Pros and cons of glucocorticoids

  Glucocorticoids, or hormones as we people usually call them, are commonly used, such as prednisone, dexamethasone, hydrocortisone, hydrogenated prednisone and methylprednisolone. Hormones are medically prudent drugs and are mainly used in medical treatment for replacement therapy and immunosuppressive therapy. Hormones have anti-inflammatory (not antibacterial), detoxification, immunosuppressive effects, and, in addition, thermoregulatory effects. However, hormones have many side effects, including ulcerogenic effects, osteoporosis, increased blood sugar, delayed wound healing, growth retardation, immune deficiency, and disturbance of water-electrolyte-acid-base balance.  Since hormones have cooling, appetite and anti-inflammatory effects, a few doctors abuse hormones regardless of the effects to meet the “needs” of patients (such as cooling temperature and increasing appetite as soon as possible), and even a few doctors say with family members or patients that “hormones can help anti-inflammatory drugs and increase anti-inflammatory and coughing effects “. This is harmful to the future growth of the child, and at the same time, as a doctor, it is also against medical ethics.  In children hormones are mainly used in the following cases: 1, hormone therapy, such as the treatment of nephrotic syndrome, idiopathic thrombocytopenic purpura, connective tissue diseases, etc.; 2, bronchial asthma; 3, short-term use in cases of severe toxemia, such as a history of febrile fright, while high fever, infectious shock, etc.; 4, dehydration, such as cerebral edema.  Finally, a special note that hormones should not be used as routine medication, especially systemic medication, for the treatment of children with low to moderate fever caused by upper respiratory tract infections, non-asthmatic cough caused by respiratory tract infections, loss of appetite or low appetite!