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Long-term side effects of glucocorticoids
Merih Oray1,2,3, Khawla Abu Samra1,2, Nazanin Ebrahimiadib1,2
1a Massachusetts Eye Research and Surgery Institution (MERSI) , Waltham , MA , USA.
Glucocorticoids are standard anti-inflammatory drugs but can cause side effects across many organ systems. Careful monitoring and preventive strategies can minimize these risks, improving the therapy
Area of Science:
- Endocrinology
- Pharmacology
- Immunology
Background:
- Glucocorticoids are primary treatments for inflammation and immune responses.
- These potent medications can lead to a wide range of side effects affecting multiple organ systems.
- Potential adverse effects include musculoskeletal, cardiovascular, endocrine, and neuropsychiatric issues.
Purpose of the Study:
- To provide an updated review of the most recent literature on systemic glucocorticoid treatment side effects.
- To inform clinicians about the spectrum of adverse events associated with glucocorticoid therapy.
Main Methods:
- Systematic analysis of English-language literature.
- Focus on recent publications concerning systemic glucocorticoid side effects.
Main Results:
- Glucocorticoid therapy is associated with potential side effects in nearly all major organ systems.
- Documented side effects span dermatologic, ocular, immunologic, and gastrointestinal systems.
- Neuropsychiatric and cardiovascular complications are also noted risks.
Conclusions:
- Optimizing the risk/benefit ratio of glucocorticoid therapy is achievable through judicious use.
- Close patient monitoring and proactive implementation of preventive measures are crucial for minimizing adverse events.
- Effective management strategies can enhance the safety profile of glucocorticoid treatments.
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