Corticosteroids

  • Corticosteroids are a class of steroid hormones produced in the adrenal cortex or synthesized for medical use.
  • They play essential roles in a wide range of physiological processes, including immune response modulation, inflammation reduction, and maintenance of homeostasis.
  • Medically, corticosteroids are used to treat various conditions such as autoimmune diseases, allergic reactions, asthma, and inflammatory disorders.

Classification of Corticosteroids

Classification of Corticosteroids

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  1. Short-Acting Glucocorticoids

    • Examples: Cortisone, Hydrocortisone
    • Mechanism: Decreases inflammation and reduces immune system activity.
    • Uses: Treats adrenal insufficiency, rheumatoid arthritis, lupus, asthma, allergies, and other inflammatory conditions.
    • Side Effects: Weight gain, glucose intolerance, hypertension, mood swings, thinning of the skin.
  2. Intermediate-Acting Glucocorticoids

    • Example: Prednisolone
    • Mechanism: Decreases inflammation and reduces immune system activity.
    • Uses: Treats rheumatoid arthritis, lupus, severe psoriasis, severe asthma, ulcerative colitis, and Crohn’s disease.
    • Side Effects: Weight gain, glucose intolerance, hypertension, mood swings, thinning of the skin.
  3. Long-Acting Glucocorticoids

    • Examples: Betamethasone, Dexamethasone
    • Mechanism: Decreases inflammation and reduces immune system activity.
    • Uses: Used in high doses to treat severe allergic reactions, inflammation, multiple sclerosis, lupus, and certain types of arthritis.
    • Side Effects: Osteoporosis, weight gain, glucose intolerance, hypertension, mood swings, thinning of the skin, cataracts.
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Summary of Corticosteroids

Classification Example Primary Action Uses Common Side Effects
Short-Acting Glucocorticoids Cortisone, Hydrocortisone Reduces inflammation, suppresses immune response Adrenal insufficiency, rheumatoid arthritis, asthma, allergies Weight gain, glucose intolerance, hypertension, mood swings
Intermediate-Acting Glucocorticoids Prednisolone Reduces inflammation, suppresses immune response Rheumatoid arthritis, lupus, asthma, psoriasis, colitis Weight gain, glucose intolerance, hypertension, mood swings
Long-Acting Glucocorticoids Betamethasone, Dexamethasone Reduces inflammation, suppresses immune response Severe allergies, multiple sclerosis, arthritis, lupus Osteoporosis, weight gain, glucose intolerance, cataracts

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