CORTICOSTERIODS !!!!??
(deltacortil, prednisolone,dexamethasone)
Almost every patient in clinic :
Dr:how long you have been taking steroids?
Patient:minimum 8-10 years since my arthritis was diagnosed.
Dr:have you tried stopping it ?
Patient: I cannot stop them as they help me with joint pain.
Dr: has any body told you what steriods are?
Patient :they are painkillers
Dr:do you know the side effects of long term steriods ?
Patient : no
Patient:minimum 8-10 years since my arthritis was diagnosed.
Dr:have you tried stopping it ?
Patient: I cannot stop them as they help me with joint pain.
Dr: has any body told you what steriods are?
Patient :they are painkillers
Dr:do you know the side effects of long term steriods ?
Patient : no
""COME ON FRIENDS ,STERIODS ARE NOT PAINKILLERS ,YOU CANNOT TAKE THEM FOR YEARS WITHOUT DOCTOR SUPERVISION.
THEY HAVE SIDE EFFECTS LIKE ALL OTHER MEDICINES BUT MORE SERIOUS IF TAKEN FOR YEARS AND UNNECESSARY""
THEY HAVE SIDE EFFECTS LIKE ALL OTHER MEDICINES BUT MORE SERIOUS IF TAKEN FOR YEARS AND UNNECESSARY""
HOW IT WORKS?
Corticosteroids are medicines similar to natural hormone substances produced by the body that help to reduce inflammation. They are effective in reducing disease activity in rheumatoid arthritis.
Corticosteroids are medicines similar to natural hormone substances produced by the body that help to reduce inflammation. They are effective in reducing disease activity in rheumatoid arthritis.
One way corticosteroids reduce inflammation is by decreasing the action of the body's immune response.
WHY IT IS USED?
1-Corticosteroids are used to control inflammation caused by rheumatoid arthritis.
1-Corticosteroids are used to control inflammation caused by rheumatoid arthritis.
2-In low doses to control inflammation as "bridge therapy" when starting disease-modifying antirheumatic drugs (DMARDs) such as methotrexate,lefora,hcq ,etc until the DMARDs become effective.
3-To treat sudden flares of joint pain.
3-For short-term relief (weeks to months) in inflamed joints.
HOW WELL IT WORKS?
Use of corticosteroids has been found to be effective in reducing inflammation caused by rheumatoid arthritis. Corticosteroids are usually used at the lowest dose and for the shortest amount of time possible.
Corticosteroid shots into inflamed joints can relieve pain and increase function for some people. This relief may last from weeks to months.
""SIDE EFFECTS""
Serious side effects often occur when corticosteroids are used for long periods of time. These include:
Serious side effects often occur when corticosteroids are used for long periods of time. These include:
1-Softening or destruction of the hip, knee, wrist, or foot joint (osteonecrosis).
2-Cataracts.
3-Bone thinning and weakening (osteoporosis)
4-Swelling caused by fluid retention (edema).
5-Weight gain.
6-Rounding of facial features.
7-Mood swings, difficulty concentrating, insomnia, anxiety, euphoria.
8-Easy bruising.
9-Increased risk of infection from immune suppression.
10-Elevated blood pressure.
11-Problems with blood sugar levels (diabetes).
12-Muscle weakness.
13-Glaucoma.
Long-term use of corticosteroids is not recommended because of their serious side effects.
THIS DOES NOT MEAN STERIODS ARE NOT GOOD AS MEDICINE.THEY ARE VERY EFFECTIVE IN REDUCING JOINT INFLAMMATION AND IN LIFE THREATING SITUATIONS .
HOWEVER THEY SHOULD BE USED PROPERLY WITH DOCTOR SUPERVISION.
HOWEVER THEY SHOULD BE USED PROPERLY WITH DOCTOR SUPERVISION.
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