In the skin diseases, the use of steroids has obvious curative effect; but there are both positive and negative sides, do not ignore the side effects of steroids, medication can be more peace of mind.
“Steroid” is commonly known as the American Emerald. It has a fairly obvious effect in clinical use. However, all things have advantages and disadvantages. Steroids produce strong effects and must have the same degree of side effects. In Taiwan, due to improper use of steroids, it often causes some serious side effects, and the media has contributed to the public’s use of steroids.
In the past, doctors often had to pay a lot of money to explain to patients that excessive use of steroids had side effects. Nowadays, patients are worried that steroids are not good for their health, and they hope that doctors should not prescribe steroids. What exactly is steroid? What are the skin-related diseases that steroids are used to treat? What are the side effects of improper use? People need to pay attention to how to use steroids? In this paper, we will provide some correct use concepts for the treatment of dermatology.
Steroids have strong and weak effects
The full name of the steroid, “adrenal corticosteroids,” is a synthetic hormone similar to cortisol secreted by the adrenal cortex in the human body. Cortisol plays a very important role in the body, controlling the balance of sodium and water, the metabolism of fat and protein; in addition, if the body suddenly suffers from stress or injury, the amount of cortisol is increased, making the body effective. Handle.
Steroids have powerful anti-inflammatory (anti-inflammatory and analgesic), anti-allergic, analgesic effects, etc., which can quickly reduce inflammation and swelling. Under proper conditions of use, it does have a fairly good medical effect. Diseases that can be treated, including endocrine disorders, rheumatic diseases, collagen diseases, severe allergies caused by serum or drugs, eye allergies or inflammation, respiratory diseases (asthma), and various skin diseases, and the effects are good, which is It is the reason why it is called “American Essence”.
Steroids have four effects on skin diseases, including anti-inflammatory, vasoconstriction, immunosuppression, and anti-cell increase. The strength of local steroids is also related to the dosage form of the drug. Paste, ointment, lotion, gel, water and spray.
Cai Zongxian, a dermatologist at the Taipei Medical College, said that steroids are mostly topical steroids in the treatment of skin. Many skin diseases must be treated with steroids, such as skin inflammation, skin irritation, dryness, dermatitis, and herpes. , eczema, etc.
In the treatment of topical steroids, doctors will choose different medical methods according to the type of disease, severity of disease, location and area of occurrence, including drug dosage (strength), oily or creamy steroids, and drug use skills. And the frequency of wiping, and increase or decrease with the change of the disease, so that side effects are minimized.
Side effects of steroids
The use of steroids may have certain side effects, including the moon face, buffalo shoulder (Cushing’s syndrome), cataract, glaucoma, hypertension, diabetes, pancreatitis, duodenal ulcer, osteoporosis, avascular necrosis of bone, etc. Or various diseases associated with skeletal muscles, eyes, stomach, blood vessels, endocrine and metabolic systems.
In the course of dermatological treatment, possible side effects include skin atrophy, thinning, purple spots (commonly known as blood stasis), microvascular dilatation, and wounds are not easy to heal. If applied for a long time, it will cause folliculitis and acne. And so on. Cai Zongxian said that the above-mentioned side effects will only occur if steroids are improperly used. The so-called improper use includes high dosage, high strength and long-term use.
The treatment of steroids can be divided into three types: oral, injectable and topical. In general, oral steroids and injectable steroids are more likely to cause the above-mentioned serious side effects, while topical steroids are mostly used locally, so they are less Will produce the above side effects.
If steroids are used to treat skin diseases, topical steroids are the main treatment, and topical steroids can reduce the systemic effect, and because the drugs directly act on the symptoms, the dose can be reduced, basically it will not be Causes the above side effects. However, the use of steroids in the treatment of dermatological diseases does not cause side effects at all. If long-term use of large doses and large-area wiping, the above-mentioned side effects may occur.
When using steroids, not only do physicians need to pay special attention to the efficacy and safety of the drug, but patients also need to be very careful. In fact, if steroids are used correctly under the doctor’s prescription, steroids are called “Xiandan”, so generally After receiving the prescription prescribed by the doctor, the skin disease patient must use the medicine according to the frequency of the doctor’s instructions and the frequency of medication.
In general, patients who use the drug often think that the effect of mass use may be more significant. Cai Zongxian said that mass use is not effective, and this behavior is wrong. In addition, patients with long-term use of steroids should not suddenly stop taking their own drugs, because long-term use of steroids will inhibit the secretion of pituitary hormones, so the body’s own steroids will naturally decrease, if the drug is suddenly stopped, the body steroids In the event of an emergency, the body will not be able to respond, that is, the so-called “adrenal function deficiency” occurs.