Monday, December 26, 2022

Rheumatoid arthritis & pregnancy Advice for families

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However, it can occasionally happen if they're used at high doses and for a long time. If you have troublesome side effects, don't stop taking your medication until your doctor says it's safe to do so. A high dose of inhaled steroids can sometimes cause more serious side effects but this is rare.

In most cases asthma goes back to how it was before you were pregnant. And some women – especially those with severe asthma – may find their symptoms get worse. Because every pregnancy is unique, and everyone’s asthma is different, it’s hard to predict what will happen with your asthma when you’re pregnant. The good news is that if you continue to take your asthma medicines as prescribed, the risk from your asthma to you and your baby is very small.

This may be more common in people with a previous history of mood disturbance. If you’re worried about this, talk to the person who is prescribing your steroids about it. Steroids are taken in different ways, and the dosage may vary depending on the condition you have. The table below gives an idea of how often you might need to take steroids. You might not be able to start steroids if you have an infection, or if you have any wounds on your body, as steroids might delay these getting better or cover up some of your symptoms. This page is about steroids that can be taken as tablets, liquids, creams and eye drops and ointments.

Reactions are common and may occur in both adults and children. In adults, the frequency of severe reactions has been estimated to be 5-6%. Psychological effects have been reported on withdrawal of corticosteroids; the frequency is unknown.

Salicylates and corticosteroids should be used concurrently with caution. Patients receiving both drugs should be observed closely for adverse effects of either drug. Co-treatment with CYP3A inhibitors, including cobicistat-containing products, is expected to increase the risk of systemic side-effects. The combination should be avoided unless the benefit outweighs the increased risk of systemic corticosteroid side-effects, in which case patients should be monitored for systemic corticosteroid side-effects.

Administration of corticosteroids to pregnant animals can cause abnormalities of foetal development including cleft palate, intra-uterine growth retardation and effects on brain growth and development. There is no evidence that corticosteroids result in an increased incidence of congenital abnormalities, such as cleft palate/lip in man. However, when administered for prolonged periods or repeatedly during pregnancy, corticosteroids may increase the risk of intra-uterine growth retardation. The use of corticosteroids, including prednisolone, during pregnancy may also result in stillbirth. Hypoadrenalism may, in theory, occur in the neonate following prenatal exposure to corticosteroids but usually resolves spontaneously following birth and is rarely clinically important.

There are many different types of steroids which can be taken in different ways. The type of steroids you’ll be given will depend on how severe your Crohn’s Disease,Ulcerative ColitisorMicroscopic Colitisis, and where it is in your gut. I received a steroid injection straight after delivery too - so get my adrenalin working i think, although i could be wrong - its all a blur now. There is no specific reason why having RA should affect your ability to breastfeed should you wish to.

Caution is required in patients with systemic sclerosis because of an increased incidence of scleroderma renal crisis with hypertension and decreased urinary output observed with a daily dose of 15 mg or more prednisolone. Blood pressure and renal function (s-creatinine) should therefore be routinely checked. When renal crisis is suspected, blood pressure should be carefully controlled. Calciphylaxis may occur very rarely during treatment with corticosteroids (see section 4.8). Patients/carers should be advised to seek medical advice if symptoms develop. If you are given steroids and are more than 35 weeks pregnant there is a chance that your baby may have low blood sugar levels after they are born.

Steroids are often taken alongside other medicines used to treat Crohn’s or Colitis, and your IBD team will consider all of your medicines when prescribing steroids. However, there are some medicines that can interact with steroids – so you should talk to your doctor or pharmacist if you’re taking, or plan to take any other medicines. This includes over the counter medicines or any herbal, complementary or alternative medicines or treatments.

Taking steroids can weaken your bones, so you may be given vitamin D and calcium supplements to help keep them strong. Your doctor will assess your risk of bone fractures and, if you’re considered to be at a high risk, you may have a bone density scan . You may also be given another type of drug called a bisphosphonate to help keep your bones strong. If you’re pregnant, or wanting to become pregnant, speak to your doctor before starting bisphosphonate treatment as it may not be suitable for you.

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