Indications

Inhaled

• Asthma Maintenance (see Asthma, [[Asthma]])
• Chronic Obstructive Pulmonary Disease (COPD) Maintenance (see Chronic Obstructive Pulmonary Disease, [[Chronic Obstructive Pulmonary Disease]])

Systemic

• Adult-Onset Still’s Disease (see Adult-Onset Still’s Disease, [[Adult-Onset Stills Disease]])
• Asthma Exacerbation (see Asthma, [[Asthma]])
• Chronic Obstructive Pulmonary Disease (COPD) Exacerbation (see Chronic Obstructive Pulmonary Disease, [[Chronic Obstructive Pulmonary Disease]])

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Pharmacology

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Administration

Inhaled Corticosteroids

• Budesonide (see Budesonide, [[Budesonide]])
• Fluticasone (Flovent) (see Fluticasone, [[Fluticasone]])

Nasal Topical Corticosteroids

• Fluticasone (Flonase) (see Fluticasone, [[Fluticasone]])
• Fludrocortisone (see Fludrocortisone, [[Fludrocortisone]])

Ocular Corticosteroids

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Oral Corticosteroids with Poor Oral Absorption

• Budesonide (see Budesonide, [[Budesonide]])

Systemic Intravenous (IV) Corticosteroids

• Hydrocortisone (xxx) (see Hydrocortisone, [[Hydrocortisone]])
• Methylprednisolone (Solumedrol) (see Methylprednisolone, [[Methylprednisolone]])

Systemic Oral Corticosteroids

• Dexamethasone (Decadron) (see Dexamethasone, [[Dexamethasone]])
• Prednisone (see Prednisone, [[Prednisone]])

Topical Corticosteroids

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Adverse Effects of Systemic Corticosteroids

Cardiovascular

• Altered Serum Lipoproteins
• Atherosclerosis
• Hypertension (see Hypertension, [[Hypertension]])

Dermatologic

• Acne
• Alopecia (see Alopecia, [[Alopecia]])
• Cushingoid Apperance
• Hirsutism (see Hirsutism, [[Hirsutism]])
• Hypertrichosis
• Purpura (see Purpura, [[Purpura]])
• Skin Thinning
• Striae (see Striae, [[Striae]])

Endocrine

• Diabetes Mellitus (see Diabetes Mellitus, [[Diabetes Mellitus]])
• Hypothalamic-Pituitary-Adrenal Insufficiency (see Adrenal Insufficiency, [[Adrenal Insufficiency]])

Gastrointestinal

• Acute Pancreatitis (see Acute Pancreatitis, [[Acute Pancreatitis]]): probable association
• Gastritis (see Gastritis, [[Gastritis]])
• Peptic Ulcer Disease (PUD) (see Peptic Ulcer Disease, [[Peptic Ulcer Disease]])
• Hepatic Steatosis (see Non-Alcoholic Fatty Liver Disease, [[Non-Alcoholic Fatty Liver Disease]])

Infectious Disease

• Herpes Zoster (see Varicella-Zoster Virus, [[Varicella-Zoster Virus]])
• Increased Risk of Typical Infections
• Opportunistic Infections

Neurologic

• Akathisia (see Akathisia, [[Akathisia]])
• Euphoria
• Delirium (see Delirium, [[Delirium]])
• Dysphoria/Depression
• Myopathy (see Myopathy, [[Myopathy]])
• Pseudotumor Cerebri
• Psychosis (see Psychosis, [[Psychosis]])

Ophthalmologic

• Elevated Intraocular Pressure/Glaucoma (see Glaucoma, [[Glaucoma]])
• Exophthalmos
• Posterior Subcapsular Cataracts

Orthopedic

• Avascular Necrosis
• Osteoporosis (see Osteoporosis, [[Osteoporosis]])

Renal

• Hypokalemia (see Hypokalemia, [[Hypokalemia]])
• Fluid Shifts

Reproductive

• Amenorrhea/Infertility (see Amenorrhea, [[Amenorrhea]])
• Intrauterine Growth Retardation

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References

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