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In addition, because there is a natural increase in corticosteroid production during pregnancy, most women will require a lower exogenous corticosteroid dose and many will not need corticosteroid treatment during pregnancy. Hypoadrenalism may occur in infants born of mothers receiving corticosteroids during pregnancy. Such infants should be carefully monitored.
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The efficacy of coumarin anticoagulants may be enhanced by concurrent corticosteroid therapy and close monitoring of prothombin time or INR is required to avoid spontaneous bleeding. Corticosteroids may affect glucose tolerance and increase the dosage requirement for hypoglycaemic drugs including insulin. The incidence of gastro-intestinal ulceration is increased in patients receiving concomitant non-steroidal anti-inflammatory drugs and corticosteroids.
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