Posted by: Indonesian Children | September 2, 2009

Oral Corticosteroids in Childhood Allergy

Oral Corticosteroids

 

dr Widodo Judarwanto SpA,

email : judarwanto@gmail.com,

http://www.childrenclinic.wordpress.com/

 

Occasionally, doctors will prescribe oral (tablet or liquid) corticosteroids for more severe or troublesome asthma symptoms.This medication is a corticosteroid. It reduces swelling. It is used for many conditions, among them: allergic reactions, skin diseases (psoriasis, hives), breathing problems; certain cancers, blood disorders, and eye problems; arthritis, digestive problems, and for hormone replacement.

Take with food or immediately after a meal to prevent stomach upset. Take this medication as prescribed. Follow the dosing schedule carefully. Be sure to ask your doctor if you have any questions. If you are taking this medication only once a day, it should be taken in the morning before 9 a.m. The liquid (suspension) form must be shaken well before each use. First use of suspension may require shaking for 5 to 7 minutes. After the first use, no more than 30 seconds of shaking should be required to mix all the ingredients well. If you have been taking this medication for a long time, do not suddenly stop taking it without your doctor’s approval. Your dose may need to be gradually reduced. You may experience extreme fatigue, weakness, stomach upset or dizziness when the medication is suddenly stopped.

Oral corticosteroids can have serious side effects if used for a long time. However, they also have significant benefits that outweigh their side effects.

oral corticosteroids :

  • Prednisolone (sold as Pediapred®)
  • Prednisone (sold as Deltasone®)

Possible side effects of long-term oral corticosteroid use include:

  • Water retention
  • Bruising
  • Puffy face
  • Increased appetite
  • Weight gain
  • Stomach irritation
  • Mood changes
  • Fractures

May cause dizziness, nausea, indigestion, increased appetite, weight gain, weakness or sleep disturbances. These effects should disappear as your body adjusts to the medication. If they persist or become bothersome, inform your doctor. Notify your doctor if you experience: vomiting of blood, black or tarry stools, puffing of the face, swelling of the ankles or feet, unusual weight gain, prolonged sore throat or fever, muscle weakness, breathing difficulties, mood changes, vision changes. In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

 

Oral Corticosteroids
Generic name Brand Name Dosage Tips and Product Links
Cortisone acetate Generic 10 mg Tablet
25 mg Tablet
 
dexamethasone Generic 0.50 mg Tablet
0.75 mg Tablet
1.00 mg Tablet
1.50 mg Tablet
2.00 mg Tablet
4.00 mg Tablet
6.00 mg Tablet
4 mg/mL solution
Generic Dexamethasone Package Insert
Hydrocortisone Cortef
Generic
10mg/5 mL Suspension
5 mg Tablets
10 mg Tablets
20 mg Tablets
Cortef Web site and Package Insert
Methylprednisolone Generic
Medrol
4 gm Tablets
8 mg Tablets
16 mg Tablets
24 mg Tablets
32 mg Tablets
Medrol Web site and Package Insert
Prednisolone
  • Several generic forms
  • Orapred
  • Prelone
15 mg/5 mL solution   
Pediapred 5 mg/ 5 mL solution  
Orapred ODT 10, 15 and 30 mg orally disintegrating tablets Orapred ODT Web site
Prednisone Various generic preparations Tablets come as 1, 2.5, 5, 10 and 20 mgOral Solution is 5mg/ 5 mL  

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