Corticosteroids for JIACCorticosteroids for JIACorticosteroids for JIAEnglishRheumatologyChild (0-12 years);Teen (13-18 years)BodySkeletal systemDrug treatmentAdult (19+)NA2017-01-31T05:00:00ZJennifer Stinson RN-EC, PhD, CPNPLori Tucker, MDAdam Huber, MSc, MD, FRCPCMichael Rapoff, PhDShirley Tse, MD, FRCPCLynn Spiegel, MD, FRCPC8.0000000000000059.0000000000000856.000000000000Flat ContentHealth A-Z<p>This page describes the use of corticosteroids in the treatment of arthritis. It explains how corticosteroids work and what their common side effects, are, and lists the different corticosteroids available to treat arthritis.</p><p>Corticosteroids are very powerful medicines. They help to control or turn off inflammation quickly. They do this by acting on the immune system. Corticosteroids work much faster than the slower acting NSAIDs. Corticosteroids can improve JIA symptoms in as little as 48 hours.</p><h2>Key points</h2> <ul><li>Corticosteroids work quickly to improve JIA symptoms in as little as 48 hours.</li> <li>Corticosteroids are not commonly used in young people with JIA because of the numerous side effects.</li> <li>Corticosteroid use should never be stopped suddenly.</li></ul>
Corticostéroïdes pour l'AIJCCorticostéroïdes pour l'AIJCorticosteroids for JIAFrenchRheumatologyChild (0-12 years);Teen (13-18 years)BodySkeletal systemDrug treatmentAdult (19+)NA2017-01-31T05:00:00ZJennifer Stinson RN-EC, PhD, CPNPLori Tucker, MDAdam Huber, MSc, MD, FRCPCMichael Rapoff, PhDShirley Tse, MD, FRCPCLynn Spiegel, MD, FRCPC8.0000000000000059.00000000000000Flat ContentHealth A-Z<p>Cette page décrit l’utilisation des corticostéroïdes pour le traitement de l’arthrite. On y explique comment les corticostéroïdes agissent et quels sont leurs effets secondaires communs. On y présente également une liste des différents corticostéroïdes.</p><h2>Que sont les corticostéroïdes?</h2> <p>Les corticostéroïdes (prononce : Kor-ti-ko-sté-ro-ï-de) sont souvent appelés stéroïdes. Toutefois, le mot stéroïde peut porter à confusion. Les corticostéroïdes sont très différents des stéroïdes que prennent certains athlètes pour mieux performer dans leur sport. </p> <p>Les corticostéroïdes sont des hormones produites naturellement par l’organisme. Un des corticostéroïdes présents dans ton corps s’appelle la cortisone. Les corticostéroïdes sont importants pour le métabolisme du corps parce qu’ils l’aident à transformer les aliments que ingérés en énergie dont l’enfant a besoin pour être actif. </p> <p>Les corticostéroïdes sont également des médicaments très puissants. Ils contribuent à contrôler ou à éliminer rapidement l’inflammation en agissant sur le système immunitaire. </p> <p>Les corticostéroïdes agissent beaucoup plus vite que les AINS qui sont plus lents à agir. Les corticostéroïdes peuvent soulager les symptômes en aussi peu que 48 heures.</p><h2>À retenir</h2> <ul><li>Les corticostéroïdes soulagent rapidement les symptômes de l’AIJ. En effet, ils prennent 48 heures ou moins pour agir.</li> <li>On les emploie rarement chez les jeunes en raison de leurs nombreux effets secondaires.</li> <li>Il ne faut jamais arrêter d’en prendre soudainement.</li></ul>

 

 

Corticosteroids for JIA1070.00000000000Corticosteroids for JIACorticosteroids for JIACEnglishRheumatologyChild (0-12 years);Teen (13-18 years)BodySkeletal systemDrug treatmentAdult (19+)NA2017-01-31T05:00:00ZJennifer Stinson RN-EC, PhD, CPNPLori Tucker, MDAdam Huber, MSc, MD, FRCPCMichael Rapoff, PhDShirley Tse, MD, FRCPCLynn Spiegel, MD, FRCPC8.0000000000000059.0000000000000856.000000000000Flat ContentHealth A-Z<p>This page describes the use of corticosteroids in the treatment of arthritis. It explains how corticosteroids work and what their common side effects, are, and lists the different corticosteroids available to treat arthritis.</p><p>Corticosteroids are very powerful medicines. They help to control or turn off inflammation quickly. They do this by acting on the immune system. Corticosteroids work much faster than the slower acting NSAIDs. Corticosteroids can improve JIA symptoms in as little as 48 hours.</p><h2>Key points</h2> <ul><li>Corticosteroids work quickly to improve JIA symptoms in as little as 48 hours.</li> <li>Corticosteroids are not commonly used in young people with JIA because of the numerous side effects.</li> <li>Corticosteroid use should never be stopped suddenly.</li></ul><h2>What are corticosteroids?</h2><p>Corticosteroids are often called steroids. However, the word steroid can be confusing. Corticosteroids are very different from the steroids some athletes take to do better in their sport.</p><p>Corticosteroids are hormones produced naturally by the body. One corticosteroid in the body is called cortisone. Corticosteroids are important for body metabolism. This means they help the body convert the food we eat into the energy we need to do things.</p><p>Corticosteroids work much faster than the slower acting NSAIDs. Corticosteroids can improve JIA symptoms in as little as 48 hours.</p><h2>What are the side effects of corticosteroids?</h2><p>Corticosteroids may have more side effects than NSAIDs. They can affect almost every type of tissue and organ in the body. Corticosteroids are not commonly used in young people with JIA. If your child needs to take corticosteroids, their doctor will use the smallest dose for the shortest period of time.</p><p>Corticosteroids may be used for:</p><ul><li>children and teenagers with severe JIA who need treatment while waiting for other medications to start to work</li><li>children and teenagers with systemic JIA</li><li>rarely in children and teenagers where other medications have not worked.</li></ul><h2>Types of corticosteroids</h2><p>The following are corticosteroids commonly used to treat JIA. Two of these are given orally, and one is given by IV. Prednisone is the most commonly used oral corticosteroid in the treatment of JIA.</p><table class="akh-table"><thead><tr><th>Generic name</th><th>Most common brand name</th><th>How it is given</th><th>How the medication comes</th><th></th></tr></thead><tbody><tr><td>Prednisone</td><td>Prednisone</td><td>By mouth, one to three times daily</td><td>Liquid or pill</td><td rowspan="3"><h3>Early Side Effects:</h3><ul><li>Increased appetite</li><li>Stomach ache or burning, nausea</li><li>Trouble sleeping, mood changes</li></ul><h3>Late Side Effects:</h3><ul><li>Weight gain, puffy face, acne, increased body hair and stretch marks</li><li>Stomach ache or burning, nausea</li><li>Trouble sleeping, mood changes</li><li>Changes in menstrual pattern</li><li>May reduce the activity of the immune system and you may see more frequent infections</li><li>Fluid retention/swollen feet and/or ankles</li><li>High blood pressure</li><li>Cataract formation</li><li>High blood sugar (increased thirst frequent urination)<br></li><li>Reduced blood flow to bone causing bone softening (avascular necrosis)</li><li>Osteoporosis (fractures, back or rib pain)</li></ul></td></tr><tr><td>Prednisolone</td><td>Pediapred</td><td>By mouth, one to three times daily</td><td>Liquid</td></tr><tr><td>Methyl-prednisolone</td><td>Solu-Medrol</td><td>Intravenously</td><td>Injectable</td></tr></tbody></table><h2>Important safety points about taking corticosteroids</h2><ul><li>Stomach upset can frequently be avoided by taking the medication with food. If you continue to have stomach aches with this medication, your doctor may prescribe a medication to help protect your stomach. One of the rare side effects of corticosteroids is stomach ulcers. Signs of an ulcer may include vomiting blood or passing a bloody or black stool. If this occurs, you should see your doctor immediately.</li><li>If you have a fever, chills, or other symptoms of infection, see your doctor as soon as possible.</li><li>You should not take live vaccines (MMR, varicella) while taking steroids.</li><li>If you have not had chicken pox and are exposed to someone who has chicken pox, contact your doctor as soon as possible.</li><li>When you take a corticosteroid medication for a prolonged period of time (more than three months), you should wear a Medic-Alert bracelet or necklace (see www.medicalert.ca). If you are in an accident or need surgery, the emergency medical personnel will know that you need extra medication. Your body needs extra cortisone during these times.</li></ul><p>It is important to speak to your doctor about the side effects of corticosteroids. You may not like taking corticosteroid medication because of its side effects. In fact, you may feel like stopping it. However, corticosteroids should never be stopped suddenly. They should be gradually reduced according to your doctor’s instructions. This allows your body to start producing its own corticosteroids again. Stopping corticosteroids too quickly can lead to serious side effects. Remember, talk to your doctor or nurse about any concerns you might have about taking corticosteroids.</p><h2>Tips for managing side effects of oral corticosteroids</h2><p>It is hard to take a medication that can change the way you look. The changes will depend on how much corticosteroid you need to get better. If your face gets rounder, remember that this will go away when your dose is lowered. The toughest part for most teenagers is the increased appetite. Here are a few tips for managing the side effects of corticosteroids.</p><ul><li>Take your corticosteroids with food. Try taking your pills with breakfast, lunch or dinner. If you need to take your medications at school, carry a small snack with you.</li><li>Eating right and staying active will help to minimize side effects such as weight gain, osteoporosis, increased cholesterol, and changes in blood pressure. Your rheumatology health care team can help to review your diet. They may suggest avoiding too many salty, fatty and sugary foods.</li><li>Corticosteroids can make your bones weaker. You can help reduce this by taking in enough calcium and vitamin D in your diet along with staying active. You may need to take vitamin supplements. Talk with your doctor or nurse about how much you should take.</li><li>To minimize acne, wash regularly with soap and water. If that does not help, speak to your doctor about other lotions that help to control acne caused by corticosteroids.</li><li>To help with stretch marks, try to maintain a healthy diet. Avoid excessive sun exposure to the stretch mark or use sun protection. Apply vitamin E to the stretch mark.</li></ul>Corticosteroids for JIA

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