The dosage and duration of steroid use greatly affect the negative effects. If you take a modest dose, your risk of experiencing a significant adverse effect is very low, especially if you follow the below-listed precautions. You might start to feel uneasy about taking steroids after reading about these negative effects. Before beginning these medications, you should be fully aware of the hazards. But rest assured that many people take steroids without experiencing any or only slight negative effects. Please keep in mind that steroids can frequently be incredibly effective and even save lives. Please talk to your doctor about any of these recommendations if they seem confusing to you or irrelevant.
Please take note of the "steroids" we're referring to: In this context, the word "steroids" refers to anti-inflammatory
Understanding the adverse effects of corticosteroids
Corticosteroids may cause any of the following negative effects when used over an extended period of time. But by adopting the precautions we'll talk about below, you might be able to lower the dangers.
Higher amounts are required for physical stress
Your body's capacity to react to physical stress can be decreased by using steroids for longer than two weeks. When under extreme stress, such as after surgery, significant dental work, or a serious infection, a greater dose of steroid may be required. This can be required for up to a year after you stop using steroids.
Self-care advice
Talk about this possibility with the doctor, dentist, or whoever is currently caring for you. If your doctor or surgeon is aware that you have been taking corticosteroids, they can keep an eye on you more closely following surgery even if they don't believe you need to take the additional steroid at the time of operation.
Syndrome of steroid withdrawal
Our adrenal gland, which produces the body's steroid hormones, can be slow to produce them when anti-inflammatory steroids have been taken for a while and then abruptly stopped. The intricate process that our body uses to produce the anti-inflammatory steroid hormone may be inhibited as a result of taking anti-inflammatory steroids (cortisol). The hypothalamus and pituitary gland, which are both involved in the process of stimulating the adrenal gland to produce cortisol, can be suppressed by these anti-inflammatory drugs. For instance, the generation of ACTH by the pituitary gland, which stimulates the adrenal glands to produce cortisol, can be blocked. The adrenal gland's capacity to produce cortisol can also exhibit some suppression.
signs of the digestive system
When combined with non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, steroids may increase your risk of getting ulcers or gastrointestinal bleeding. Avoid combining NSAIDs and steroids if at all possible. Your doctor may want you to continue taking low-dose aspirin while taking prednisone for heart protection, but they may also recommend adding a medicine for stomach protection while on steroids.
Infection
Steroid use over a long period of time can reduce your immune system's capacity to fight infection and raise your chance of getting sick.
Self-care-tips:
As long as you are on steroids, you should get an annual flu shot because these drugs can lower your resistance to infection. You should also consider the potential of receiving "Pneumovax," a vaccination against a specific type of pneumonia, as well as "Prevnar 13," another pneumonia vaccine, with your doctor if you take steroids for an extended period of time. Another option to consider is the Shingrix® vaccine for shingles. Your doctor will decide which immunizations you require after considering your age and risk factors.
If you get a high fever, a productive cough, pain while urinating, or huge "boils" on your skin, you should consult your doctor right once.
signs of the digestive system
When combined with non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, steroids may increase your risk of getting ulcers or gastrointestinal bleeding. Avoid combining NSAIDs and steroids if at all possible. Your doctor may want you to continue taking low-dose aspirin while taking prednisone for heart protection, but they may also recommend adding a medicine for stomach protection while on steroids.
Self-care advice
Any severe, lingering abdominal pain or dark, tarry stools should be reported to your doctor. Take the steroid medication with antacids or after a substantial meal to help prevent stomach upset. Your hunger may be increased by steroids.
Osteoporosis
Osteopenia and osteoporosis are two conditions that can result after steroid medication, which can also raise the risk of bone fractures. Many patients will be requested to undergo a bone density test at the beginning or before to their steroid medication, particularly if the steroid dose is high. The bone density analysis will reveal low density. It will be repeated in the future to evaluate the success of the strategies you'll employ to stop bone loss. A person can lose 10% to 20% of their bone mass within the first six months of corticosteroid therapy, therefore prevention measures are crucial.
Self-care advice
Assuming they can't obtain enough calcium from their diet, most people using corticosteroids will need to take a calcium supplement (if you can get enough calcium from your diet, that is).
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