Comments by "Just Another Bucky Lover" (@JustAnotherBuckyLover) on "Should You Stop Taking Tylenol? (Acetaminophen/Paracetamol)" video.
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I'm sure the video they're making will be much more useful, but the problem with steroids long term is basically that it works by suppressing your immune system to reduce inflammation. Unfortunately, that makes you more likely to get infections etc, and on top of that, because corticosteroids in the body are used in a lot of processes, it also messes with those too - for example, it can cause osteoporosis, too, etc. It's a powerful medication that acts in very broad strokes, and so when used systemically, it causes these problems. It's not so much of an issue if you're using steroid creams, inhalers or nasal sprays, but it can still thin tissues etc. Another big issue is that if you take steroids long term, it can suppress your own natural corticosteroid production in the adrenal glands. Stopping suddenly - particularly of a long-term, large dose - can send a patient into a huge crisis and potentially be very serious. This is why if you take oral steroids long-term, you should make sure that you are carrying something that can inform emergency services that you use them, as it may affect not just their treatment of you, but ensure that you don't end up in a crisis because they don't know to keep giving you the steroids while you might be incapacitated and unable to tell them so.
That said, if you need them, your doctor has probably decided that the benefits outweigh the risks, and that's the issue with all medications. Balancing the risks and the benefits, and deciding on an individual basis.
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