FAQs About Steroids for Asthma Inhaled and Oral Corticosteroids
Later studies haven’t found increased risks in pregnant women. To be safe, you may still want to use an effective birth control method. • steroids increase your risk of infection so you might want to consider a flu shot before you start the medication. Avoid all immunizations while on steroids unless your doctor recommends otherwise. You also need to stay away from anyone who has had a live virus vaccine, like measles, mumps, rubella or polio; you could catch the virus from them.
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Newer forms of corticosteroids come in various strengths and lengths of action. Ask your doctor about using low-dose, short-term medications or taking oral corticosteroids every other day instead of daily. Corticosteroids work quickly and effectively, which is why they’re often used for a short time until other medications kick in or to stop a disease flare in its tracks. In cases of severe systemic inflammation, they can be life-saving. Corticosteroids shouldn’t be used long-term to treat inflammatory arthritis – or any disease – but they’re sometimes used for a few weeks or months to boost the effectiveness of DMARDs or other drugs.
Some health conditions require long-term treatment with corticosteroids, while others only need a very short course. Corticosteroids are powerful anti-inflammatory medications that mimic our naturally occurring hormone cortisol. These drugs come in oral, topical, and injectable forms, and have benefits for a wide variety of health conditions. If your steroid dose has recently been decreased or stopped and you have a serious illness, surgery or injury, you may require a short steroid burst. During this time, your adrenal glands may not be functioning at full capacity and cannot handle stress to the body.
Corticosteroids are man-made drugs that closely resemble cortisol, a hormone that your adrenal glands produce naturally. Corticosteroids are often referred to by the shortened term "steroids." Corticosteroids are different from the male hormone-related steroid compounds that some athletes abuse. Steroid biosynthesis is an anabolic pathway which produces steroids from simple precursors.
An endocrinologist can help correct these imbalances if indicated. Steroids have been prescribed and taken in many doses and using many different schedules. In some countries, other dosing schedules (i.e, 10 days on, 10 days off, etc.) have been used. The impact that steroids have on the body depends on the dose of the steroid and how often the steroids are taken. People who are taking intermittent doses (i.e., not daily) may have fewer or less severe side effects.
5α-DHP is an endogenous steroid hormone and a biosynthetic intermediate. If you're taking long-term corticosteroid therapy, see your doctor regularly to check for side effects. Ask your doctor if you should take calcium and vitamin D supplements.
Corticosteroids can decrease the inflammation and prevent damage. They also affect how white blood cells work and reduce the activity of the immune system. The steroids used to treat chronic lung diseases are not the same as anabolic steroids, used illegally by some athletes for bodybuilding. Corticosteroids do not affect the liver or cause sterility.
This can happen in a number of joints, but the hip is the most common. If you develop signs suggesting heart problem, such as chest pain, get medical attention quickly. Work with your physician to address any heart risks that can be modified, such as exercise, weight and cholesterol level. Your blood sugar should be followed while you are on steroids, especially if you are a diabetic, since corticosteroids can raise blood sugar. And once users stop taking steroids, they can have withdrawal symptoms such as loss of appetite, tiredness, restlessness, insomnia, mood swings, and depression. Some steroidal hormones are economically obtained only by total synthesis from petrochemicals (e.g. 13-alkyl steroids).
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