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Corticosteroids

Also called: Steroids, Glucocorticosteroids, Inhaled Corticosteroids, Corticosteroid Drugs, Oral Corticosteroids

- Summary
- About corticosteroids
- Types and differences
- Conditions treated
- Conditions of concern
- Potential side effects
- Drug or other interactions
- Symptoms of overdose
- Pregnancy use issues
- Child use issues
- Elderly use issues
- Questions for your doctor

Reviewed By:
Marc J. Sicklick, M.D., FAAAAI, FACAAI

Child use issues with corticosteroids

Corticosteroids have a range of side effects that tend to be more pronounced in children than in adults. A child should never take any type of corticosteroid treatment without first seeing a physician.

Children who are using corticosteroid drugs and contract certain infections (e.g., measles, chickenpox) may experience more severe infections. To avoid this, a physician may recommend vaccinations for some types of infection or suggest an alternative treatment, if appropriate.

Children and teenagers who take corticosteroids can experience slowed growth, particularly if the medication has been taken for a long period of time. This is due to the medications interference with the function of the adrenal gland. Because of the side effects, some physicians have begun to recommend that children with mild asthma use corticosteroids on an as–needed basis.

An injection of corticosteroids is often given to young children who have a hard time swallowing the foul–tasting liquid form of the medication. Some children vomit after taking the liquid form. The effectiveness of a corticosteroid injection is comparable to the liquid form.

Corticosteroid treatments may be less effective for young infants less than 1 year old.

 

Elderly use issues with corticosteroids

Some older individuals will experience side effects that are more pronounced. Older adults have an increased risk of developing high blood pressure or osteoporosis (a disorder in which the bones lose mass and density) when taking corticosteroid drugs. Women, in particular, are at risk for this condition. However, recent research has suggested that the risk of non vertebral fracture in older adults is not higher in the short term when inhaled corticosteroid treatments are used.

Depending on the patient’s individual situation, older adults may be advised to undergo bone density screening, a test that can help detect osteoporosis. Patients at risk may also benefit from taking calcium supplements, undergoing hormone replacement therapy and exercising regularly.

Patients over the age of 50 also risk the development of cataracts (clouding of the lens of the eye) and glaucoma (a group of diseases that can damage the optic nerve, resulting in vision loss). For this reason, older adults taking high doses of corticosteroids may be advised to undergo eye examinations.

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Review Date: 05-21-2007
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