Antiinflammatory steroids are commonly used for many conditions ranging from asthma to sciatica, from rheumatoid arthritis to inflammatory bowel disease. They can be given in an IV or as a shot, taken orally, given as a suppository, applied topically or inhaled into the nose or lungs. Steroids aggressively decrease swelling and pain by blunting the inflammatory process. They are often used for very short periods of time, such as for one to two weeks, because longer term use increases the risk of side effects. These include diabetes, osteoporosis, stomach irritation/ulcer, depression, irritability, weight gain primarily in the trunk, moon face (see photo), adrenal gland suppression, sleep disturbance, thinning of the skin, cataracts and high blood pressure. Side effects are least likely with topical and inhaled steroids. Close medical monitoring is important with this class of medication, especially in therapy lasting longer than a couple of weeks…Richard R Samuel, MD Family Practice and Urgent Care Hayden, ID USA
