Treatment of steroid induced osteoporosis

Pulse therapy involves taking high doses of glucocorticoids over a short period of time. This approach is typically used to treat acute flares, as well as a “bridge” therapy until DMARD treatment reaches full effect. Typically, pulse therapy is given as a high-dose IV infusion, for instance IV methylprednisolone 1000 mg daily for 3 consecutive days once per month. Lower doses may also be used. Although, IV infusion is the preferred route of administration for pulse therapy, steroids may also be given orally or by intramuscular injection. Patients who receive steroid pulse therapy alone may have a response that lasts 6 to 8 weeks. If given in combination with DMARD treatment, responses can last much longer. 1

Conditions like prednisone psychosis or steroid psychosis can also occur. These are interchangeable terms that refer to a rather rare development among patients on high doses of these steroids who begin to display symptoms of psychosis, including anxiety, distractibility, pressured speech, sensory flooding, insomnia, depression, agitation, hallucinations, intermittent memory impairment, disturbances in body image, delusions, apathy and hypomania. Fortunately, this is a treatable condition and not likely to cause any long-term problems.

  • Steroid Stacking
  • Steroid Stacks
  • Novice Steroid Cycles I
  • Novice Steroid Cycles II
  • Intermediate Steroid Cycles I
  • Intermediate Steroid Cycles II
  • Intermediate Steroid Cycles III
  • Advanced Steroid Cycles I
  • Advanced Steroid Cycles II
  • Anabolic Steroid Cycles
  • Beginner Steroid Cycles
  • Advanced Athletic Cycle
  • Athletic Beach Body
  • Advanced Cycle
  • Athletic Cycle
  • Cycle & Stack Additions
  • Female Intermediate Cycle
  • Female Novice Cycle
  • Intermediate Bulking Cycle
  • Intermediate Cycle Transformation
  • Intermediate Cutting Cycle
  • Novice Bulking
  • Novice Cutting
  • Post Cycle Therapy
  • Testosterone Cycle

This is a rare complication that may occur if a small hole is made in the fibrous sac and does not close up after the needle puncture. These small holes are only made in less than 1% of epidural injections and usually heal on their own. The spinal fluid inside can leak out, and when severe, the brain loses the cushioning effect of the fluid, which causes a severe headache when you sit or stand. These types of headaches occur typically about 2-3 days after the procedure and are positional - they come on when you sit or stand and go away when you lie down. If you do develop a spinal headache, it is OK to treat yourself. As long as you do not feel ill and have no fever and the headache goes away when you lay down, you may treat yourself with 24 hours of bed rest with bathroom privileges while drinking plenty of fluids. This almost always works. If it does not, contact the radiologist who performed the procedure or your referring physician. A procedure (called an epidural blood patch) can be performed in the hospital that has a very high success rate in treating spinal headaches.  

Treatment of steroid induced osteoporosis

treatment of steroid induced osteoporosis

This is a rare complication that may occur if a small hole is made in the fibrous sac and does not close up after the needle puncture. These small holes are only made in less than 1% of epidural injections and usually heal on their own. The spinal fluid inside can leak out, and when severe, the brain loses the cushioning effect of the fluid, which causes a severe headache when you sit or stand. These types of headaches occur typically about 2-3 days after the procedure and are positional - they come on when you sit or stand and go away when you lie down. If you do develop a spinal headache, it is OK to treat yourself. As long as you do not feel ill and have no fever and the headache goes away when you lay down, you may treat yourself with 24 hours of bed rest with bathroom privileges while drinking plenty of fluids. This almost always works. If it does not, contact the radiologist who performed the procedure or your referring physician. A procedure (called an epidural blood patch) can be performed in the hospital that has a very high success rate in treating spinal headaches.  

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