abruptly corticosteroid Class Name: corticosteroid (Oral route, Parenteral route) Commonly used brand name(s) In the U.S. Aristocort Bubbli-Pred Celestone Cortone Acetate Cotolone Decadron Deltasone Dexamethasone Intensol Emflaza Entocort EC Florinef Acetate Medrol Methylpred-DP Prednicot Prelone In Canada Pediapred 5 Pms-prednisoLONE Pulmicort Pulmicort Spacer Available Dosage Forms: Tablet Suspension Capsule, Delayed Release Tablet, Extended Release Capsule, Extended Release Syrup Solution Elixir Tablet, Delayed Release Liquid Tablet, Disintegrating Uses For This Medicine Corticosteroids (cortisone-like medicines) are used to provide relief for inflamed areas of the body. They lessen swelling, redness, itching, and allergic reactions. They are often used as part of the treatment for a number of different diseases, such as severe allergies or skin problems, asthma, or arthritis. Corticosteroids may also be used for other conditions as determined by your doctor. Your body naturally produces certain cortisone-like hormones that are necessary to maintain good health. If your body does not produce enough, your doctor may have prescribed this medicine to help make up the difference. Corticosteroids are very strong medicines. In addition to their helpful effects in treating your medical problem, they have side effects that can be very serious. If your adrenal glands are not producing enough cortisone-like hormones, taking this medicine is not likely to cause problems unless you take too much of it. If you are taking this medicine to treat another medical problem, be sure that you discuss the risks and benefits of this medicine with your doctor. These medicines are available only with your doctor's prescription. Importance of Diet If you will be using this medicine for a long time, your doctor may want you to: Follow a low-salt diet and/or a potassium-rich diet. Watch your calories to prevent weight gain. Add extra protein to your diet. Make certain your health care professional knows if you are already on any special diet, such as a low-sodium or low-sugar diet. Before Using This Medicine Allergies Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Corticosteroids may cause infections such as chickenpox or measles to be more serious in children who catch them. These medicines can also slow or stop growth in children and in growing teenagers, especially when they are used for a long time. Before this medicine is given to children or teenagers, you should discuss its use with your child's doctor and then carefully follow the doctor's instructions. Geriatric Older patients may be more likely to develop high blood pressure or osteoporosis (bone disease) from corticosteroids. Women are especially at risk of developing bone disease. Pregnancy Studies on birth defects with corticosteroids have not been done in humans. However, studies in animals have shown that corticosteroids cause birth defects Breast Feeding Corticosteroids pass into breast milk and may cause problems with growth or other unwanted effects in nursing babies. Depending on the amount of medicine you are taking every day, it may be necessary for you to take another medicine or to stop breast-feeding during treatment. Interactions with Medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking any of these medicines, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using medicines in this class with any of the following medicines is not recommended. Your doctor may decide not to treat you with a medication in this class or change some of the other medicines you take. Adenovirus Vaccine Type 4, Live Adenovirus Vaccine Type 7, Live Artemether Bacillus of Calmette and Guerin Vaccine, Live Desmopressin Influenza Virus Vaccine, Live Measles Virus Vaccine, Live Mumps Virus Vaccine, Live Poliovirus Vaccine, Live Praziquantel Rilpivirine Rotavirus Vaccine, Live Rubella Virus Vaccine, Live Smallpox Vaccine Typhoid Vaccine Varicella Virus Vaccine Yellow Fever Vaccine Using medicines in this class with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Aceclofenac Acemetacin Aldesleukin Amtolmetin Guacil Aprepitant Asparaginase Atazanavir Bemiparin Boceprevir Bosentan Bosutinib Bromfenac Bufexamac Bupropion Carbamazepine Celecoxib Ceritinib Choline Salicylate Ciprofloxacin Clarithromycin Clonixin Cobicistat Conivaptan Crizotinib Cyclosporine Daclatasvir Darunavir Dasabuvir Dasatinib Desogestrel Dexibuprofen Dexketoprofen Diclofenac Dienogest Diflunisal Diltiazem Dipyrone Doxorubicin Doxorubicin Hydrochloride Liposome Dronedarone Drospirenone Droxicam Efavirenz Elvitegravir Enzalutamide Erythromycin Estradiol Ethinyl Estradiol Ethynodiol Etodolac Etofenamate Etonogestrel Etoricoxib Etravirine Felbinac Fenoprofen Fepradinol Feprazone Floctafenine Fluconazole Flufenamic Acid Flurbiprofen Fluvoxamine Fosamprenavir Fosphenytoin Gestodene Ibuprofen Idelalisib Imatinib Indinavir Indomethacin Itraconazole Ixabepilone Ketoconazole Ketoprofen Ketorolac Lapatinib Levonorgestrel Lopinavir Lornoxicam Loxoprofen Lumacaftor Lumiracoxib Meclofenamate Mefenamic Acid Meloxicam Mestranol Mitotane Modafinil Morniflumate Nabumetone Nadroparin Nafcillin Naproxen Nefazodone Nelfinavir Nepafenac Netupitant Nevirapine Nifedipine Niflumic Acid Nilotinib Nimesulide Nimesulide Beta Cyclodextrin Nimodipine Norethindrone Norgestimate Norgestrel Olaparib Oxaprozin Oxyphenbutazone Parecoxib Phenobarbital Phenylbutazone Phenytoin Piketoprofen Piperaquine Piroxicam Pixantrone Posaconazole Pranoprofen Primidone Proglumetacin Propyphenazone Proquazone Rifampin Ritonavir Rofecoxib Romidepsin Salicylic Acid Salsalate Saquinavir Sodium Salicylate Sorafenib St John's Wort Sulindac Sunitinib Tacrolimus Telaprevir Telithromycin Tenoxicam Thalidomide Tiaprofenic Acid Ticagrelor Tipranavir Tolfenamic Acid Tolmetin Ulipristal Valdecoxib Verapamil Vincristine Sulfate Liposome Voriconazole Vortioxetine Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Using medicines in this class with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use your medicine, or give you special instructions about the use of food, alcohol, or tobacco. Grapefruit Juice Other Medical Problems The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially: Acquired immunodeficiency syndrome (AIDS) or Fungus infection or Herpes simplex infection of the eye or Human immunodeficiency virus (HIV) infection or Infection at the place of treatment or Other infection or Recent surgery or serious injury or Strongyloides (worm) infestation or Tuberculosis (active TB, nonactive TB, or past history of) Corticosteroids can cause slower healing, worsen existing infections, or cause new infections. Chickenpox (including recent exposure) or Measles (including recent exposure) Risk of severe disease affecting other parts of the body. Diabetes mellitus (sugar diabetes) Corticosteroids may cause a loss of control of diabetes by increasing blood glucose (sugar). Diverticulitis or Stomach ulcer or other stomach or intestine problems or Ulcerative colitis, severe Corticosteroids may cover up symptoms of a worsening stomach or intestinal condition. A patient would not know if his or her condition was getting worse and would not get medical help when needed. Glaucoma Corticosteroids may cause the pressure within the eye to increase. Heart disease or High blood pressure or Kidney disease (especially if you are receiving dialysis) or Kidney stones Corticosteroids cause the body to retain (keep) more salt and water. These conditions may be made worse by this extra body water. High cholesterol levels Corticosteroids may increase blood cholesterol levels. Liver disease or Overactive thyroid or Underactive thyroid With these conditions, the body may not eliminate the corticosteroid at the usual rate, which may change the medicine's effect. Myasthenia gravis When you first start taking corticosteroids, muscle weakness may occur. Your doctor may want to take special precautions because this could cause problems with breathing. Osteoporosis (bone disease) Corticosteroids may worsen bone disease because they cause the body to lose more calcium. Psychosis This condition may be made worse. Systemic lupus erythematosus (SLE) This condition may cause certain side effects of corticosteroids to occur more easily. Proper Use of This Medicine For patients taking this medicine by mouth: Take this medicine with food to help prevent stomach upset. If stomach upset, burning, or pain continues, check with your doctor. Stomach problems may be more likely to occur if you drink alcoholic beverages while being treated with this medicine. You should not drink alcoholic beverages while taking this medicine, unless you have first checked with your doctor. For patients taking budesonide extended-release capsules : Swallow the capsule whole, without breaking, crushing, or chewing it. Use this medicine only as directed by your doctor . Do not use more or less of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may increase the chance of side effects. Dosing The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For betamethasone For oral dosage forms (syrup, tablets, effervescent tablets): Adults and teenagers Dose may range from 0.25 to 7.2 milligrams (mg) a day, as a single dose or divided into several doses. Children Dose is based on body weight or size and must be determined by your doctor For long-acting oral dosage form (extended-release tablets): Adults and teenagers Dose may range from 1.2 to 12 mg injected into a joint, lesion, muscle, or vein as often as necessary, as determined by your doctor. Children Dose is based on body weight or size and must be determined by your doctor. For injection dosage form: Adults and teenagers 2 to 6 mg a day. Children Dose is based on body weight or size and must be determined by your doctor. For budesonide For long-acting oral dosage form (extended-release capsules): Adults At first, the dose is 9 milligrams (mg) a day for up to eight weeks. Then your doctor may decrease the dose to 6 mg a day. Each dose should be taken in the morning before breakfast. Children Use and dose must be determined by your doctor. For cortisone For oral dosage form (tablets): Adults and teenagers 25 to 300 milligrams (mg) a day, as a single dose or divided into several doses. Children Dose is based on body weight or size and must be determined by your doctor. For injection dosage form: Adults and teenagers 20 to 300 mg a day, injected into a muscle. Children Dose is based on body weight or size and must be determined by your doctor. For dexamethasone For oral dosage forms (elixir, oral solution, tablets): Adults and teenagers 0.5 to 10 milligrams (mg) taken as often as necessary, as determined by your doctor. Children Dose is based on body weight or size and must be determined by your doctor. For injection dosage form: Adults and teenagers 20.2 to 40 mg injected into a joint, lesion, muscle, or vein as often as necessary, as determined by your doctor. Children Dose is based on body weight or size and must be determined by your doctor. For hydrocortisone For oral dosage forms (oral suspension, tablets): Adults and teenagers 20 to 800 milligrams (mg) every one or two days, as a single dose or divided into several doses. Children Dose is based on body weight or size and must be determined by your doctor. For injection dosage form: Adults and teenagers 5 to 500 mg injected into a joint, lesion, muscle, or vein, or under the skin as often as necessary, as determined by your doctor. Children Dose is based on body weight or size and must be determined by your doctor. For methylprednisolone For oral dosage form (tablets): Adults and teenagers 4 to 160 milligrams (mg) every one or two days, as a single dose or divided into several doses. Children Dose is based on body weight or size and must be determined by your doctor. For injection dosage form: Adults and teenagers 4 to 160 mg injected into a joint, lesion, muscle, or vein as often as necessary, as determined by your doctor. Children Dose is based on body weight or size and must be determined by your doctor. For prednisolone For oral dosage forms (oral solution, syrup, tablets): Adults and teenagers 5 to 200 milligrams (mg) taken as often as necessary, as determined by your doctor. Children Dose is based on body weight or size and must be determined by your doctor. For injection dosage form: Adults and teenagers 2 to 100 mg injected into a joint, lesion, muscle, or vein as often as necessary, as determined by your doctor. Children Dose is based on body weight or size and must be determined by your doctor. For prednisone For oral dosage forms (oral solution, syrup, tablets): Adults and teenagers 5 to 200 milligrams (mg) every one or two days, as a single dose or divided into several doses. Children Dose is based on body weight or size and must be determined by your doctor. For triamcinolone For oral dosage forms (syrup, tablets): Adults and teenagers 2 to 60 milligrams (mg) a day, as a single dose or divided into several doses. Children Dose is based on body weight or size and must be determined by your doctor. For injection dosage form: Adults and teenagers 0.5 to 100 mg injected into a joint, lesion, or muscle, or under the skin as often as necessary, as determined by your doctor. Children Dose is based on body weight or size and must be determined by your doctor. Missed Dose Call your doctor or pharmacist for instructions. If you miss a dose of this medicine and your dosing schedule is: One dose every other day Take the missed dose as soon as possible if you remember it the same morning, then go back to your regular dosing schedule. If you do not remember the missed dose until later, wait and take it the following morning. Then skip a day and start your regular dosing schedule again. One dose a day Take the missed dose as soon as possible, then go back to your regular dosing schedule. If you do not remember until the next day, skip the missed dose and do not double the next one. Several doses a day Take the missed dose as soon as possible, then go back to your regular dosing schedule. If you do not remember until your next dose is due, double the next dose. If you have any questions about this, check with your health care professional. Storage Keep out of the reach of children. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Do not keep outdated medicine or medicine no longer needed. Precautions While Using This Medicine Your doctor should check your progress at regular visits . Also, your progress may have to be checked after you have stopped using this medicine, since some of the effects may continue. Do not stop using this medicine without first checking with your doctor . Your doctor may want you to reduce gradually the amount you are using before stopping the medicine completely. Check with your doctor if your condition reappears or worsens after the dose has been reduced or treatment with this medicine is stopped. If you will be using corticosteroids for a long time: Your doctor may want you to follow a low-salt diet and/or a potassium-rich diet. Your doctor may have you take a bisphosphonate (alendronate [e.g., Fosamax], risedronate [e.g., Actonel]) to help prevent and treat bone problems while you are taking a corticosteroid. Your doctor may want you to watch your calories to prevent weight gain. Your doctor may want you to add extra protein to your diet. Your doctor may want you to have your eyes examined by an ophthalmologist (eye doctor) before, and also sometime later during treatment. Your doctor may want you to carry a medical identification card stating that you are using this medicine. Tell the doctor in charge that you are using this medicine: Before having skin tests Before having any kind of surgery (including dental surgery) or emergency treatment If you get a serious infection or injury Avoid close contact with anyone who has chickenpox or measles . This is especially important for children. Tell your doctor right away if you think you have been exposed to chickenpox or measles . While you are being treated with this medicine, and after you stop taking it, do not have any immunizations without your doctor's approval . Also, other people living in your home should not receive the oral polio vaccine, since there is a chance they could pass the polio virus on to you. In addition, you should avoid close contact with other people at school or work who have recently taken the oral polio vaccine. For patients with diabetes : This medicine may affect blood glucose (sugar) levels. If you notice a change in the results of your blood or urine sugar tests or if you have any questions, check with your doctor. For patients having this medicine injected into their joints : If this medicine is injected into one of your joints, you should be careful not to put too much stress or strain on that joint for a while, even if it begins to feel better. Make sure your doctor has told you how much you are allowed to move this joint while it is healing. If redness or swelling occurs at the place of injection, and continues or gets worse, check with your doctor. Side Effects of This Medicine Corticosteroids may lower your resistance to infections. Also, any infection you get may be harder to treat. Always check with your doctor as soon as possible if you notice any signs of a possible infection, such as sore throat, fever, sneezing, or coughing. Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor as soon as possible if any of the following side effects occur: Less common Decreased or blurred vision frequent urination increased thirst Rare Blindness (sudden, when injected in the head or neck area) burning, numbness, pain, or tingling at or near place of injection confusion excitement false sense of well-being hallucinations (seeing, hearing, or feeling things that are not there) mental depression mistaken feelings of self-importance or being mistreated mood swings (sudden and wide) redness, swelling, or other sign of allergy or infection at place of injection restlessness skin rash or hives Additional side effects may occur if you take this medicine for a long time. Check with your doctor if any of the following side effects occur: Abdominal or stomach pain or burning (continuing) acne bloody or black, tarry stools changes in vision eye pain filling or rounding out of the face headache irregular heartbeat menstrual problems muscle cramps or pain muscle weakness nausea pain in arms, back, hips, legs, ribs, or shoulders pitting, scarring, or depression of skin at place of injection reddish purple lines on arms, face, groin, legs, or trunk redness of eyes sensitivity of eyes to light stunting of growth (in children) swelling of feet or lower legs tearing of eyes thin, shiny skin trouble in sleeping unusual bruising unusual increase in hair growth unusual tiredness or weakness vomiting weight gain (rapid) wounds that will not heal Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: More common Increased appetite indigestion loss of appetite (for triamcinolone only) nervousness or restlessness Less common or rare Darkening or lightening of skin color dizziness or lightheadedness flushing of face or cheeks hiccups increased joint pain (after injection into a joint) increased sweating nosebleeds (after injection into the nose) sensation of spinning After you stop using this medicine, your body may need time to adjust . The length of time this takes depends on the amount of medicine you were using and how long you used it. If you have taken large doses of this medicine for a long time, your body may need one year to adjust. During this time, check with your doctor immediately if any of the following side effects occur : Abdominal, stomach, or back pain dizziness fainting fever loss of appetite (continuing) muscle or joint pain nausea reappearance of disease symptoms shortness of breath unexplained headaches (frequent or continuing) unusual tiredness or weakness vomiting weight loss (rapid) Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Thomson Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Healthcare does not assume any responsibility or risk for your use of the Thomson Healthcare products. Copyright 2017 Truven Health Analytics, Inc. All Rights Reserved. Print this page} Recently Approved Lonhala Magnair Lonhala Magnair (glycopyrrolate) is a long-acting muscarinic antagonist (LAMA) bronchodilator for... Ozempic Ozempic (semaglutide) is a glucagon-like peptide-1 (GLP-1) analog administered once-weekly for the... Ogivri Ogivri (trastuzumab-dkst) is a HER2 / neu receptor antagonist biosimilar to Herceptin indicated for... Sublocade Sublocade (buprenorphine) is a once-monthly injectable partial opioid agonist formulation for the... More Help and Support Looking for answers? Ask a question} } realize
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