”Take your medication on time” and “follow the doctor’s instructions” are the words I always tell my patients in the clinic, but I often encounter teenagers and even adults in their twenties who do not take their medication on time because they do not know enough about their condition, or they are too resistant to the side effects of the medication, or they find excuses to say they are too busy at work. However, I often encounter teenagers and even adults in their twenties who do not take their medication on time because they are not aware of their condition, or are too resistant to the side effects of the medication, or find excuses to say they are too busy at work. On the one hand, parents are still saying that they can prescribe better medication, and on the other hand, they are taking medication in a “three-day fish, two-day sun” style. It is a bit difficult for doctors to take medication on time and ask for good results, because the disease itself is difficult to treat, so we must pay more attention to “taking medication on time”, and parents and children should communicate more to avoid similar situations. Many patients in clinical practice are very reluctant to take hormonal drugs and often have concerns of one kind or another. There are many side effects associated with long-term use of hormonal medications, but we have to weigh the pros and cons. Although there are side effects, hormonal drugs have a rapid and significant effect on the elevation of the blood picture. If you don’t take hormonal drugs and your blood counts drop rapidly, the consequences can be more serious and even life-threatening. Let’s take a look at the side effects of two types of hormone drugs in common use: 1. Androgens: The most commonly used clinically are: Conilon (stanozolol tablets), Danazol, Antel (testosterone undecanoate pills) and so on. These three drugs have similar effects, but the strength of the drugs is slightly different. Since all three have damage to the liver, liver function needs to be monitored while taking them. As for what hormone should be used, it will be chosen according to the patient’s current situation. Common side effects include acne, hirsutism, growth inhibition in children, and thickening of the voice. 2. Glucocorticoids: Methylprednisolone, prednisone, dexamethasone, etc. belong to the glucocorticoid class of drugs. Emphasize that these drugs cannot be stopped suddenly! The secretion of hormones in the human body is regulated by the hypothalamus and pituitary gland, and this regulation allows the hormone levels to remain relatively stable. When you take exogenous drugs, the body’s own secretion will be reduced. At this time, if you suddenly withdraw the hormones you are taking, you will experience discomfort or recurrence of the disease. If you cannot reduce the dosage, is it okay to take large doses? Here we need to warn patients that it is absolutely undesirable to increase the dosage at will! There are many side effects that can occur when taking long-term supraphysiological doses. Common side effects include: cardiac obesity, full-moon face, purple lines, swelling, acne, infection, osteoporosis, and induced psychiatric symptoms. Therefore, the dosage of hormones must be strictly controlled. Using a combination of Chinese and Western medicine, the use of hormonal drugs to stimulate the elevation of blood picture, while the use of Chinese medicine can reduce the side effects of hormones and also consolidate its therapeutic effect. The dosage reduction should not be taken lightly either. Patients cannot increase or decrease the dosage on their own, but must do so under the guidance of a doctor. If patients increase the dosage on their own, it will increase the burden on their body and cause a series of side effects; patients should not reduce the dosage too much at once to avoid a decreasing trend of the blood picture after the dosage reduction. Therefore, patients must follow the doctor’s instructions to take medication, can not arbitrarily increase or decrease the amount of their own medication, otherwise it will be more than worth the loss.