Thread by @ChiefPharmacst

PATIENT : Pharmacist, I have been taking the antihypertensive & antidiabetic pills you prescribed for me but the numbers keep going up 😔

PHARMACIST : Are you currently on other drugs? 😑

PATIENT : Yes Pharm. They're in my purse. Let me show you 😟 👇

A Thread 👇 #ChiefRx

- Predisolone & Dexamethasone Tablets, i only take them 3 times a day for the BONE FRACTURE.

PHARMACIST : Who prescribed it for you? 😯

PATIENT : One of my Neighbours. He told me he takes them for his BODY PAIN 🙄

PHARMACIST : Sir, these drugs can be FATAL considering

2/c

the fact that you are Diabetic & Hypertensive 😕
Let me EXPLAIN 👇👇👇👇👇👇

SIDE EFFECTS OF...

C - Cushing's syndrome
O - Osteoporosis & tendon rupture*
R - Retarded growth
T - Thin skin
I - Immunosuppression (Infection🔝)
C - Cataracts
O - Oedema

3/c

S - Suppressed HPA axis (Stress 🔝)
T - Thin gastric mucosa (Ulceration)
E - Endocrine effects (Irregular & No menses)
R - Rise in Blood pressure*
O - Over weight
I - Increased hair
D - Diabetes*
S - Striae (Stretch marks)
......

4/c

To all those that always take drugs WITHOUT Doctors/Pharmacists prescription,
PLEASE! 👇👇👇

Don't take corticosteroid if you're Obesed
Don't take c/steriods if you're Hypertensive
Don't take corticosteroids if you're Diabetic
Don't take corticosteroids if you hv/had Ulcer

5/c

Don't take corticosteroids if you hv an Infection
Don't take corticosteroids if you hv Bone issue
Don't take c/steroids if you hv Menses issues
Don't take corticosteroids if you hv Cataract
Don't give corticosteroids to Growing Kids

Unless recommended by a/ur DOCTOR/PHARMACIST

To those that don't know Corticosteroid drugs,
here are common EXAMPLES :

- Hydrocortisone (Short acting)
- Predisolone, Triamcinolone (Intermediate)
- Betamethasone, Dexamethasone (Long)

PATIENT : But how do they cause diabetes & High blood pressure?

PHARMACIST : Corticosteroids have both Glucocorticoid & Mineralocorticoid activities.

GLUCOcorticoid: raise Glucose level ~Diabetes.

MINERALOcorticoid: raise Mineral level, Sodium ~ High BP.

It also reduce your body ability to absorb Calcium, so it isn't suitable for your

Bone fracture management (N/B : suitable for Body Pains).

PHARMACEUTICAL INTERVENTION :
(1.) Replace Corticosteroids with NSAIDs (Avoid the NSAIDs containing Sodium).
(2.) Continue taking the drugs prescribed.
(3.) Keep checking your Blood sugar & BP. everyday

(preferably in the morning before meal).

FOLLOW UP :
(3.) Check back next Week.
(preferably in the morning before meal).

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