When tapering moderate to high doses of long term steroids do you routinely monitor for adrenal insufficiency?  

This is always a good question on which to reflect. In general, moderate dosing of steroids (> or = 20 mg prednisone equivalents) for 5 days or less do not need a taper and pose low risk of adrenal suppression, and by extension chronic adrenal insufficiency. Up to date suggests that up to 3 weeks...

5-day course - no taper; 9-day course with taper.