Can cause sodium and fluid retention. Potassium and calcium depletion. Muscle wasting
weakness
osteoporosis. GI disturbances and bleeding. Increased appetite and delayed wound healing. Bruising
striae
hirsutism
acne
flushing. Raised intracranial pressure
headache
depression
psychosis
menstrual irregularities. Hyperglycaemia
glycosuria
DM
obesity
moon-face
buffalo hump. Suppression of pituitary-adrenocortical system. Growth retardation in childn (prolonged therapy). Increased susceptibility for infection. Topical use: Dermal atrophy
local irritation
folliculitis
hypertrichosis. Inhaled corticosteroids: May cause hoarseness
candidiasis of mouth and throat. Topical application to the eye: Can produce corneal ulcers
raised IOP and reduced visual function. Intralesional injection: Local hypopigmentation of deeply pigmented skin. Intra-articular injection: Joint damage
fibrosis esp in load bearing joints.
Potentially Fatal: Abrupt withdrawal leading to acute adrenal insufficiency. Rapid IV Inj may cause CV collapse.