What is the most appropriate teaching for a client on long-term corticosteroid therapy regarding discontinuation of the drug?

For a client on long-term corticosteroid therapy, the most appropriate teaching regarding discontinuation of the drug is to taper doses when discontinuing the medication. This approach is important due to the potential for adrenal insufficiency that can occur when corticosteroids are abruptly discontinued after prolonged use.

Corticosteroids suppress the body's natural production of cortisol by negatively affecting the adrenal glands. If the medication is stopped suddenly, the body may not be able to produce sufficient levels of cortisol, leading to withdrawal symptoms and potentially serious complications. Tapering allows the adrenal glands to gradually resume their normal function and hormone production. This method minimizes the risk of adrenal crisis, which can manifest as fatigue, weakness, and in extreme cases, severe hypotension.

Maintaining a gradual reduction in dosage also gives healthcare providers the opportunity to monitor the patient for any signs of withdrawal or flare-up of the condition being treated, allowing for proper management of symptoms during the discontinuation process.