Which one of the following drugs is used for fetal therapy of congenital adrenal hyperplasia: (A) Hydrocortisone, (B) Prednisolone, (C) Fludrocortisone, (D) Dexamethasone
Answer is D. These patients with congenital adrenal hyperplasia require lifelong treatment.
Patients with salt wasting and virilizing forms should be treated with hydrocortisone(10-15 mg/m2/day)and fludrocortisone (0.1mg/day).
After completion of growth, synthetic glucocorticoid preparations( dexamethasone, prednisolone)can be used