There are no tell, tell signs of steroid abuse like there are with recreational drugs and this can make true abuse a little difficult to spot. However, here at we want to look at all aspects of steroid use, and in doing so, give you a better understanding of the topic at hand. Some of what you find will be nothing new, but much of it promises to be information that you’ve never been told. There is so much to discuss when it comes to this topic, and we guarantee when it comes to steroid abuse you may very well find what you once believed will rapidly change once exposed to the truth.
Many patients with chronic noninfectious posterior uveitis may benefit from a new therapy involving a long-acting drug implant. The drug product is surgically implanted into the eye and is designed to release steroids directly into the back of the eye for approximately 2 1/2 years. By delivering the drug directly to the back of the eye, this procedure seeks to reduce or eliminate many of the side effects common to oral steroids. The most common side effects of this treatment are non-systemic and include cataract progression, increased pressure in the eye, and procedural complications and eye pain.
Physicians need to be aware of the danger of topical steroids. Only mild steroids should be applied to the face. The use of the topical steroid should be limited to the condition. Alternate week therapy or 3 consecutive days a week therapy is better than continuous therapy in preventing steroid-induced rosacea. Only the mildest topical steroid should be used on the face if a condition warrants such use. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) does not necessary prevent steroid induced rosacea. Similar conditions have been seen with both Elidel and Protopic, possibly from immunosuppression and Demodex or bacterial growth.