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Symptoms of osteoporosis can include: bone fractures severe back pain kyphosis (hunching of the upper back) loss of height. Managing the side effects of corticosteroids. Suggestions to manage the side effects of cortisol treatment include: Reduce the daily dose under strict medical supervision. Seek immediate treatment for any infection. Use vitamin D and calcium supplements. Use other medications and do weight-bearing exercise to maintain bone strength. Disruption of the workings of the pituitary and adrenal glands may occur where long periods of high-dose corticosteroids have severely decreased the body’s natural cortisol production. When a person stops taking high-dose corticosteroids, they may experience cortisol insufficiency. Symptoms of cortisol insufficiency can include: fatigue nausea and vomiting low blood pressure, particularly when standing up from a sitting or lying position (orthostatic hypotension) low blood sugar shock coma. High levels of cortisol and Cushing’s syndrome. Cushing’s syndrome is characterised by high levels of the hormone cortisol. Another name for Cushing’s syndrome is hypercortisolism. Some people develop Cushing’s syndrome symptoms when they take high levels of oral corticosteroid medication to treat inflammatory conditions such as asthma, lupus or rheumatoid arthritis. Other causes include tumours of the pituitary and adrenal glands, and tumours in other areas of the body. In these cases the body itself is producing too much cortisol. Symptoms of Cushing’s syndrome may include: weight gain in the face, abdomen and chest wasting of the limbs a fatty hump between the shoulders flushed face high blood pressure skin changes ‘ such as thin skin, easily bruised, slow healing and ulcers mood swings weakened bones irregular (or absence of) periods. For more information visit Better Health Channel’s Cushing’s syndrome fact sheet. Where to get help. Patient information on prednisolone and prednisone , 2014, Australian Rheumatology Association, arimidex 1 mg antiestrogens arimidex. Cushing syndrome , 2013, MedlinePlus, US National Library of Medicine. Cushing syndrome , 2016, Mayo Clinic, USA. What does cortisol do? Prednisone and other corticosteroids , 2015, Mayo Clinic, USA. This page has been produced in consultation with and approved by: Corticosteroid pills. It has a pronounced anti-inflammatory and anti-allergic feat, has anti-shock and immunosuppressive activity.
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