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Medical Forum / Diseases and Disorders / Asthma / October 2003

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Cortisone ans eyes

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Christian & Angela Sch?n - 18 Oct 2003 21:46 GMT
Does anybody knoe about the effects of inhaled cortisone on eyes?
Chris
Richard Friedel - 19 Oct 2003 08:16 GMT
"Christian & Angela Schön" wrote:

> Does anybody knoe about the effects of inhaled cortisone on eyes?
> Chris

A search with the words

cortisone eyes

found warnings such as:

"Cortisone-based lotions should be used close to the eye only under
medical supervision since continuous exposure of the eye to cortisone
can lead to serious eye problems."

I did once hear from a doc that even with proper care, any asthma spray
may get into one's eyes.

See also (http://www.harcourt-international.com/e-books/pdf/73.pdf) on
effects including cataracts:

Systemic Side Effects

Dosages of inhaled corticosteroids (beclomethasone) of >400 µg/d in
children and >1000 µg/d in adults can be demonstrated to result in
unwanted systemic side effects such as changes in growth velocity in
children (Level I) and biochemical changes indicating effects on bone
metabolism and the adrenal glands in adults (Level I). All physicians
who treat asthmatic patients should be conscious of the potential for
the development of adverse effects that occur in patients who use
corticosteroids to treat asthma or other diseases. These potential
adverse effects of corticosteroids include an influence on the
hypothalamic-pituitary-adrenal (HPA) axis; osteoporosis; posterior
subcapsular cataracts; growth retardation in children; steroid
psychosis; risk of lung infection; and skin bruising.
Mysecret7 - 25 Oct 2003 09:40 GMT
glaucoma and cataracts are side effects of inhaled steroids
jackmallory@webtv.net - 26 Oct 2003 04:45 GMT
<<< glaucoma and cataracts are side effects of inhaled steroids>>>

Ditto ipratroprium (Atrovent)  I shut my eyes while using Atrovent by
nebulizer.

And usually put a couple drops of "Tears" in each eye after such a
treatment.

Daresay the same practice ought to be followed in a budesonide
(Pulmicort) nebulizer session.  
 
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