Steroids Flashcards
what are endocrine side effects of steroids?
impaired glucose regulation
increased appetite/weight gain
hirsutism
hyperlipidaemia
what are aesthetic side effects of steroids?
Cushing’s syndrome
moon face
buffalo hump
striae
what are musculoskeletal side effects of steroids?
osteoporosis
proximal myopathy
avascular necrosis of the femoral head
what are the effects of steroids on the immune system?
immunosuppression
increased susceptibility to severe infection
reactivation of tuberculosis
neutrophillia
what are psychiatric effects of steroids?
insomnia
mania
depression
psychosis
what are the gastrointestinal effects of steroids?
peptic ulceration
acute pancreatitis
what are the ophthalmic complications of steroids?
- glaucoma
- cataracts
when should a gradual withdrawal of steroids be initiated?
received more than 40mg prednisolone daily for more than one week
received more than 3 weeks of treatment
recently received repeated courses