Short-term glucocorticoid-related side effects and adverse reactions: a narrative review and practical approach

Swiss Med Wkly. 2022 Jan 7:152:w30088. doi: 10.4414/smw.2022.w30088. eCollection 2022 Jan 3.

Abstract

Glucocorticoids are the mainstay treatment of a variety of inflammatory and autoimmune disorders. Unfortunately, metabolic side effects, drug interactions and adverse reactions commonly lead to glucocorticoid-related side effects, thereby compromising their intended anti-inflammatory and immunosuppressive effects. The goal of this review is to help clinicians to monitor the broad spectrum of side effects of short-term systemic glucocorticoid administration, defined as glucocorticoid treatment shorter than 30 days. We review the various systems affected, with a focus on metabolic conditions and hyperglycaemia management.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use
  • Drug-Related Side Effects and Adverse Reactions*
  • Glucocorticoids* / adverse effects
  • Humans
  • Receptors, Glucocorticoid / metabolism

Substances

  • Anti-Inflammatory Agents
  • Glucocorticoids
  • Receptors, Glucocorticoid