Anti-inflammatory medications - inhalant, systemic, and topical corticosteroids

Selected Medications

Inhalant, systemic, and topical corticosteroids anti-inflammatory medications include:

  • Beclomethasone (Beclovent, Beconase, Beconase AQ, QVAR, Vancenase, Vancenase AQ, and Vanceril
  • Budesonide (Pulmicort Respules, Pulmicort Turbuhaler, Rhinocort, and Rhinocort Aqua)
  • Dexamethasone (AK-Dex ophthalmic, Baldex, Dalalone D.P., Dalalone L.A., Dalalone, Decadron, Decadron Phosphate, Decadron-LA, Decaject-LA, Decaject, Decaspray, Dexacort Phosphate Turbinaire, Dexasone, Dexasone L.A., Dexone, Dexone LA, Hexadrol, Hexadrol Phosphate, Maxidex, Solurex L.A., and Solurex)
  • Fluticasone (Cutivate, Flonase, Flovent, Flovent Diskus, and Flovent Rotadisk)
  • Hydrocortisone (A-hydroCort, Ala-Cort, Ala-Scalp, Anucort-HC Suppository, Anusol-HC Suppository, Anusol HC 1[OTC], Anusol HC 2.5% [OTC], Cetacort, Clocort maximum strength, Cort-Dome, Cortaid maximum strength [OTC], Cortaid with Aloe [OTC], Cortef, Cortef Feminine Itch, Cortenema, Corticaine, Cortifoam, Cortizone-10 [OTC], Cortizone-5 [OTC], Delcort, Dermacort, DermiCort, Dermolate [OTC], Dermtex HC with Aloe, Eldecort, Gynecort [OTC], Hemril-HC Uniserts, Hi-Cor 1.0, Hi-Cor 2.5, Hycort, Hydrocort, Hydrocortone Acetate, Hydrocortone Phosphate, HydroTex [OTC], Hytone, LactiCare-HC, Lanacort [OTC], Locoid, Nutracort, Orabase HCA, Pandel, Penecort, Procort[OTC], Proctocort, S-T Cort, Scalpicin, Solu-Cortef, Synacort, Tegrin-HC [OTC], Texacort, Westcort, and Methylprednisolone)
  • Mometasone Furoate (Elocon and Nasonex)
  • Prednisone (Deltasone, Liquid Pred, Meticorten, Orasone, and Prednicen-M)
  • Triamcinolone (Amcort, Aristocort, Aristocort A, Aristocort Forte, Aristocort Intralesional, Aristospan Intra-Articular, Aristospan Intralesional, Atolone, Azmacort, Delta-Tritex, Flutex, Kenacort, Kenaject-40, Kenalog-10, Kenalog-40, Kenalog, Kenalog H, Kenalog in Orabase, Kenonel, Nasacort, Nasacort AQ, Tac-3, Tac-40, Tri-Kort, Tri-Nasal, Triacet, Triam Forte, Triam-A, Triderm, Trilog, Trilone, and Tristoject)

Depletions

Calcium

Osteoporosis (bone loss) is the main disease caused by insufficient calcium. Lack of calcium also may be linked with bone pain and spinal problems. Low levels can also cause:

  • Muscle cramps
  • Irregular heartbeat
  • Depression

Dehydroepiandrosterone (DHEA)

DHEA is a hormone your body makes. Lower levels of DHEA have been linked to various conditions such as:

  • Certain cancers
  • Heart problems
  • Inflammatory diseases
  • Type II diabetes

Symptoms of low DHEA can include fatigue, trouble concentrating, low sex drive, and dry skin.

Magnesium

Magnesium deficiency affects calcium and vitamin D levels in the body. It may be linked to:

  • Muscle cramps
  • Heart problems
  • High blood pressure
  • Diabetes
  • Osteoporosis

Melatonin

Lower levels of melatonin in the body have been linked to:

  • Sleep problems
  • Jet lag

Melatonin may also play a role in boosting your immune system.

Potassium

Symptoms of potassium deficiency include:

  • Loss of appetite
  • Nausea
  • Drowsiness
  • Feelings of apprehension
  • Fatigue
  • Muscle pain and weakness (usually in the legs)

Severe cases may lead to irregular heartbeat.

Protein and Amino Acid

Lack of protein can weaken the immune system, increasing the chances of infection and causing wounds to heal slower. It can also lead to muscle and weight loss. In severe cases, it may cause slow growth and skin and hair problems.

Selenium

Not getting enough selenium over a period of time may make you more susceptible to developing other conditions, such as:

  • Cancer
  • Diabetes
  • Liver disease

Low levels of selenium may be linked to problems with the muscles, heart, and digestive system.

Vitamin B6 (Pyridoxine)

Your body uses vitamin B6 to produce red blood cells, and use protein from food. Symptoms of vitamin B6 deficiency may include:

  • Skin inflammation
  • Sore tongue
  • Depression
  • Mental confusion
  • Seizures
  • Anemia

Over many years, low levels of vitamin B6 may also increase the risk of heart disease, as well as colon and prostate cancers.

Vitamin B9 (Folic Acid)

Low levels of folic acid have been linked to:

  • Anemia
  • Heart disease
  • Birth defects
  • Colon cancer

Symptoms may include fatigue, mouth sores, swollen tongue, and poor growth.

Vitamin B12 (Cobalamin)

Noticeable symptoms of a vitamin B12 deficiency can take years to develop. Irritability, weakness, numbness, anemia, loss of appetite, headache, personality changes, and confusion are some of the signs and symptoms associated with very low levels of vitamin B12. Low levels of this vitamin may also be associated with an increased risk of colon cancer, heart disease, brain problems, and birth defects.

Vitamin C (Ascorbic Acid)

Low levels of vitamin C can cause your gums to bleed and your skin to bruise easily. Other symptoms include wounds that are slow to heal, dry hair, fatigue and anemia, and dry, rough skin. In severe cases, vitamin C deficiency leads to scurvy, a life-threatening condition that affects muscles and bones. Scurvy is rare, however, because it's easy to get enough vitamin C in your diet.

Vitamin D

Vitamin D works with calcium to keep bones strong. Over a long period of time, levels of vitamin D can cause rickets in children and osteomalacia in adults, conditions where the bones get soft and thin. It can also raise the risk of osteoporosis, and it may increase the risk of some cancers. More recently, vitamin D has been linked to enhanced immune function, regulating sleep, improving mood, and other biological functions.

Zinc

Signs and symptoms of low levels of zinc include loss of appetite or sense of taste, weakened immune system, slow growth, skin changes, and being more susceptible to infection.

Editorial Note

The information presented here covers some of the nutrients that may be affected when you take certain medications. If you have the signs and symptoms listed, it does not always mean you have low levels of these nutrients. Many things affect the level of nutrients, including your:

  • Medical history
  • Diet
  • Lifestyle

As well as how long you have been taking the medication. Please talk with your health care provider. They can best address your health care needs to determine whether you are at risk for low levels of any nutrients.

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Version Info

  • Last reviewed on 8/27/2014
  • Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed HealthCare Network. Also reviewed by the A.D.A.M. Editorial team.

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