Table 5.

Adverse events related to treatment of myasthenia gravis with corticosteroids

	Strategies for prevention
Sodium/fluid retention	Sodium-restricted diet
Obesity	Low-calorie, low-fat diet; exercise
Potassium loss	Supplement as needed
Hypertension	Monthly checks with treatment as necessary
Impaired glucose tolerance	Monitor fasting blood glucose and treat if necessary
Osteoporosis	Bisphosphonates, calcium plus vitamin D, bone-density measurements, female hormone replacement therapy
Psychosis/anxiety	Anxiolytics, antidepressants, use minimum effective steroid dose
Cataracts/glaucoma	At least yearly ophthalmological assessment
Steroid myopathy	Exercise, high-protein diet
Growth suppression (children)	Use minimum effective dose
Peptic ulcer disease	Histamine H2 receptor antagonists, proton-pump inhibitors