Prevention and management of glucocorticoid-induced side effects: A comprehensive review : A review of glucocorticoid pharmacology and bone health - 18/04/17
Abstract |
Systemic glucocorticoids are an essential therapy for a range of conditions, but their multiple side effects can produce significant morbidity for patients. The objective of this review is to discuss these side effects while addressing 3 questions: 1) What dose and duration of glucocorticoid therapy should prompt concern for individual side effects?; 2) How should clinicians counsel patients about these complications?; and 3) How can these problems be prevented or managed? To accomplish these objectives, we have created a series of tables and algorithms based on a review of relevant data to guide counseling, prophylaxis, and management of 11 glucocorticoid side effects. The first article in this 4-part continuing medical education series begins with a review of glucocorticoid pharmacology followed by a discussion of bone health (ie, osteoporosis and osteonecrosis).
Le texte complet de cet article est disponible en PDF.Key words : glucocorticoids, medication monitoring, osteonecrosis, osteoporosis, pharmacology, side effects, steroids
Plan
Funding sources: None. |
|
Conflicts of interest: None declared. |
|
Please note that infectious and other complications of steroid use will be discussed in the third and fourth installments of this Continuing Medical Education feature in the February 2017 issue of the JAAD. |
|
Date of release: January 2017 |
|
Expiration date: January 2020 |
Vol 76 - N° 1
P. 1-9 - janvier 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?