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The timing and frequency of taking the tablets can also influence side effects. Fewer side effects occur if: the steroid tablets can be taken every other day, instead of each day (even if a slightly bigger dose is needed to keep the asthma under control); the daily dose is taken as a single dose in the morning. Morning is the time the body normally products its cortisone for the day; taken during or after meals. Long-term steroid tablet treatment can weaken bones. This can’t be prevented altogether, but can be reduced if: you stay as fit and active as possible; There are now some other medications that can keep the bones stronger; your doctor can discuss this with you or refer you to a specialist in the bone field. Because the body’s own natural steroid production is switched off when you take steroid tablets for a long time, it may not be able to respond quickly enough if suddenly your body needs an extra boost of steroid. So you will need to take extra doses of the steroid tablet instead. This can happen during illnesses. If you are taking long-term steroid treatment you may need extra steroid during illnesses such as bad ‘flu, operations, asthma attacks and dental work or during any important health problem. See your doctor straight away if you become ill. Your doctor may be able to help you plan ahead for certain problems. If you are vomiting or unable to swallow tablets, contact your doctor urgently. You must not be without steroid medicine, particularly if you are unwell. STOPPING LONG-TERM STEROID TREATMENT. For the same reason, it can be quite dangerous to stop long-term treatment suddenly ‘ the body can find itself seriously short of steroid. Anyone taking regular steroid tablets should wear a Medic-Alert bracelet. Then, if an accident occurs, and extra steroid is needed, the doctors will know, muscle bulking steroids. When long-term treatment is to be stopped, this must be done very gradually. The dose must be slowly reduced, often over several months. This allows the body time to start making its own cortisone again, Slow reduction will also stop unpleasant side effects, such as severe muscle aches, arthritis and depression. Slow reduction of steroid treatment must be done by your doctor, and the asthma carefully watched so it doesn’t worsen. Prednisone in Acute Asthma. One-time Dex is a reasonable choice for patients unlikely to fill a prescription. We’ve all seen that asthma patient bounce back, a few days later. I’ve usually attributed it to a tough home environment, or workplace triggers, or maybe just severe underlying disease.
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