Skip to main content

Oral Corticosteroids

  • Reference work entry
  • First Online:
Encyclopedia of Medical Immunology
  • 164 Accesses

Synonyms

Glucocorticoids; Oral steroids; Systemic corticosteroids

Definition

Corticosteroids are hormones secreted by the adrenal cortex or are synthetic analogs of these hormones. They are typically classified as glucocorticoids or mineralocorticoids. Glucocorticoids are widely used for the suppression of inflammation in patients with inflammatory, allergic, immunological disorders, all of which are associated with increased expression of inflammatory genes (Barnes 1998). They are further classified based on their potency and duration of action (Table 1). A short course (5–7 days) of oral corticosteroids may be warranted in the setting of allergies for cases of severe or intractable nasal symptoms of allergic rhinitis and nasal obstruction (Scadding et al. 2008).

Oral Corticosteroids, Table 1 Relative potencies of glucocorticoids: adapted with permission from McGraw-Hill

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 549.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 849.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Barnes PJ. Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clin Sci (Lond). 1998;94(6):557–72.

    CAS  Google Scholar 

  • Berg AL, Nilsson-Ehle P. ACTH lowers serum lipids in steroid-treated hyperlipemic patients with kidney disease. Kidney Int. 1996;50(2):538.

    PubMed  CAS  Google Scholar 

  • Brown ES, Chandler PA. Mood and cognitive changes during systemic corticosteroid therapy. Prim Care Companion J Clin Psychiatry. 2001;3(1):17.

    PubMed  PubMed Central  Google Scholar 

  • Conn HO, Poynard T. Corticosteroids and peptic ulcer: meta-analysis of adverse events during steroid therapy. J Intern Med. 1994;236:619–32.

    PubMed  CAS  Google Scholar 

  • Czock D, Keller F, Rasche M, et al. Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids. Clin Pharmacokinet. 2005;44(1):61–98.

    PubMed  CAS  Google Scholar 

  • Da Silva J, Jacobs J, Kirwan J, et al. Safety of low dose glucocorticoid treatment in rheumatoid arthritis: published evidence and prospective trial data. Ann Rheum Dis. 2006;65(3):285.

    PubMed  PubMed Central  Google Scholar 

  • Fardet L, Flahault A, Kettaneh A, et al. Corticosteroid-induced clinical adverse events: frequency, risk factors and patient’s opinion. Br J Dermatol. 2007;157(1):142.

    PubMed  CAS  Google Scholar 

  • Fardet L, Petersen I, Nazareth I. Suicidal behavior and severe neuropsychiatric disorders following glucocorticoid therapy in primary care. Am J Psychiatry. 2012;169(5):491–7.

    PubMed  Google Scholar 

  • Huscher D, Thiele K, Gromnica-Ihle E, et al. Dose-related patterns of glucocorticoid-induced side effects. Ann Rheum Dis. 2009;68(7):1119.

    PubMed  CAS  Google Scholar 

  • Karaki M, Akiyama K, Mori N. Efficacy of intranasal steroid spray (mometasone furoate) on treatment of patients with seasonal allergic rhinitis: comparison with oral corticosteroids. Auris Nasus Larynx. 2013;40(3):277–81.

    PubMed  Google Scholar 

  • Kumagai S, Kawano S, Atsumi T, et al. Vertebral fracture and bone mineral density in women receiving high dose glucocorticoids for treatment of autoimmune diseases. J Rheumatol. 2005;32(5):863.

    PubMed  CAS  Google Scholar 

  • McEvoy G. Hormones and synthetic Substitutes. Bathesda: AHFS Drug Information; 2006. p. 2975–3008.

    Google Scholar 

  • Panoulas VF, Douglas KM, Stavropoulos-Kalinoglou A, et al. Long-term exposure to medium-dose glucocorticoid therapy associates with hypertension in patients with rheumatoid arthritis. Rheumatology (Oxford). 2008;47(1):72.

    CAS  Google Scholar 

  • Piper JM, Ray WA, Daugherty JR, et al. Corticosteroid use and peptic ulcer disease: role of nonsteroidal anti-inflammatory drugs. Ann Intern Med. 1991;114(9):735.

    PubMed  CAS  Google Scholar 

  • Saag K, Koehnke R, Caldwell J, et al. Low dose long-term corticosteroid therapy in rheumatoid arthritis: an analysis of serious adverse events. Am J Med. 1994;96(2):115.

    PubMed  CAS  Google Scholar 

  • Sakuma Y, Katoh T, Owada K, et al. Initial functional status predicts infections during steroid therapy for renal diseases. Clin Nephrol. 2005;63(2):68.

    PubMed  CAS  Google Scholar 

  • Scadding G, Durham S, Mirakian R, et al. BSACI Guidelines for the management of allergic and non-allergic rhinitis. Clin Exp Allergy. 2008;38(1):19–42.

    PubMed  CAS  Google Scholar 

  • Schimmer B, Funder J. ACTH, Adrenal steroids and pharmacology of the adrenal cortex. In: Brunton L, editor. Goodman and Gillman. 12th ed. New York: McGraw Hill Education; 2011.

    Google Scholar 

  • Tripathi RC, Parapuram SK, Tripathi BJ, et al. Corticosteroids and glaucoma risk. Drugs Aging. 1999;15(6):439.

    PubMed  CAS  Google Scholar 

  • Yates C, Chang C, Kearbey J, et al. Structural determinants of P-glycoprotein-mediated transport of glucocorticoids. Pharm Res. 2003;20(11):1794–803.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Enji Nakhla .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this entry

Cite this entry

Nakhla, E., Gelot, S. (2014). Oral Corticosteroids. In: Mackay, I.R., Rose, N.R., Ledford, D.K., Lockey, R.F. (eds) Encyclopedia of Medical Immunology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9194-1_558

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-9194-1_558

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-9193-4

  • Online ISBN: 978-1-4614-9194-1

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics