Skip to content

Systemic Vasculitis Side effects of steroids and other systemic vasculitis medication

  • by

Systemic Vasculitis Side effects of steroids and other systemic vasculitis medication

Your medical team will give you advice about how and when to take your steroid medication. Steroids can increase your blood pressure (hypertension), which can lead to headaches and dizziness. You should have regular blood pressure checks while you are taking steroids – ask your medical team for advice.

  • Nonetheless, it can be unsettling to experience changes in mood.
  • A short course of steroid tablets (oral corticosteroids) may occasionally be needed for more severe cases of urticaria.
  • It’s worth remembering that these side effects can often go or improve after two to three weeks of taking the medicine.
  • This is perhaps to be expected as topical steroid withdrawal reactions may be under-recognised.

If your child ever needs to go to hospital due to illness or an accident, it’s important that doctors know they take steroids so they can plan treatment. It also depends on when your child starts taking steroids, what dose of steroids they’re on, and how long they need to take them. Whenever your child starts any new medicines, they should get a review appointment six to eight weeks later so the doctor can check how well they’re working. Some children may feel a bit shaky or say their heart’s beating faster than normal after using their reliever inhaler.

Dr Jonathan Bowling FRCP

Anticoagulant medicines are medications that make the blood less sticky. They’re often prescribed to people with a history of blood clots or an increased risk of developing them. If you’ve been using topical corticosteroids for a long time, it’s a good idea to ask your doctor to review your treatment.

  • You should also avoid close contact with children who have had the flu vaccine nasal spray if your immune system is severely weakened.
  • These include blood and urine tests, which are carried out regularly so any problems caused by the lupus or by drug treatment can be picked up and dealt with quickly.
  • The tendency to get PLE may go away by itself after a few years as the skin becomes more adapted to sunlight.
  • If your child has been taking prednisolone for two weeks or longer, it’s important not to stop suddenly.
  • We may also be able to prescribe topical steroid creams and lotions, which contain hydrocortisone or stronger steroids, although not all rashes will respond to this treatment.

Instead of waiting days for the unsightly red rash to disappear, employ these dermatologist-approved hacks. The symptoms usually develop early in the course of treatment (within the first few weeks after initiation). On some rare occasions, toxic epidermal necrolysis (TEN), vasculitis, Steven-Johnson Syndrome and drug rash with eosinophilia and systemic symptoms (DRESS) can occur.

Non-urgent advice:

You should carry these with you for all the time you are on steroids and for some time after completing treatment with them – this is usually 12 months, but seek advice from your medical team. Of 142 social media blogs on topical steroid withdrawal reactions, 26 were blogs discussing children, the majority of these (18) were from the USA, with 4 being from the UK. The authors’ literature search yielded no studies on or reporting classic topical steroid withdrawal reactions in children. However, periorificial dermatitis, which is generally a steroid-induced disorder in children, was reported in more than 320 cases.

Why has my child been given montelukast tablets or granules as well as their preventer inhaler?

You might need to avoid contraceptive pills containing oestrogen as there is a very small risk that they can cause blood clots, known as deep vein thrombosis (DVT). These blood clots can be dangerous if they break off and travel around the body, such as to the lungs. If you do smoke, giving up can be one of the most important things you do to reduce the risk of the more serious complications of lupus.

How long does it take to get over steroid withdrawal?

Around a quarter of people with acute urticaria and half of people with chronic urticaria also develop angioedema, which is a deeper swelling of tissues. If you have persistent urticaria, you may be referred to a skin specialist (dermatologist). Treatment usually involves medication to relieve the symptoms, while identifying and avoiding potential triggers.

Main body location

ACE inhibitors that are often used to treat high blood pressure (hypertension) can be linked to deeper swellings of angioedema. About a third to half of all chronic cases of urticaria are thought to be autoimmune related. Anticonvulsants are medicines used to prevent seizures (fits).

In contrast, steroids, hydroxychloroquine and azathioprine are safe to take during pregnancy. If you want to try a complementary or alternative treatment, it’s important to talk to your doctor first. Meeting others with lupus doesn’t necessarily remove these challenges but it can help you to cope with them by sharing your thoughts and concerns with someone who understands.

Rash: Self-help guide

The change in metabolism can also temporarily affect your body’s storage of fat. It might build up in your face, giving your face a more rounded or puffy appearance. Steroids can affect the speed at which your body breaks down food to get energy from it (your metabolism). This can increase your hunger levels, leading you to eat more and to gain weight.

Don’t have immunisations with live vaccines while you’re having treatment and for up to 12 months afterwards. Ask your doctor or pharmacist how long you should avoid live vaccinations. There is evidence that steroid drugs may come through into your breast milk. You can make a decision together based on the benefits to you and the possible risks to your baby.