July 31, 2016
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Steroid Withdrawal (cont.)

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Introduction

Research conducted by Edward Calvin Kendall at the Mayo Clinic in the medical use of cortisone lead to a Nobel Prize in 1950. The drug simulated cortisol, a naturally occurring, anti-inflammatory hormone produced by the adrenal glands. Such synthetic corticosteroid drugs (prednisone, prednisolone, and many others) have since benefited patients and are commonly used to treat many conditions, including allergic reactions, asthma, rheumatoid arthritis, and inflammatory bowel disease. They are not without serious drawbacks, however. The two major problems related to continuous, long-term steroid treatment are drug side effects and symptoms due to changes in the balance of normal hormone secretion. The latter typically results from taking doses greater than our body's natural production (about the equivalent of 7.5 mg of prednisone per day). Once patients begin to decrease or discontinue the dose, withdrawal symptoms may occur. Thus, steroids are typically given for the shortest possible time possible. Short-term steroid use is commonly without significant side effects and is often a crucial treatment for a variety of issues, including eczema, allergies, and asthma. Moreover, short-term use does not induce steroid withdrawal.

What are steroid withdrawal symptoms and signs?

Withdrawal symptoms usually appear after extended use of steroids with rapid/sudden stopping of the drug. These steroids include glucocorticoids, anabolic steroids in topical, injectable, and transdermal forms. The following symptoms and signs may occur in individuals that are withdrawing from taking steroids:

Less often, joint pain, skin changes, muscle aches, fever, mental changes, or elevations of calcium may be noted. Dehydration and electrolyte imbalances may occur. Decrease in gastrointestinal contractions can occur, leading to dilation of the intestine (ileus). Steroid withdrawal symptoms mimic many other medical problems.

Medically Reviewed by a Doctor on 5/19/2016

Source: MedicineNet.com
http://www.medicinenet.com/steroid_withdrawal/article.htm

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