氢化可的松片（hydrocortisone）可以长期吃吗？

The tablet is a glucocorticoid drug. This drug is mainly used for the replacement therapy of adrenal insufficiency and congenital adrenal hyperplasia. The drug is very safe when used for replacement therapy at physiological doses, and the effect of the drug is relatively good. Can hydrocortisone tablets be taken long-term?

Generally speaking, it cannot be used for a long time.

If you take it for a long time, you need to pay attention to whether there is gastric acid. In normal times, you need to pay attention to whether there is acid reflux and heartburn. In addition, you need to supplement some calcium tablets, which can easily lead to osteoporosis. Mainly in these two aspects, it is good to drink as much water as possible. 

  Long-term use of hydrocortisone can cause Cushing's syndrome. Psychiatric symptoms such as excitement, restlessness, disorientation, and depression.

Complicated infections: mainly fungi, Mycobacterium tuberculosis, Staphylococcus aureus, Proteus, Pseudomonas aeruginosa and various herpes viruses.

Post-drug withdrawal syndrome: fatigue, weakness, nausea, vomiting, low blood pressure, etc. caused by hypothalamic-pituitary-adrenal insufficiency. Long-term use in elderly patients can easily induce infections, diabetes, hypertension, osteoporosis, cataracts, glaucoma, etc.

Once the above symptoms are discovered, it is recommended to go to the local regular hospital for treatment in time, ask the doctor to check it in detail, and treat according to the doctor's opinion.

Precautions for the tablet: Under the action of hormones under the induced infection, the infection that was originally controlled can become active. The most common case is the recurrence of tuberculosis infection. The application of hormones in certain infections can reduce tissue damage, reduce exudation, and alleviate the symptoms of infection and poisoning. However, it must be treated with effective antibiotics at the same time, and changes in the condition must be closely observed. After short-term use, the dosage should be quickly reduced and the medication should be discontinued.

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