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- $Unique_ID{BRK01378}
- $Pretitle{}
- $Title{Serious Side Effects of Cortisone Medication Over Time}
- $Subject{medications cortisone withdrawal ill defined symptoms symptom
- medication prednisone corticosteroids asthma temporal arteritis ulcerative
- colitis allergic hypersensitivities polymyositis systemic lupus erythematosus
- transplantation corticosteroid hypertension sodium water retention bloating
- weight gain stomach ulcerations osteoporosis glaucoma steroid medicine
- medicines Uveitis}
- $Volume{N-0,R-0}
- $Log{
- Contributing Factors to Osteoporosis*0005701.scf
- Ulcers of the Digestive System*0005801.scf
- Causative Factors of Hypertension*0009601.scf
- Pathology of Uveitis*0016201.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Serious Side Effects of Cortisone Medication Over Time
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-
- QUESTION: I have been on a cortisone medication (prednisone) for quite
- some time, prescribed because of my medical condition (severe asthma). Now,
- though I have no bad experiences yet, I am worrying about the possibility of
- serious side effects over time, and if I will ever be able to get off the
- medication. Have you any information about this? How do you go about it? I
- would hate to become dependant upon this medicine for the rest of my life.
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-
- ANSWER: The use of cortisone, or the other similar medications
- (corticosteroids) brings relief for those who suffer many varied ailments. Of
- use not only in severe asthma, these medications are very important in
- treating temporal arteritis, ulcerative colitis, many allergic reactions and
- hypersensitivities, polymyositis, and systemic lupus erythematosus. It is
- also used to help control organ rejection, in transplantation operations.
- Yet, as with so many other powerful medications, it may also create problems
- when used in high doses over long periods of time. Although not all
- complications occur in all patients, corticosteroid therapy may cause
- hypertension, sodium and water retention with bloating and weight gain,
- stomach ulcerations, impaired wound healing, osteoporosis, glaucoma,
- recurrence of tuberculosis and chickenpox as well as increased susceptibility
- to all types of infections, bacterial, fungal and viral. The trick is to use
- the lowest possible dosage that achieves the desired effect and to employ
- various strategies that reduce the possibility of side effects. Using the
- medication in creams or lotions to reduce the amount required in tablets, or
- in alternate day dosage schedules, may be helpful in some cases. However, the
- process of withdrawal is a long one, and must be closely managed by your
- physician. Some experts advise wearing a medical identification bracelet
- indicating that you are steroid dependent. Gradually the medication dosage is
- reduced, while the blood levels are carefully measured. Since the body has
- its own rhythm of cortisone production, taking your medication in the early
- morning between 6 and 8 AM will help reestablish normal patterns. The process
- is a complicated one, but can be accomplished by working with your doctor.
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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-