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Patients should be asked to bring in all their medications, including over the counter medicines and creams. Also, check whether they have had any recent joint injections. Usual medications may be taken on the morning of the test, but individuals taking inhaled steroids, topical creams, nasal steroids, inhalers and oral steroids (for example prednisolone, hydrocortisone or dexamethasone) should be discussed first with the referring consultant. Patients taking more than mg prednisolone or equivalent are highly likely to be adrenally suppressed, and so the test may not be appropriate or necessary. Patients taking oral steroids must omit them on the morning of the test but bring them with them to take as soon as the test is completed.