Side effects of steroid cream for dermatitis

Corticosteroids inhibit intestinal calcium absorption and increase urinary calcium excretion leading to bone resorption and bone loss. Bone loss of 3% over one year has been demonstrated with prednisolone 10 mg per day. Postmenopausal females are particularly at risk for loss of bone density. Sixteen percent of elderly patients treated with corticosteroids for 5 years may experience vertebral compression fractures. One author reported measurable bone loss over two years in women on concomitant therapy with prednisolone mg per day and tamoxifen . [ Ref ]

The long-term use of prednisone can cause weakness of the muscles of the thigh and shoulder (known as proximal myopathy). Patients may find it difficult to stand up from a sitting position or to raise their arms above the level of the shoulders. But muscles are not the only part of the musculoskeletal system affected by prednisone. In addition, bone thinning can occur - a condition called osteopenia. As this condition progresses, it can result in extreme thinning of bones known as osteoporosis. Osteoporosis can make the bones susceptible to fracturing easily from minimal trauma. It can affect the vertebral bones of the back and the hip joint primarily.

Care must be taken when lessening the dosage of prednisone—a patient should not stop taking it suddenly. The body stops or decreases its own production of cortisol, and slowly tapering the amount of prednisone taken daily allows the body to begin producing it again on its own. Tapering the dose of prednisone usually means lowering the dose by a certain amount every few days or even every week. The length of time to taper will depend on the starting dosage, and the amount of time the prednisone has been taken. At a higher dosage that has been taken for a long period of time, it may take months to taper down, while a short course (such as a few weeks) can be tapered down quicker.

Cortisone injections are extremely safe, but they do still have potential problems. If you are concerned about having a cortisone shot, talk with your doctor. While cortisone is a powerful treatment for many orthopedic conditions, there are usually other options that can also be tried. Many doctors will offer an injection as they are quick, easy, and most often effective. However, your doctor should also be able to offer other treatments for inflammation that may also be effective for those that cannot have, or don't want, a cortisone injection.

Side effects of steroid cream for dermatitis

side effects of steroid cream for dermatitis

Cortisone injections are extremely safe, but they do still have potential problems. If you are concerned about having a cortisone shot, talk with your doctor. While cortisone is a powerful treatment for many orthopedic conditions, there are usually other options that can also be tried. Many doctors will offer an injection as they are quick, easy, and most often effective. However, your doctor should also be able to offer other treatments for inflammation that may also be effective for those that cannot have, or don't want, a cortisone injection.

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