inflammation in the lungs. They also decrease
mucus and make it easier for the person to breathe.
Corticosteroids can be given as a pill or liquid, as an injection, or with an
inhaler. The kind of corticosteroid that will be
prescribed depends on what symptoms are being treated.
Corticosteroids are widely used to
treat many different types of inflammation. They have been tested for use in
treating lung inflammation in
cystic fibrosis. At this time, they are recommended
only for people who have significant shortness of breath and
wheezing or an infection caused by a fungus (allergic
Oral corticosteroids are usually
used only for short periods of time because of the side effects. Inhaled forms
may be used for longer periods of time.
Corticosteroids are the most
powerful medicines for reducing inflammation in the lungs. More research is
needed to find out the specific benefits and potential harmful side effects for
people who have cystic fibrosis.
All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.
Here are some important things to think about:
Call 911 or other emergency services right away if you have:
Call your doctor if you have:
Common side effects of oral corticosteroids include:
Side effects of inhaled corticosteroids are uncommon at the usual dose. Side effects (many of which occur only with high doses) may include:
spacer with a metered-dose inhaler can help you avoid the side effects of inhaled
steroids. After using an inhaler, it is also important to rinse your mouth out
with water and then to spit out the water. Swallowing the water will increase
the chance that the medicine will get into your bloodstream, which may increase
the side effects of the medicine.
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.
There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.
If you are pregnant, breast-feeding, or planning to get pregnant, do not use any medicines unless your doctor tells you to. Some medicines can harm your baby. This includes prescription and over-the-counter medicines, vitamins, herbs, and supplements. And make sure that all your doctors know that you are pregnant, breast-feeding, or planning to get pregnant.
Women who take oral corticosteroids during pregnancy have a slightly higher chance of having a baby with birth defects.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
Complete the new medication information form (PDF)(What is a PDF document?) to help you understand this medication.
May 14, 2012
John Pope, MD - Pediatrics & Susanna McColley, MD - Pediatric Pulmonology
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