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This is not a complete list of possible side effectsIf you notice other effects not listed abovecontact your doctor or pharmacist.

Corticosteroids can produce reversible hypothalamic-pituitary-adrenalHPAaxis suppression with the potential for corticosteroid insufficiency after withdrawal of treatmentAdrenocortical insufficiency may result from too rapid withdrawal of corticosteroids and may be minimized by gradual reduction of dosageThis type of relative insufficiency may persist for months after discontinuation of therapythereforein any situation of stress occurring during that periodhormone therapy should be reinstituted.

If corticosteroids are indicated in patients with latent tuberculosis or tuberculin reactivityclose observation is necessary as reactivation of the disease may occurDuring prolonged corticosteroid therapythese patients should receive chemoprophylaxis.

May have systemic and local effectsexamine joint fluidas necessary to exclude a septic processavoid injection into infected sitefrequent intra-articular injections may result in damage to joint tissue.

Using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stressThereforebefore having surgery or emergency treatmentor if you get a serious illness/injurytell your doctor or dentist that you are using this medication or have used this medication within the past 12 monthsTell your doctor right away if you develop unusual/extreme tiredness or weight lossIf you will be using this medication for a long timecarry a warning card or medical ID bracelet that identifies your use of this medication.

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