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Corticosteroids can produce reversible hypothalamic-pituitary adrenalHPAaxis suppression with potential for glucocorticosteroid insufficiency after withdrawal of treatmentadrenocortical insufficiency may result from too rapid withdrawalmay be minimized by gradual reduction of dosagerelative insufficiency may persist for months after discontinuation of therapythereforein any situation of stress occurring during that periodreinstitute hormone therapyif patient is receiving steroids alreadymay increase dosage.

If exposed to chickenpoxprophylaxis with varicella zoster immune globulinVZIGmay be indicatedif exposed to measlesprophylaxis with immune globulinIGmay be indicatedif chickenpox developstreatment with antiviral agents should be considered.

Before using this medicationtell your doctor or pharmacist your medical historyespecially ofinfectionse.gtuberculosisherpesfungal infectionskidney diseaseliver diseasemental/mood conditionse.gpsychosisanxietydepressionlow blood mineralse.glow potassium/calciumthyroid diseasestomach/intestinal problemse.gulcerulcerative colitisdiverticulitisunexplained diarrheahigh blood pressureheart problemse.gcongestive heart failurerecent heart attackdiabeteseye diseasese.gcataractsglaucomaherpes infection of the eyebrittle bonesosteoporosishistory of blood clots.

IMPORTANTAll patients taking steroid drugs for more than a few days should carrysteroid treatmentcardswhich are available from your pharmacistThese cards carry details of your medicine and your doctor.

Kaposi’s sarcoma has been reported to occur in patients receiving corticosteroid therapymost often for chronic conditionsDiscontinuation of corticosteroids may result in clinical improvement.

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