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Corticosteroids, commonly referred to as steroids, are anti-inflammatory medications used to treat lupus, vasculitis, and rheumatoid arthritis, among other rheumatologic conditions. Corticosteroids bear a strong resemblance to the hormone cortisol, which is naturally produced by the adrenal glands. These medications lower immune system activity and inflammation.
Depending on the patient's condition and treatment plan, steroids may be administered locally or systemically. When inflammation poses a risk to vital organs, such as renal failure in patients with lupus or vasculitis, it may be helpful. The need to administer steroids is based on the patient's age, level of physical activity, and other medical conditions. Increased hunger, weight gain, mood swings, osteoporosis, diabetes, high blood pressure, an irritated stomach, restlessness, water retention, and swelling are some of the adverse effects of steroids. Healthcare professionals should continuously monitor patients for any indications and only use steroids when necessary. The team of doctors at Manipal Hospitals, Mukundapur, are experienced and prioritise patient safety; thus, they prescribe steroids for various rheumatologic disorders only when needed.
There are several types of steroids, and they come in different types:
Pills and liquids, such as methylprednisolone
Creams, lotions, and gels, such as hydrocortisone for skin, prednisolone inhalers
Nasal sprays (beclomethasone and fluticasone)
Injections (administered into joints, muscles, or blood vessels)
The majority of steroids can only be obtained with a prescription, while some (such as some creams or nasal sprays) are retailed by pharmacies and stores as over-the-counter drugs.
The method of taking steroids and the doses change based on the condition you have. It is crucial that medication always be taken exactly as directed by your healthcare provider.
Liquids, Soluble Tablets, and Tablets
Gels and Creams
Eye Creams and Drops
It might be necessary to take them frequently during the day
Steroids are used to treat various conditions, especially rheumatological disorders, by reducing inflammation and controlling other symptoms. The conditions include, but are not limited to:
Steroids are the artificial version of the two small glands called the adrenal glands, which are located above the kidneys. Anti-inflammatory drugs (steroids) reduce swelling and redness. Conditions like eczema and asthma that cause inflammation may benefit from this. Additionally, the body's natural defence against disease and infection, the immunological system, is suppressed by steroids. When the immune system unintentionally attacks the body, autoimmune diseases like lupus and rheumatoid arthritis occur. Steroids can help treat these disorders.
Steroids can save lives and preserve organs when inflammation poses a threat to vital bodily organs. Steroids, for instance, may stop kidney inflammation from getting worse, which could cause renal failure in those suffering from lupus or vasculitis. Steroid medication may also be able to avoid kidney dialysis or transplantation for these patients.
People with rheumatoid arthritis may have great relief from pain and stiffness when taking low doses of steroids. A person recovering from a severe flare-up of arthritis may benefit from short-term usage of larger doses of steroids.
You must always have a steroid card with you if you take large amounts of steroids or if you use them for longer than three weeks. This will contain details about the dosage and duration of your medication use. A steroid card can be issued by your physician, rheumatology nurse, or chemist. Ensure that any modifications to your steroid dosage are reflected on the card. The use of steroids can prevent the body from manufacturing natural hormones, which could be harmful in the event of illness, an accident, or the need for surgery. Any other physician who treats you will be better able to oversee your care if you have the card with you.
The dose, type of steroid, and duration of treatment all affect the likelihood of side effects. Systemic steroids often cause the following adverse effects:
Healthcare practitioners follow the following rules to reduce the negative effects of steroids:
Only use steroids when absolutely required
Pay great attention to the patient’s safety and spot any early warning indications of significant side effects
Use local steroids, if possible
In order to control the disease, use the lowest dose possible
As long as the illness is under control, progressively lower the dosage
Check blood pressure and blood sugar frequently, and seek medical attention if needed
For the purpose of promoting bone health, measure bone density and recommend drugs and supplements accordingly
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