Steroids to Treat Arthritis (cont.)

Does Everyone Develop Side Effects of Steroids?

No. How often any side effect occurs varies from person to person. If steroid use is brief (from a few days to a few weeks), it is possible that none of the listed side effects will occur. The side effects listed generally do not occur when occasional steroid injections are given for arthritis, tendinitis, or bursitis.

However, if steroid use involves high doses and is prolonged (for a few months to several years), an increase in the number of side effects may occur.

How Can the Side Effects Be Minimized?

To minimize the side effects of steroids, doctors follow these guidelines:

• Use steroids only when necessary.
• Monitor closely to detect the development of serious side effects.
• If possible, use steroid injections for problems in a specific area.
• Use the minimal dose required to gain control of the disease.
• Reduce the dose gradually as long as the disease remains under control.
• Monitor blood pressure often and treat if necessary.
• Recommend calcium supplements, vitamin D, and bone-building prescription medications to help maintain bone strength (this is done especially if steroids will be taken for a long period of time).
• Have your bone density checked every one to two years.

Who Should Not Take Steroids?

Steroids, as with other medications, are not recommended for everyone. In general, people with the following conditions should not take steroids:

• Infection
• Uncontrolled diabetes
• Uncontrolled high blood pressure or congestive heart failure
• Peptic ulcer
• Osteoporosis (bone thinning)
• Glaucoma

How Do I Know If Steroid Treatment Is Right for Me?

The decision to prescribe steroids is always made on an individual basis. Your doctor will consider your age, your overall health, and other drugs you are taking. Your doctor also will make sure you understand the potential benefits and risks of steroids before you start taking them.

WebMD Medical Reference

SOURCES:

Agency for Healthcare Research and Quality: "Rheumatoid Arthritis Medicines: A Guide for Adults."

UpToDate for Patients: "Patient Information: Rheumatoid Arthritis Treatment."

The Johns Hopkins Arthritis Center: "Rheumatoid Arthritis Treatment."

AGS Foundation for Health in Aging: "Arthritis Pain."

Medline Plus: "Cushing Syndrome."

Reviewed by Michael W. Smith, MD on June 11, 2012

Last Editorial Review: 6/11/2012

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Source article on WebMD

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