Which medications are used in the treatment of croup?

Updated: Oct 09, 2019
  • Author: Germaine L Defendi, MD, MS, FAAP; Chief Editor: Russell W Steele, MD  more...
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Answer

As previously mentioned, current treatment approaches for patients with croup are corticosteroids and nebulized epinephrine; steroids have proven beneficial in severe, moderate, and even mild cases of croup. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. In moderate to severe disease, corticosteroids improve croup scores within 12-24 hours and decrease hospitalization rates. Most trials have used dexamethasone at 0.6 mg/kg (intramuscular or oral), but oral doses as low as 0.15 mg/kg are effective. [46]


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