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Steroids taken for a long time can also cause your muscles to become weaker, and they might occasionally affect periods in women. Carrying a steroid card. If you’re taking high doses of steroids, or if you’re on them for more than three weeks, you’ll need to carry a steroid card. This will have information on your dose and how long you’ve been taking them for. Your doctor, rheumatology nurse or pharmacist should give you a steroid card if you need one. Make sure any change to your dose of steroid is updated on the card. Steroid treatment can stop the body producing natural hormones, which can be dangerous if you get ill, have an accident or need an operation. Keeping the card with you will help any other doctor who treats you to manage your care correctly. If you have any questions or concerns about this, talk to the healthcare professional who prescribed your steroids. Steroid creams and eye drops don’t usually cause serious side effects, but if you take them for a long time or at a high dose, the medication could be absorbed into your blood and increase the risk of side effects that normally only occur with steroid tablets. Steroids can sometimes affect diabetes, high blood pressure or epilepsy, so you’ll have your blood pressure and blood sugar levels checked from time to time. The person treating you might change the dose of your medications if needed. Steroids can sometimes cause diabetes or raised blood sugar in people who haven’t previously had this condition. Steroids can affect the eyes, for example by making glaucoma worse or causing cataracts, steroids muscle gain per month. They can also cause a problem with your eyes known as serous chorioretinopathy (see-russ core-ee-oh-ret-in-op-ath-ee), which happens when fluid collects in part of the eye. If you notice any changes in your eyesight, such as your vision becoming blurry, be sure to let your doctor know as soon as possible. Sometimes steroids can cause another condition known as Cushing’s syndrome. This can cause thinning of the skin, stretch marks, and the face to become rounder, but it usually clears up once steroids are stopped. In children and teenagers, steroids can sometimes cause growth to slow down, so they’ll need to have their height checked regularly. If growth is slowed, they might be referred to a specialist doctor for advice. Because steroids can cause you to put on weight or have an increased appetite, it’s important to keep an eye on your weight while taking them. Making sensible food choices and including some physical activity in your daily routine should help you avoid putting on weight. Steroids can weaken bones, which can lead to a condition known as osteoporosis. This condition makes it more likely that you’ll fracture your bones, sometimes after very minor falls or bumps. Your doctor may advise you to take drugs called bisphosphonates, or calcium and vitamin D supplements, along with the steroids to help prevent this.
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