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Cortisone Treatment (Corticosteroid)

About the Treatment Method

Cortisone (Corticosteroid) treatment is the use of synthetic (drug) versions of the cortisol hormone produced by the body itself; in the treatment of severe rheumatic diseases, severe allergic reactions, asthma attacks, and autoimmune (where the immune system attacks itself) diseases. Cortisone, which is one of the strongest inflammation-suppressing and edema-resolving weapons in medicine, can be a life-saving miracle, but it has side effects that must be carefully managed in its long-term use.

Cortisone Use and Side Effect Management

Scientific facts about cortisone, which is highly feared among the public.
Why does cortisone puff people up (make them gain weight)?

Cortisone drugs cause the kidneys to retain sodium (salt). Because salt also retains water in the body, swelling (especially a "moon face" appearance) caused by "edema" occurs in the person. In addition, because it seriously increases appetite, the patient eats more. For this reason, it is mandatory to follow a "Salt-free, Sugar-free, and Carbohydrate-free" diet while using cortisone.

Does cortisone cause osteoporosis?

Yes, in very high doses and in uses lasting for months (long-term), it can disrupt calcium absorption in the bones and lead to osteoporosis (bone loss). Because doctors know this risk, they usually give calcium and vitamin D supplements to patients receiving long-term cortisone.

What happens if cortisone is stopped suddenly?

When cortisone is taken from the outside for a long time, the body (adrenal glands) stops its own production, thinking "it's coming ready-made anyway". If you stop the drug suddenly, the body will suddenly be left without hormones and go into shock. Cortisone must absolutely be stopped gradually (by reducing the dose) according to the schedule determined by the doctor.

Is the cortisone in asthma inhalers also dangerous?

No. The cortisone in sprays used for asthma or allergic rhinitis is "local" (only going to the airway) cortisone. Its rate of mixing into the blood and the whole body is at the level of one in a million; therefore, it does not cause weight gain or systemic side effects like pill or injection forms.

The information on this page is for general health advice. Please consult specialized physicians for personalized treatment or advice.


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