The perceived heightened risk of systemic infection appears exaggerated. Chronic steroid users generally appear no more affected than the general population; studies in ARDS and sepsis revealed no greater incidence of infection post-steroid administration. Oral fungal infection is relatively common with inhaled steroids but systemic and pulmonary fungal infection is predominantly seen in the severely immunocompromised (e.g. AIDS, post-chemotherapy) and not those taking high-dose steroids alone.

The choice of corticosteroid for short-term anti-inflammatory effect is probably irrelevant provided the dose is sufficient. Chronic hydrocortisone should be avoided for anti-inflammatory use because of its mineralocorticoid effect but is appropriate for adrenal replacement.

Prednisone and cortisone are inactive until metabolised by the liver to prednisolone and hydrocortisone respectively. Glucocorticoids antagonise the effects of anticholinesterase drugs.

Steroids are probably not likely to cause critical illness myopathy though this remains a contentious issue.


Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

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