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Corticosteroid???

I'm currently on a corticosteroid medication for my asthma. I know that it inhibits the signs and symptoms of infalammation. I was just wondering every time I take the drug I always feel heat. It's like when you drink a strong liquor. I was thinking if prednisone can actually dilate blood vessels cause i really feel like my blood pressure increases every time i take it. Also my skin reddens. I'm I experiencing some adverse effect of this drug?

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  • Anonymous
    1 decade ago
    Favorite Answer

    It depends on the dosage you are taking and the duration (how long) you will be taking it. ALWAYS take the tablets with food so that it will not cause stomach upset or burn your stomach walls..

    If you have any discomfort after consuming the tablets, please consult your doctor.. The doctors who prescribed the corticosteroid tablets always titrate the dosage to the lowest level so as not to cause too much harm to the body..

    I have consumed corticosteroid tablets (20mg-30mg) whenever i have an asthma attack coming on.

    Source(s): I am a moderate persistent asthmatic and i have consumed corticosteroids tablets to stop my asthma attacks..
  • 1 decade ago

    It sounds like you could be experiencing some reactions that are considered common, let your doctor and pharmacist know to see if it should be discontinued. I have taken it and noticed a burning sensation in my stomach. It can be very irrating to your stomach, just as advil and naproxin can be. A few weeks ago I got really sick at my stomach and my doctor thought I had developed a gastritis and told me to never take it again. Turns out my gallbladder was bad, and I am now recovering from gallbladder surgery. Just be careful when taking antiinflamitorys and let your doctor know what symptoms you are having.

  • Anonymous
    1 decade ago

    I also take this for my asthma. The pill never made me feel heat but when i take the shots they do make me feel heat..

    It could be a side-effect your having..

    Make sure you let your doctor know this and do it a.s.a.p. & good luck..

  • 1 decade ago

    They can cause high BP and it is important to visit your eye doctor to establish a baseline, one of the side effects can be glaucoma so it is very important to have routine eye exams.

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  • Anonymous
    1 decade ago

    Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex. Corticosteroids are involved in a wide range of physiologic systems such as stress response, immune response and regulation of inflammation, carbohydrate metabolism, protein catabolism, blood electrolyte levels, and behavior.

    Glucocorticoids such as cortisol control carbohydrate, fat and protein metabolism and are anti-inflammatory by preventing phospholipid release, decreasing eosinophil action and a number of other mechanisms.

    Mineralocorticoids such as aldosterone control electrolyte and water levels, mainly by promoting sodium retention in the kidney.

    Some common natural hormones are corticosterone (C21H30O4), cortisone (C21H28O5, 17-hydroxy-11-dehydrocorticosterone) and aldosterone.

    #Synthesis

    The corticosteroids are synthesized from cholesterol within the adrenal cortex. Most steroidogenic reactions are catalysed by enzymes of the cytochrome P450 family. They are located within the mitochondria and require adrenodoxin as a cofactor (except 21-hydroxylase and 17α-hydroxylase)

    Aldosterone and corticosterone share the first part of their biosynthetic pathway. The last part is either mediated by the aldosterone synthase (for aldosterone) or by the 11β-hydroxylase (for corticosterone). These enzymes are nearly identical (they share 11β-hydroxylation and 18-hydroxylation functions). But aldosterone synthase is also able to perform an 18-oxidation. Moreover, aldosterone synthase is found within the zona glomerulosa at the outer edge of the adrenal cortex; 11β-hydroxylase is found in the zona fasciculata and reticularis.

    Uses

    Synthetic drugs with corticosteroid-like effect are used in a variety of conditions, ranging from brain tumors to skin diseases. Dexamethasone and its derivatives are almost pure glucocorticoids, while prednisone and its derivatives have some mineralocorticoid action in addition to the glucocorticoid effect. Fludrocortisone (Florinef®) is a synthetic mineralocorticoid. Hydrocortisone (cortisol) is available for replacement therapy, e.g. in adrenal insufficiency and congenital adrenal hyperplasia.

    Synthetic glucocorticoids are used in the treatment of joint pain or inflammation (arthritis), temporal arteritis, dermatitis, allergic reactions, asthma, hepatitis, systemic lupus erythematosus, inflammatory bowel disease (ulcerative colitis and Crohn's disease), sarcoidosis and for glucocorticoid replacement in Addison's disease or other forms of adrenal insufficiency. Topical formulations for treatment of skin, eye diseases (uveitis) or inflammatory bowel disease are available. Corticosteroids are also used supportively to prevent nausea, often in combination with 5-HT3 antagonists (e.g. ondansetron).

    Typical undesired effects of glucocorticoids present quite uniformly as drug-induced Cushing's syndrome. Typical mineralocorticoid side effects are hypertension (abnormally high blood pressure), hypokalemia (low potassium levels in the blood), hypernatremia (high sodium levels in the blood) without causing peripheral edema, metabolic alkalosis and connective tissue weakness (Werner, 2005).

    Clinical and experimental evidence indicates that corticosteroids can cause permanent eye damage by inducing central serous retinopathy (CSR, also known as central serous chorioretinopathy, CSC). A variety of steroid medications, from anti-allergy nasal sprays (Nasonex, Flonase) to topical skin creams, to eye drops (Tobradex), to Prednisone have been implicated in the development of CSR.

    History

    Tadeusz Reichstein together with Edward Calvin Kendall and Philip Showalter Hench were awarded the Nobel Prize for Physiology and Medicine in 1950 for their work on hormones of the adrenal cortex which culminated in the isolation of cortisone.

    Corticosteroids have been used as a drug treatment for some time. Lewis Sarett of Merck & Co. was the first to synthesize cortisone, using a complicated 36-step process that started with deoxycholic acid, which was extracted from ox bile. The low efficiency of converting deoxycholic acid into cortisone led to a cost of US $200 per gram. Russell Marker, at Syntex, discovered a much cheaper and more convenient starting material, diosgenin from wild Mexican yams. His conversion of diosgenin into progesterone by a four-step process now known as Marker degradation was an important step in mass production of all steroidal hormones, including cortisone and chemicals used in hormonal contraception. In 1952, D.H. Peterson and H.C. Murray of Upjohn Co. developed a process that used Rhizopus mold to oxidize progesterone into a compound that was readily converted to cortisone. The ability to cheaply synthesize large quantities of cortisone from the diosgenin in yams resulted in a rapid drop in price to US $6 per gram, falling to $0.46 per gram by 1980. Percy Julian's research also aided progress in the field. The exact nature of cortisone's anti-inflammatory nature remained a mystery for years after however, until the leukocyte adhesion cascade and the role of phospholipase A2 in the production of prostaglandins and leukotrienes was fully understood in the early 1980s. These steroids help people with muscle problems.

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