Which two major classes of corticosteroids include prednisone and fludrocortisone?
Glucocorticoids include hydrocortisone and prednisone; mineralocorticoids include aldosterone and fludrocortisone.
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Which two major classes of corticosteroids include prednisone and fludrocortisone?
Glucocorticoids include hydrocortisone and prednisone; mineralocorticoids include aldosterone and fludrocortisone.
What are the main effects of glucocorticoids?
They reduce inflammation and immune activity.
How do mineralocorticoids affect sodium, water, and potassium?
They promote sodium and water retention and increase potassium excretion.
What makes hydrocortisone notable among corticosteroids?
Hydrocortisone has both glucocorticoid and mineralocorticoid effects.
What is a common therapeutic use of systemic glucocorticoids?
They are used to treat inflammatory or autoimmune diseases through their anti-inflammatory and immunosuppressive effects.
When may glucocorticoids be used as hormone replacement?
They can replace cortisol when the body does not produce enough.
Which metabolic, immune, and bone risks can prolonged glucocorticoid use cause?
Prolonged use can cause hyperglycemia, increased infection risk, and osteoporosis.
What can prolonged glucocorticoid exposure do to the HPA axis?
Prolonged exposure can suppress the hypothalamic-pituitary-adrenal (HPA) axis and the body's own cortisol production.
Why can abruptly stopping long-term glucocorticoids be dangerous?
The adrenal glands may not produce enough cortisol immediately, raising the risk of adrenal insufficiency or, in severe cases, adrenal crisis.
How should long-term glucocorticoid treatment generally be stopped?
Taper under the prescribing clinician's direction when long-term therapy is no longer needed; the taper is generally slower near a physiologic dose.
Do short glucocorticoid courses generally need tapering to prevent HPA-axis suppression?
Short courses of less than 3–4 weeks generally do not require tapering to prevent HPA-axis suppression; treatment plans should still be individualized.
What medication replaces mineralocorticoid activity in primary adrenal insufficiency with aldosterone deficiency?
Fludrocortisone provides mineralocorticoid replacement when aldosterone is deficient in primary adrenal insufficiency.
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