Corticosteroids remain indispensable in modern medicine and are widely used across specialties for inflammatory, autoimmune, allergic, and respiratory conditions. However, their widespread and sometimes indiscriminate use in outpatient settings has led to rising concerns regarding metabolic complications, immunosuppression, adrenal suppression, osteoporosis, and infection risk. Even short courses are now recognized to carry measurable risks, particularly in vulnerable populations.
Steroid stewardship emphasizes right indication, right dose, right duration, and timely tapering. Evidence supports using the lowest effective dose for the shortest duration necessary, with clear documentation of indication and review plans. In common OPD scenarios, such as acute URTI, nonspecific back pain, and viral fever, routine steroid use lacks robust evidence and may cause more harm than benefit.…
