Weight gain: Restrict calorie intake; may require a change in steroid medication: may require a diuretic.

Edema: May require diuretics and potassium.

Potassium loss: Use potassium supplement.

Acne: Treat with topical medications.

Urinary frequency and nocturia: Check for evidence of genitourinary infection or diabetes mellitus; urinalysis

Insomnia, headache, fatigue, euphoria. Treat symptomatically.
Side Effects of Steroid Therapy - considered undesirable and dangerous by the prescriber,

Nature of Effect Action

Allergic reaction to ACTH or steroid: Withdraw drug promptly. Substitute steroid or synthetic ACTH.

Cardiovascular system effects

• Hypertension: Suggest reduction in dosage of steroids.

Thromboembolic complications

• Arthritis
  
  

Infection: Suggest anti-microbial medications as indicated.

Eye complications:

• Glaucoma - refer to ophthalmologist.
• Corneal lesions
• Subcapsular cataract

Musculoskeletal effects:

• Osteoporosis
• Pathologic fractures
• Growth suppression
• Myopathies

Central nervous system

• Seizures: refer to neurologist.
  
• Neuritis
  
• Psychotic reactions
  
• Adrenal insufficiency (after steroid withdrawal)

---