Treatment of steroid induced osteoporosis

Prednisone is a drug that belongs to the corticosteroid drug class, and is an anti-inflammatory and immune system suppressant. It's used to treat a variety of diseases and conditions, for example: inflammatory bowel disease (Crohn's disease and ulcerative colitis), lupus, asthma, cancers, and several types of arthritis.

Common side effects are weight gain, headache, fluid retention, and muscle weakness. Other effects and adverse events include glaucoma, cataracts, obesity, facial hair growth, moon face, and growth retardation in children. This medicine also causes psychiatric problems, for example: depression, insomnia, mood swings, personality changes, and psychotic behavior. Serious side effects include reactions to diabetes drugs, infections, and necrosis of the hips and joints.

Corticosteroids like prednisone, have many drug interactions; examples include: estrogens, phenytoin (Dilantin), diuretics, warfarin (Coumadin, Jantoven), and diabetes drugs. Prednisone is available as tablets of 1, , 10, 20, and 50 mg; extended release tablets of 1, 2, and 5mg; and oral solution of 5mg/5ml. It's use during the first trimester of pregnancy may cause cleft palate. This medicine is secreted in breast milk and can cause side effects in infants who are nursing. You should not stop taking prednisone abruptly because it can cause withdrawal symptoms and adrenal failure. Talk with your doctor, pharmacist, or other medical professional if you have questions about beta-blockers. Talk with your doctor, pharmacist, or other medical professional if you have questions about prednisone.

If you notice other effects not listed above, contact your doctor or pharmacist. In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

As a skilled and experienced Pain Medicine Interventionalist, Dr. Levin evaluates each patient very thoroughly and carefully to help determine appropriate treatment options in order to provide the most effective individualized care.  These treatment options may include:  Lumbar, Thoracic and Cervical Epidural Steroid Injections utilizing targeted transforaminal techniques, Lumbar and Cervical Sympathetic Blocks, Sphenopalatine, Facial and Head and Neck Procedures, Discography, Percutaneuos Discectomy or Disc Decompression procedures, precision joint and nerve injections, Radiofrequency Neuroablative procedures, Peripheral or Spinal Cord Stimulator trials and implants, Foraminoplasties and several patented and patent pending advanced interventional procedures.

  • Keep the tablets in a safe place, out of the reach of children.
  • If your doctor decides to stop the treatment, return any remaining tablets to the pharmacist. Do not flush them down the toilet or throw them away.
  • Tell your doctor if you are sick just after taking a tablet, as you may need to take another one.
  • If you forget to take your tablet, do not take a double dose. Ask your doctor or nurse for advice.
  • If you're having a short course of steroids as part of your treatment, do not get more from your GP.

Like a lot of the treatments involve steroids which obviously steroids aren’t necessarily the most healthy thing to have in your body. And also in terms of long term effects they’re not great. And with something like alopecia because it can keep happening throughout your life, I didn’t want to have to become reliant on something in order to have hair. I’d rather it just all comes out then like get, get hope kind of by having like steroid injections or something ‘cos I think you can have oral cortisone, but I think that is quite rare to be prescribed because obviously it’s oral. And steroid injections are quite common, but I think you can, I mean for how extensive mine is I don’t think it would be recommended but I would probably have to have about 80 injections into my scalp which I’m not too keen on. It sounds quite painful. So I know a lot of people do go for that option but for me it, it with the amount of hair that I’d lost and the fact that I’m still losing my hair I don’t want to have injections in the patches that are there, and then have other patches form and then when I stop having injections for that hair to fall out. So I figured just leave it and let it do its thing.

Treatment of steroid induced osteoporosis

treatment of steroid induced osteoporosis

Like a lot of the treatments involve steroids which obviously steroids aren’t necessarily the most healthy thing to have in your body. And also in terms of long term effects they’re not great. And with something like alopecia because it can keep happening throughout your life, I didn’t want to have to become reliant on something in order to have hair. I’d rather it just all comes out then like get, get hope kind of by having like steroid injections or something ‘cos I think you can have oral cortisone, but I think that is quite rare to be prescribed because obviously it’s oral. And steroid injections are quite common, but I think you can, I mean for how extensive mine is I don’t think it would be recommended but I would probably have to have about 80 injections into my scalp which I’m not too keen on. It sounds quite painful. So I know a lot of people do go for that option but for me it, it with the amount of hair that I’d lost and the fact that I’m still losing my hair I don’t want to have injections in the patches that are there, and then have other patches form and then when I stop having injections for that hair to fall out. So I figured just leave it and let it do its thing.

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