Acne is often present. Acne conglobata is a particularly severe form of acne that can develop during steroid abuse or even after the drug has been discontinued. Infections are a common side effect of steroid abuse because of needle sharing and unsanitary techniques used when injecting the drugs into the skin. These are similar risks to IV drug abusers with increased potential to acquire blood-borne infections such as hepatitis and HIV/AIDS . Skin abscesses may occur at injection sites and may spread to other organs of the body. Endocarditis or an infection of the heart valves is not uncommon.
Though they each try to get your symptoms under control, they do it by different mechanisms which when taken altogether, can work even better than by itself.
So, using the table below, a patient can generally take one medication from each column at the same time (but not more than one medication contained within a column unless directed by your doctor). For example (highlighted in BOLD ), a patient can choose to take allegra, nasonex, singulair, patanase, nasalcrom, and saline flushes all at the same time.
Steroid Nasal Spray
Anti-Histamine Nasal Spray
Cromolyn Nasal Spray
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