Steroids :
Steroids
are used in some important, stubborn and acute diseases of neurology. These
medicines are like a double-edged sword, i.e. if they are used in a proper way,
in proper dose, for an appropriate period they give excellent results, save
life and help in complete recovery from the disease which no other drug may be
able to achieve. But if these drugs are taken inappropriately, in wrong doses
without a doctor’s supervision for a long time, many serious problems can
occur. The worst part is that these drugs have frequently been misused and
abused instead of being appropriately used.
In fact,
steroids are a group of endocrine hormones produced naturally in the adrenal
gland with the help of vitamin C, e.g. corticosteroid, mineralo corticoids.
Steroids play the major role in regulating the functions of the various glands,
organs and systems of the body, development of immunity and fighting against
stress. So, it can be comprehended that in the serious diseases occurring due
to the defi of steroids, it is imperative to give synthetically prepared steroids.
In neurology, appropriate use of steroids can give desired results in diseases
ranging from low blood pressure to myasthenic crisis, cluster headaches to
brain edema etc. In some neuropathies, demyelinating diseases (multiple
sclerosis), brain tumor, polymyositis, some cases of T.B. meningitis, and many
other diseases steroids are required.
The main
steroids are prednisolone, dexamethasone, and methyl prednisolone. They are
available in the form of tablets, injections or liquids. Abuse of these drugs can
result in very serious consequences.
Side Effects of Long-Term
Use, of Steroids :
1.
Acidity
(burning sensation in stomach and chest) and ulcer formation or worsening of
previous ulcers in the stomach.
2.
Increase
in blood sugar and diabetes
3.
Increase
in blood pressure
4.
Fungal
infections occur rapidly resulting in candidiasis and ringworm infestation.
5.
Lipid
abnormalities may occur
6.
Excessive
hunger, insomnia, and irritabilityBloating of the body, excessive weight gain,
and accumulation of fat on the face, stomach and back of the neck
7.
Difficulty
in getting up from the floor due to weakness in muscles of waist
8.
Softening
of the bones results in pain in vertebra and back
9.
Weakening
of the hipbone causes pain and in some cases fractures may occur necessitating
surgery
10. Delayed wound healing
11. Infections like T.B., herpes etc can be
contracted easily
12. Urinary infection
13. Inflammation can occur in pancreas
14. Potassium levels in blood may reduce, and
15. BP may fall at an alarming rate due to abrupt
withdrawal of steroids.
Because
of all these reasons, steroids are prescribed in a high dose only for a few
weeks. However, in some diseases very less result is seen on short-term
administration of steroids and, therefore, they may have to be continued for a
long period. In such cases regular advice from the doctor is essential.
Supervision of a specialist with continuous laboratory monitoring is also
important. In order to prevent the side effects of steroids (in long-term
steroids course), the doctors regularly prescribe calcium, potassium, vitamins
and diuretics (to prevent edema) in proper doses. Advice is given to protect
the patient from infections. Proper guidance regarding diet is also provided.
At regular intervals check - up for diabetes, calcium, blood potassium levels,
blood pressure etc is done by the specialist and the patients should give full
cooperation for the same.
Related Topics
Privacy Policy, Terms and Conditions, DMCA Policy and Compliant
Copyright © 2018-2024 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.