Steroids are a strong and effective treatment for the condition from which you are suffering.

The steroids which you are taking are similar to a natural substance, cortisol, which is prouced by the adrenal gland and has the effect of reducing inflammation and coping with stress. You are not taking sex hormones, nor the sort of steroids used by athletes to increase the size of their muscles.

In considering whether to prescribe steroids, we have decided that the benefits outweigh the risks.

The risks depend on how long you take steroids, and what dose you require. Side effects are rare in courses lasting only a week or two.

A greater risk of stomach ulcers

A greater risk of picking up infections.

A greater risk of thinning of the bones (osteoporosis).

Weight gain

The skin may get thinner and bruise more easily.

A slightly greater risk of high blood pressure and diabetes.

It can be dangerous to stop steroids suddenly, and you may need to increase the dose to cope with stressful situations such as severe infections or surgical operations. (Please discuss this your doctor first).

Carry a Steroid Card (which you can obtain from your Chemist

Keep as active as possible: exercise strengthens the bones.

Keep to a sensible diet.Less sugar, fat and alcohol. More protein. Plenty of fibre

Beware of any medication that could cause indigestion, such as aspirin or ibuprofen.

Tell your doctor if you develop indigestion, or any signs of bleeding from the stomach or bowel. Also report any significant infections, or if you feel generally unwell.

If you need a surgical operation (including dentistry), mention that you are on steroids.

Don't stop the treatment or alter the dosage without telling your doctor.

THESE PRECAUTIONS CAN APPLY UP TO TWO YEARS AFTER STOPPING STEROIDS.