Corticosteroids for JIACCorticosteroids for JIACorticosteroids for JIAEnglishRheumatologyChild (0-12 years);Teen (13-18 years)BodySkeletal systemDrug treatmentAdult (19+)NA2017-01-31T05:00:00Z8.3000000000000057.20000000000001030.00000000000Flat ContentHealth A-Z<p>Discover how corticosteroids work and what their common side effects are. There are different corticosteroids available to treat arthritis, available in different forms including pill, liquid, and injectable.</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+)NA2017-01-31T05:00:00Z8.0000000000000059.00000000000000Flat 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+)NA2017-01-31T05:00:00Z8.3000000000000057.20000000000001030.00000000000Flat ContentHealth A-Z<p>Discover how corticosteroids work and what their common side effects are. There are different corticosteroids available to treat arthritis, available in different forms including pill, liquid, and injectable.</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 your child continues to have stomach aches with this medication, their doctor may prescribe a medication to help protect their 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, your child should see their doctor immediately.</li><li>If your child has a fever, chills, or other symptoms of infection, see your doctor as soon as possible.</li><li>Your child should not take live vaccines (MMR, varicella) while taking steroids.</li><li>If your child has not had chicken pox and is exposed to someone who has chicken pox, contact your child's doctor as soon as possible.</li><li>If your child takes a corticosteroid medication for a prolonged period of time (more than three months), they should wear a Medic-Alert bracelet or necklace (see <a href="https://www.medicalert.ca/">www.medicalert.ca</a>). If your child is in an accident or needs surgery, the emergency medical personnel will know that your child needs extra medication. Your child's body needs extra cortisone during these times.</li></ul><p>It is important to speak to your child's doctor about the side effects of corticosteroids. Your child may not like taking corticosteroid medication because of its side effects. In fact, they may feel like stopping it. However, corticosteroids should never be stopped suddenly. They should be gradually reduced according to the doctor’s instructions. This allows the body to start producing its own corticosteroids again. Stopping corticosteroids too quickly can lead to serious side effects. Remember, talk to your child's doctor or nurse about any concerns you and your child 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 your child needs to get better. If your child's face gets rounder, remind them that this will go away when their 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 the corticosteroids with food. Try taking pills with breakfast, lunch or dinner. If your child needs to take their medications at school, have them carry a small snack with them.</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. The rheumatology health care team can help to review your child's diet. They may suggest avoiding too many salty, fatty and sugary foods.</li><li>Corticosteroids can make bones weaker. Your child can help reduce this by taking in enough calcium and vitamin D in their diet along with staying active. They may need to take vitamin supplements. Talk with your child's doctor or nurse about how much your child should take.</li><li>To minimize acne, have your child wash regularly with soap and water. If that does not help, speak to your child's 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 extra sun protection. Apply vitamin E to the stretch mark.</li></ul>Corticosteroids for JIAFalse