Corticosteroid use in multiple sclerosis

Communicating the effectiveness, safety, and importance of ICS for asthma control and addressing concerns about their long-term use should occur at all levels of health care. It is also important for clinicians and educators to tailor their communications based on consideration of the patient’s health literacy level. As well, it is crucial to develop a heightened awareness of health disparities and cultural barriers that facilitate more effective communication with minority (ethnic or racial) or economically disadvantaged patients regarding the use of asthma medications that may improve asthma outcomes.

The most commonly reported side effects were: oral thrush , nausea , headache , and pain in the pharynx or larynx . More rarely reported side effects (occurring in <1% of patients during the clinical trial) include: tachycardia , palpitations , dry mouth , allergic reaction ( bronchospasm , dermatitis , hives ), pharyngitis , muscle spasms , tremor , dizziness , insomnia , nervousness , and hypertension . Patients experiencing an allergic reaction or increase in difficulty breathing while using this medication should immediately discontinue its use and contact their physician. [4]

Addiction to cortisone was the subject of the 1956 motion picture, Bigger Than Life , produced by and starring James Mason . Though it was a box-office flop upon its initial release, [15] many modern critics hail it as a masterpiece and brilliant indictment of contemporary attitudes towards mental illness and addiction. [16] In 1963, Jean-Luc Godard named it one of the ten best American sound films ever made. [17] John F. Kennedy needed to regularly use corticosteroids such as cortisone as a treatment for Addison's disease . [18]

The study took place in Manitoba, Canada and used the provincial administrative health claims data. The patients in the study were diagnosed between 1984 and 2010. In order to be considered an IBD patient, the patient needed to make at least five medical claims. If a patient was in the data base for less than two years, he or she only needed two claims. There were over 5,000 patients in the data base and it was roughly 50/50 ulcerative colitis to Crohn's disease. The researchers were interested in looking at, at any given time, how many steroids was a patient on. The researchers were also interested in heavy steroid use which was defined as over 3,000mg cumulative over a 12 month period and the patients outcome with respect to surgery.

Corticosteroid use in multiple sclerosis

corticosteroid use in multiple sclerosis

The study took place in Manitoba, Canada and used the provincial administrative health claims data. The patients in the study were diagnosed between 1984 and 2010. In order to be considered an IBD patient, the patient needed to make at least five medical claims. If a patient was in the data base for less than two years, he or she only needed two claims. There were over 5,000 patients in the data base and it was roughly 50/50 ulcerative colitis to Crohn's disease. The researchers were interested in looking at, at any given time, how many steroids was a patient on. The researchers were also interested in heavy steroid use which was defined as over 3,000mg cumulative over a 12 month period and the patients outcome with respect to surgery.

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