Reducing the side
effects of corticosteroid treatment
By Tash Hughes of
Word Constructions
Corticosteroids are a group of powerful drugs that are
commonly used to reduce inflammation and allergic
responses.
These drugs are highly effective but can have serious
side effects so they need to be administered carefully.
They are best used in the smallest doses and the
shortest periods possible to solve the medical issue
they are treating.
How are these drugs used?
Corticosteroids can be used in a number of ways,
depending on what they are being used to treat.
They can be given
·
Orally – tablets, liquid medicines
·
Inhalers and nasal sprays
·
Injections, particularly used for inflamed
joints
·
Topical application, such as creams for skin,
eye drops and nasal drops
Corticosteroids can be used with other drugs, too, for
specific results.
The side effects
There is a range of potential side effects from
corticosteroid use, and most will go away after the
treatment finishes.
Which side effects are likely will depend on how the
drug is administered; for example, inhaled
corticosteroids may cause coughing and a dry throat
whereas a topical corticosteroid may lead to thin skin
and red sores in that area.
Oral doses move through the entire body so they can
cause more side effects then other means of taking the
drugs.
Avoiding side effects
Whilst you can not totally avoid any side effects from
use of corticosteroids, you can reduce the risk of them
and the potential long term effects of them. All of
these tips need to be discussed with your doctor to
ensure they suit your medical condition and are used
safely.
-
low dose – always ask for the lowest possible dose
that will help you
-
short term – always ask to come off the drugs as
quickly as possible
-
take an oral dose only every second day – obviously,
with your doctor’s agreement
-
where possible, don’t take corticosteroids orally -
try another method of taking the drug
-
Corticosteroids affect your immune system so your
body will be more susceptible to infections during
and just after the treatment. That means you need to
take care of yourself, get plenty of rest and drink
lots of water. You should also avoid
·
exposure to infections, especially chicken pox
and measles
·
taking the oral polio vaccine
·
being close to people who have recently taken
the oral polio vaccine
-
If inhaling corticosteroids, rinsing out your mouth
and gargling after each dose will reduce the
likelihood of a dry, sore throat and coughing
-
Injections can cause localised pain, infection, loss
of skin colour and soft tissue shrinkage. To avoid
this, doctors will limit the number of
corticosteroid injections in one area; it is not
common to have more than three injections in one
year.
-
stay active and reduce your calorie intake to avoid
the weight gain and fat deposits, muscle weakness
and osteoporosis side effects of oral
corticosteroids. This will also keep any blood
pressure increases to a minimum.
-
take calcium and vitamin D to reduce the risk of
osteoporosis (corticosteroids reduce the amount of
calcium in your body)
-
ensure you have plenty of proteins in your diet –
corticosteroids affect protein metabolism so your
body may not digest proteins as well during
treatment
-
reduce the amount of salt and increase the
potassium in your diet as cortisol and
corticosteroids affect the salt/water balance in
your body
-
take oral doses with food to reduce any burning and
the risk of ulcers
-
ensure your doctor and pharmacist know of any other
drugs, including herbal medications and vitamin
supplements, in case any of them will make the side
effects worse or more likely
Always come of long term use of corticosteroids slowly
that your body has time to adjust and start making the
hormone, cortisol again (the adrenal glands stop
producing this hormone while you are taking
corticosteroids.)
Clear communication is critical to
the success of any business, but it is often left to
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microbiologist, and a professional and skilled writer who makes technical and
otherwise boring information accessible for everyone a
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