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Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids

Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2 (COX-2),...
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Related Experiment Video

Updated: Jun 19, 2026

Tension-Free Weight-Bearing Model of Steroid-Induced Osteonecrosis of Femoral Head in Rats
05:55

Tension-Free Weight-Bearing Model of Steroid-Induced Osteonecrosis of Femoral Head in Rats

Published on: September 27, 2024

Glucocorticoid-induced osteoporosis.

Courtney C Kennedy1, Alexandra Papaioannou, Jonathan D Adachi

  • 1Department of Medicine, McMaster University, Hamilton, Ontario, Canada.

Women'S Health (London, England)
|October 7, 2009
PubMed
Summary

Glucocorticoids can cause bone loss and fractures, leading to osteoporosis. Effective management strategies can prevent or reduce these risks in patients undergoing glucocorticoid therapy.

Area of Science:

  • Endocrinology
  • Bone Metabolism
  • Pharmacology

Background:

  • Glucocorticoids are essential medications for various diseases.
  • A significant side effect is glucocorticoid-induced osteoporosis (GIO).
  • Fractures can occur early, even with low-dose glucocorticoid use.

Purpose of the Study:

  • To provide an overview of glucocorticoid-induced osteoporosis.
  • To outline strategies for recognizing, preventing, and treating GIO.
  • To address management in pre- and postmenopausal women on glucocorticoid therapy.

Main Methods:

  • Literature review of current evidence on GIO.
  • Analysis of clinical practice guidelines for GIO management.
  • Synthesis of information on risk factors, diagnosis, and treatment.

Related Experiment Videos

Last Updated: Jun 19, 2026

Tension-Free Weight-Bearing Model of Steroid-Induced Osteonecrosis of Femoral Head in Rats
05:55

Tension-Free Weight-Bearing Model of Steroid-Induced Osteonecrosis of Femoral Head in Rats

Published on: September 27, 2024

Main Results:

  • Glucocorticoid therapy poses a significant risk for osteoporosis and fractures.
  • Early intervention and effective management can mitigate bone loss.
  • GIO is often underdiagnosed and undertreated despite available guidelines.

Conclusions:

  • Glucocorticoid-induced osteoporosis is a serious complication requiring proactive management.
  • Early recognition and timely treatment are crucial for preventing fractures.
  • Comprehensive management strategies are vital for patients on glucocorticoid therapy.