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These medicines can be taken by mouth (orally). Shots (injections) of steroids into the joint may be used to relieve pain and swelling in a joint.
One way corticosteroids reduce inflammation is by decreasing the action of the body's immune response. Although this effect can help relieve pain and swelling, it may make you more susceptible to infection.
Corticosteroids are used to control joint inflammation caused by rheumatoid arthritis.
Corticosteroids are used:
Use of corticosteroids in low doses has been found to be effective in reducing inflammation caused by rheumatoid arthritis. High-dose corticosteroids given once a month may be helpful for some people.1
Corticosteroid shots into inflamed joints can relieve pain and increase function for some people.2 This relief may last from weeks to months. In general, the same joint should not be injected more than once every 3 or 4 months.
Serious side effects often occur when corticosteroids are used for long periods of time. These include:
Uncommon and irreversible (permanent) side effects, such as:
Common and irreversible (permanent) side effects, such as:
Common and reversible (will disappear after discontinuing steroids) side effects, such as:
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
Corticosteroids often provide rapid, dramatic relief of pain and inflammation caused by rheumatoid arthritis. Long-term use is not recommended, though, because of their serious side effects.3
Joints often become inflamed again after corticosteroids are discontinued unless DMARDs are also used.3
To prevent osteoporosis while taking long-term corticosteroids, get plenty of calcium and vitamin D, and consider a preventive medicine, such as alendronate or risedronate. To come up with a plan that fits your needs, you may want to work with your doctor or a registered dietitian. Weight-bearing exercise also helps reduce the risk of osteoporosis. For more information, see the topic Osteoporosis.
- Lipsky PE (2008). Rheumatoid arthritis. In AS Fauci et al., eds., Harrison's Principles of Internal Medicine, 17th ed., vol. 2, pp. 2083–2092. New York: McGraw-Hill.
- Firestein GS (2007). Rheumatoid arthritis. In DC Dale, DD Federman, eds., ACP Medicine, section 15, chap. 2. New York: WebMD.
- Kwoh CK, et al. (2002). Guidelines for the management of rheumatoid arthritis. Arthritis and Rheumatism, 46(2): 328–346.
Last Revised: June 11, 2010
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