Common steroids for pneumonia

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Topical and systemic steroids have proven to be invaluable agents in the treatment of a wide range of disorders, but their use is not without potential complications. Before initiation of therapy with systemic steroids, a personal or family history of cataracts, glaucoma, hypertension, diabetes, hyperlipidemia, renal stones, peptic ulceration, and current infection or pregnancy should be ascertained, because these patients have an increased risk of complications. Prior to long-term therapy with systemic steroids, blood pressure measurement, tuberculin skin test, and anergy panel are recommended. Monthly follow-up may include measurements of weight, blood pressure, electrolytes, and blood sugar and guaiac testing of the stool. To prevent the ocular complications of steroid therapy, routine screening is indicated (Table 1). Screening for cataracts, which occur most commonly as a sequela of continuous systemic steroid use, may be performed by slit-lamp examinations conducted three or four times a year for patients on long-term therapy and twice a year for patients taking intermittent topical ocular or systemic steroids. Glaucoma is more often associated with topical ocular or periocular steroids than with systemic steroids; recommended screening includes a baseline intraocular pressure measurement, then routine pressure measurements taken every few weeks initially, then every few months. Ocular rebound inflammation may develop secondary to rapid tapering or abrupt discontinuation of topical ocular steroid use and is best prevented with gradual tapering. Opportunistic infections of the eye include bacterial, viral, and fungal infections and are most often associated with the use of topical ocular steroids. Ophthalmologic evaluation is indicated promptly if patients treated with ocular steroids develop ocular discharge, pain, photophobia, or redness.

In addition to the mentioned side effects several others have been reported. In both males and females acne are frequently reported, as well as hypertrophy of sebaceous glands, increased tallow excretion, hair loss, and alopecia. There is some evidence that anabolic steroid abuse may affect the immune system, leading to a decreased effectiveness of the defense system. Steroid use decreases the glucose tolerance, while there is an increase in insulin resistance. These changes mimic Type II diabetes. These changes seem to be reversible after abstention from the drugs.

Anabolic steroids are substances that increase muscle mass by enhancing the effect of male hormones in the human body. These work on testosterone and dihydrotestosterone to trigger increased muscle mass, fat loss, strength and aggression. At the same time, they can also enhance endurance, drive and determination – but they come at a price. Unfortunately, steroids are also highly dangerous and can cause a number of unwanted side effects and may even be lethal if the user is very unlucky. For these reasons, steroids are illegal in most countries and have been banned by most sports.

Common steroids for pneumonia

common steroids for pneumonia

Anabolic steroids are substances that increase muscle mass by enhancing the effect of male hormones in the human body. These work on testosterone and dihydrotestosterone to trigger increased muscle mass, fat loss, strength and aggression. At the same time, they can also enhance endurance, drive and determination – but they come at a price. Unfortunately, steroids are also highly dangerous and can cause a number of unwanted side effects and may even be lethal if the user is very unlucky. For these reasons, steroids are illegal in most countries and have been banned by most sports.

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