Understanding Steroid Medications

A Comprehensive Guide to Corticosteroids and Their Medical Uses

Internal Medicine

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Last updated: Mar 24, 2025

What Are Steroids?

Steroids (corticosteroids) are synthetic drugs that mimic cortisol, a natural hormone produced by your adrenal glands. They're different from anabolic steroids used for muscle building.

Types of Steroids

Systemic Steroids

  • Oral tablets: Prednisone, Methylprednisolone
  • Injectable: Triamcinolone, Betamethasone
  • Intravenous: Hydrocortisone, Dexamethasone

Topical Steroids

  • Creams and ointments
  • Nasal sprays
  • Inhalers

Common Uses

  • Reducing inflammation
  • Treating autoimmune conditions
  • Managing asthma and allergies
  • Treating skin conditions
  • Reducing organ transplant rejection

Side Effects

Short-term Effects

  • Increased appetite
  • Mood changes
  • Sleep disturbances
  • Higher blood sugar
  • Fluid retention

Long-term Effects

  • Weight gain
  • Osteoporosis
  • Increased infection risk
  • Skin thinning
  • Cataracts

Important Guidelines

  1. Never stop steroids suddenly
  2. Take with food to prevent stomach upset
  3. Follow dosing schedule carefully
  4. Carry medical ID if on long-term therapy
  5. Regular monitoring by healthcare provider

When to Seek Help

Contact your healthcare provider if you experience:

  • Severe mood changes
  • Signs of infection
  • Unusual weight gain
  • Vision problems
  • Severe stomach pain

Prevention Measures

  • Regular exercise
  • Calcium and vitamin D supplementation
  • Regular blood pressure monitoring
  • Blood sugar checks
  • Bone density scans as recommended

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