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ARTHRITIS FOUNDATION OF VICTORIA
www.arthritisvic.org.au  ... (Copy reviewed 2005)

CORTICOSTEROIDS

Although corticosteroids reduce inflammation they are not disease modifying drugs like the other SAARDS. These medications have the ability to decrease inflammation more quickly than SAARDS. The side effects are not the same as those of SAARD medications.

PREDNISOLONE

  • Taken as a tablet
  • Dosage varies from person to person, but the aim is to keep the dose below 10mg per day.
  • May be given in high doses over a short period of time to control severe arthritis. The dose will then be adjusted by your doctor.

SIDE EFFECTS OF CORTICOSTEROIDS

Side effects of this medication tend to be less of a problem if a low dose is given. Common side effects are:

  • Fluid retention and redistribution of body fat.
  • Skin may become thinner and easily bruise.
  • Increase in blood pressure.
  • Decreased resistance to infections.
  • Bones may become brittle and weak from osteoporosis.

SPECIAL PRECAUTIONS WHILE TAKING CORTICOSTEROIDS

  • Treat any infections early.
  • Maintain a well balanced diet.
  • Maintain adequate calcium in the diet.
  • Increase exercise level.
  • Best taken in the morning.

Never stop steroids suddenly. The dosage should be decreased slowly over a number of weeks. Your doctor will advise you about this.

INJECTION OF CORTICOSTEROIDS INTO A JOINT

Joints commonly injected are fingers, toes, knees and shoulders. Most of the steroid stays in the joint and dissolves over a few days, however a small amount is absorbed into the bloodstream. This may give an added relief to other joints, lasting up to six weeks and sometimes longer. Injecting corticosteroids into a joint does not produce the side effects associated with taking steroids by mouth.

SPECIAL PRECAUTIONS WITH INJECTIONS INTO A JOINT

  • Injection must be given by an experienced doctor, either your general practitioner or specialist.
  • Usually no more than three or four injections are given into the same joint over a 12 month period.

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