pg/mL) and shows **clinical deterioration**, continuing or even intensifying dexamethasone may be justified.
- If inflammation has subsided, markers are low, and the patient is clinically stable, consider tapering or stopping.

3. **Trial of Taper**
- Reduce dose gradually (e.g., 0.5 mg every other day) while monitoring clinical status and inflammatory markers.
- If any deterioration occurs, revert to previous dose.

4. **Supportive Measures**
- Continue anticoagulation per protocol.
- Maintain vigilant monitoring for secondary infections; consider prophylactic measures if risk is high.

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### 6. Conclusion

The decision on whether to continue or taper the corticosteroid therapy hinges on a dynamic assessment of clinical stability, inflammatory biomarker trends, and potential risks associated with prolonged immunosuppression. A structured, evidence‑based approach—combining objective laboratory data, imaging findings, and clinical judgment—will guide optimal patient care while minimizing complications.

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**Prepared by:**
Your Name, MD
Head of Clinical Research & Development
Hospital for Infectious Diseases

**Date:** 08 May 2024

*End of Report.*

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