Corticosteroids Glucocorticoid Effects - Systemic
Corticosteroids Glucocorticoid Effects *** Before Using *** How to Use *** Fore Safe Use *** Side Effects *** Additional Information
Before Using
In deciding to using a medication,
the chance of taking the drug must be weighed against the good it will
do. This is a decision you will make. For corticosteroids,
the following must be considered
Allergic reaction
Tell your family doctor if you have any unusual or
allergy to corticosteroids. Also tell your health care professional
if you are allergic to any other substances, such as foods, preservatives,
or dyes.
Diet If you will be using this drug for a long
time, your family doctor may want you to:
-
Follow a low-salt diet anda potassium-rich diet.
-
Watch your calories to prevent weight gain.
-
Add extra protein to your diet.
Make certain your health care professional knows if you are
already on any special diet, such as a low-sodium or low-sugar diet.
Pregnancy care
Studies on birth defects with corticosteroids have
not been done. However, studies in pets have shown that corticosteroids
cause birth defects.
Breast-feeding problem
Corticosteroids pass into breast milk and may cause
problems with growth or other unwanted effects in nursing babies. Depending
on the amount of drug you are taking every day, it may be necessary for
you to take another drug or to stop breast-feeding during treat.
Use for Children
Corticosteroids may cause infections such as chickenpox
or measles to be more serious in child who catch them. These medication
can also slow or stop growth in child and in growing teenagers, especially
when they are using for a long time. Before this drug is given to children
or teenagers, you must discuss its use with your child's family doctor and then
carefully follow the family doctor's instructions.
Elderly care
Older diseaseds may be more likely to develop high
blood pressure or osteoporosis - bone disease from corticosteroids. Women
are especially at risk of developing bone disease.
Drug interactions
Although certain medication must not be using
together at all, in other cases two various medication may be using together
even if an interaction might occur. In these cases, your family doctor may want to
change the dose, or other precautions may be necessary. When you are taking
corticosteroids, it is especially important that your health care professional
know if you are taking any of the following:
-
Aminoglutethimide - Cytadren
-
Antacids - in large amounts
-
Barbiturates, except butalbital,
-
Carbamazepine - Tegretol
-
Griseofulvin - Fulvicin
-
Mitotane - Lysodren
-
Phenylbutazone - Butazolidin
-
Phenytoin - Dilantin
-
Primidone - Mysoline
-
Rifampin - Rifadin Use of these medication may make certain
corticosteroids less effective
-
Amphotericin B by injection - Fungizone Using corticosteroids
with this drug may decrease the amount of potassium in the blood. Serious
side effects could occur if the level of potassium gets too low
-
Antidiabetic agents, oral - diabetes drug taken by mouth
-
Insulin Corticosteroids may increase blood glucose - sugar
levels
-
Cyclosporine - Sandimmune Use of this drug with high
doses of methylprednisolone may cause convulsions - seizures
-
Digitalis glycosides - heart drug Corticosteroids decrease
the amount of potassium in the blood. Digitalis can increase the risk of
having an irregular heartbeat or other problems if the amount of potassium
in the blood gets too low
-
Diuretics - water pills
-
Medicine containing potassium Using corticosteroids with diuretics
may cause the diuretic to be less effective. Always corticosteroids may increase
the risk of low blood potassium, which is also a problem with certain diuretics.
Potassium supplements or a various type of diuretic is using in treating
high blood pressure in those people who have problems keeping their blood
potassium at a normal level. Corticosteroids may make these medication less
able to do this
-
Immunizations - vaccinations While you are being treated with
this drug and even after you stop taking it, do not have any immunizations
without your family doctor's approval. Always other people living in your home must
not receive the oral polio vaccine, since there is a risk they could pass
the polio virus on to you. In addition, you must avoid close contact with
other people at school or work who have recently taken the oral polio vaccine
-
Ritodrine - Yutopar Serious side effects could occur
-
Skin test injections Corticosteroids may cause false results
in skin tests
-
Sodium-containing drug Corticosteroids cause the body to
retain - keep more sodium - salt and water. Too much sodium may cause high
blood sodium, high blood pressure and excess body water
-
Somatrem - Protropin
-
Somatropin - Humatrope Corticosteroids can interfere
with the side effects of medication
Other Information for using
The presence of other medical
problems may effect the use of corticosteroids. Make sure you tell your family doctor
if you have any other medical problems, especially:
-
Acquired immunodeficiency syndrome - AIDS
-
Fungus infection
-
Herpes simplex infection of the eye
-
Human immunodeficiency virus - HIV infection
-
Infection at the place of treat
-
Other infection
-
Recent surgery or serious injury
-
Strongyloides - worm infestation
-
Tuberculosis - active TB, nonactive TB, or past history of Corticosteroids
can cause slower healing, worsen existing infections, or cause new infections
-
Chickenpox - including recent exposure
-
Measles - including recent exposure chance of severe disease
effecting other parts of the body
-
Diabetes mellitus - sugar diabetes Corticosteroids may cause
a loss of control of diabetes by increasing blood glucose - sugar
-
Diverticulitis
-
Stomach ulcer or other stomach or intestine problems
-
Ulcerative colitis, severe Corticosteroids may cover up symptoms
of a worsening stomach or intestinal condition. A patient would not know if
his or her condition was getting worse and would not get medical help when
needed
-
Glaucoma Corticosteroids may cause the pressure within the
eye to increase
-
Heart disease
-
High blood pressure
-
Kidney disease - especially if you are receiving dialysis
-
Kidney stones Corticosteroids cause the body to retain - keep
more salt and water. These conditions may be made worse by this extra body
water
-
High cholesterol levels Corticosteroids may increase blood
cholesterol levels
-
Liver disease
-
Overactive thyroid
-
Underactive thyroid With these conditions, the body may not
eliminate the corticosteroid at the usual rate, which may change the drug's
effect
-
Myasthenia gravis When you first start taking corticosteroids,
muscle weakness may occur. Your family doctor may want to take special precautions
because this could cause problems with breathing
-
Osteoporosis - bone disease Corticosteroids may worsen bone
disease because they cause the body to lose more calcium
-
Psychosis This condition may be made worse
-
Systemic lupus erythematosus - SLE This condition may cause
certain side effects of corticosteroids to occur more easily
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