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|Organon biosciences nv||Unfortunately, taking more than your recommended dose can have some serious downsides; even taking a doctor-approved dose for an extended period can be problematic. Facial hair growth especially in women ; high blood pressure and other cardiovascular effects; an increased appetite which may result in weight gain; slow skin healing and skin thinning; osteoporosis brittle bones ; the onset of diabetes; and stomach ulcers are associated with moderate-to-long term use. Use with fluoroquinolone antibiotics such as ciprofloxacin, levofloxacin may increase the risk of tendon rupture with fluoroquinolones. Wear sunglasses while in sunlight. Barbara Brody.|
In such cases, the dose may need to be reduced or the formulation switched. People who take inhaled steroids are at risk for oral thrush , a fungal infection of the mouth also known as oral candidiasis. Symptoms of oral candidiasis include:. With oral thrush, a superficial white growth can be easily scraped off, often exposing inflamed and bleeding tissue underneath. The infection mainly develops on the roof of the mouth or back of the throat, and can also appear on the tongue, gums, and inner cheeks.
Thrush can be prevented by rinsing your mouth thoroughly with water and brushing your teeth immediately after inhaled corticosteroid use. Instead of water, some people prefer an alcohol-based mouthwash. You can also reduce your risk by attaching a spacer to the mouthpiece of the MDI. The tubular extender allows you to deliver more of the aerosolized inhalant into your throat instead of the mouth.
Spacers do not work in DPIs, which have an opening rather than a tube-like mouthpiece. If thrush does develop, it can be treated with an antifungal mouth rinse or with Diflucan fluconazole tablets for more severe cases. Inhaled steroids are known to place older adults at an increased risk for osteoporosis progressive thinning and weakening of bones.
Though osteoporosis is far more likely when taking oral steroids , high-dose inhalants can also contribute to bone brittleness. Symptoms of osteoporosis may include:. Many people with osteoporosis do not even realize they have it until they experience an unexpected bone fracture. A calcium-rich diet paired with a daily calcium supplement 1, to 1, milligrams combine is recommended for those at the highest risk of bone fractures, including post-menopausal women or older adults.
Weight-bearing exercises such as walking and an adjustment in the steroid dose may also help if the bone loss is severe. The long-term use of oral steroids is known to increase the risk of cataracts clouding of the eye lens and glaucoma optic nerve damage caused by increased inner eye pressure. It is possible for inhaled steroids to do the same, especially in older adults already at high risk of cataracts and glaucoma.
A study in the Digital Journal of Ophthalmology found that adults who used inhaled budesonide for no less than six months had significant increases in inner eye pressure. Similarly, inhaled steroid users exposed to a lifetime dose of two million micrograms suggesting high-dose, long-term use were found to be at greater risk of cataracts than those who received lower doses.
If you develop glaucoma or cataracts develop due to inhaled steroid use, the benefits and risks of your treatment need to be weighed on an individual basis and your treatment may need to be modified. Surgical intervention may also be considered, including laser trabeculectomy for glaucoma or extracapsular surgery for cataracts. While some of the side effects of inhaled steroids are concerning, it is always important to weigh the effect on your respiratory function against the possible consequences of use.
In most cases, inhaled steroids can be taken safely under the supervision and routine care of a doctor. If you are experiencing side effects from a steroid drug, speak with your doctor about alternatives or adjustments that may help. But never stop treatment without your doctor's OK as this can lead to steroid withdrawal and a rebound of symptoms. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life.
Practical considerations for dysphonia caused by inhaled corticosteroids. Mayo Clin Proc. Inhaled corticosteroids and systemic or topical antifungal therapy: A symmetry analysis. Ann Am Thorac Soc. The frequency and risk factors for oropharyngeal candidiasis in adult asthma patients using inhaled corticosteroids.
Turk Thorac J. Centers for Disease Control and Prevention. Candida infections of the mouth, throat, and esophagus. Hippocrates thought that fever was our friend. It was there to burn away the bad humors. Although he was wrong about the humors part, he was right about the fever. There are many studies looking at people with a variety of viruses or bacterial infections showing that those treated with fever-reducers have longer illnesses.
We treat fever because that makes us feel better. Fever comes with headache, muscle ache, chills. Fever is just a symptom, and that symptom is there for a reason. When you treat fever, you are performing an act against Mother Nature. The opposite is true. There are now many studies showing that the longer you treat, the more likely you are to develop bacterial resistance.
Why is it that we assign an arbitrary length of time to treat a bacterial infection? If you have a kidney infection, we would say to treat for 10 to 14 days with antibiotics. But it may be that within a few days, your back pain is gone, your fever is gone, the bacteria in your urine is gone, and your white cells, your immune system, also have returned to normal levels.
So why continue to treat? Researchers have looked at this. In one study, they compared treatments of 10 to 14 days with seven days, five days, and, in the case of bladder infections, three days. The results consistently show that you can treat for shorter periods of time. Why not use personalized medicine? Treat the patient. When you have symptoms of any infection, they are caused by your immune response. Why would it do that? Because the immune system has gotten rid of the infection. So, believe it.
Sunscreen is an effective prevention. So they tend to stay out much longer, especially from 10 a. Also, they tend to not reapply it often enough. The term we often use, sunblock, is a bad one. If you want to have blockage, stay inside or wear protective clothing. A few reasons. One is inertia. Physicians have a way of doing things. Another reason doctors are married to set ways of doing things is financial.
There is also a strong desire among physicians to make sure their patients are satisfied.