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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. 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. Regular exercise, especially things that involve your bones carrying the weight of your body, such as walking, can also help to reduce the risk of getting osteoporosis. You should also make sure you get enough calcium in your diet, and avoid smoking and drinking too much alcohol. Effects on other treatments. Steroids can be taken along with other drugs. However, some drugs can interact with steroids, so you should discuss any new medications with your doctor before starting them, and you should tell anyone else treating you what you’re taking. Don’t take over-the-counter preparations or herbal remedies without discussing them first with your doctor, rheumatology nurse or pharmacist. Some of the following drugs may interact with steroids, so let your doctor know if you’re taking any of these drugs: blood thinners or anticoagulants, such as warfarin drugs for epilepsy, such as phenytoin or carbamazepine drugs for diabetes Xofigo, a drug used to treat prostate cancer, testovorin depot 250 mg injectable steroids $38.00 testosterone enanthate. If you’re taking steroid tablets you might need to avoid live vaccines, such as yellow fever. Sometimes a live vaccine may be necessary, but if this is the case your doctor will discuss the possible risks and benefits of the vaccination with you, and it could depend on the dose of steroids you’re taking. If you’re using a steroid cream it’s fine to have vaccinations, but you’ll need to tell the person giving you the injection to avoid the area being treated with the cream.
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Prednisone may increase your risk of harmful effects from a live vaccine. Live vaccines include measles, mumps, rubella (MMR), rotavirus, yellow fever, varicella (chickenpox), one type of the typhoid vaccine and nasal flu (influenza) vaccine. Avoid drinking alcohol while you are taking prednisone. Get emergency medical help if you have any of these signs of an allergic reaction to prednisone: hives; difficult breathing; swelling of your face, lips, tongue, or throat. 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