Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Blood pressure: Average and large doses of cortisone can cause increases in blood pressure. You should have your blood pressure monitored while taking this medication. Your doctor may suggest diet changes or other measures to keep your blood pressure under control.
Diabetes: This medication may worsen blood sugar control for people with diabetes. People with diabetes may need to monitor their blood sugar more closely while they are taking this medication.
Eye problems: Prolonged use of cortisone may cause glaucoma with possible damage to the optic nerves or it may produce cataracts. It may also increase the risk of eye infections due to fungi or viruses. Report any change in vision, eye pain, eye irritation, redness, or discharge to your doctor as soon as possible.
Fertility: The use of this medication may affect fertility by increasing or decreasing the number and quality of sperm that are produced.
Infections: Cortisone may mask some signs of infection, and new infections may appear during its use. This medication may worsen internal fungal infections and should not be used by people with such infections.
Medical records: Inform all doctors involved in your care that you have used this medication.
Mental health: Cortisone, like other corticosteroids, may cause behaviour and personality changes and mood swings. These reactions are most likely to occur when you first start taking this medication. If you experience these symptoms, or notice them in a family member who is taking this medication, contact your doctor as soon as possible.
Osteoporosis: This medication can increase the risk of osteoporosis (brittle bones). Talk to your doctor about ways to help prevent osteoporosis. Your doctor will monitor your bone density if you take this medication for a long period of time.
Stomach and intestinal problems: If you have or have had a stomach or intestinal ulcer, or have ulcerative colitis, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Stopping the medication: When stopping the use of this medication after having used it for a long time, reduce the dose slowly as prescribed by your doctor. Stopping the medication too quickly could lead to withdrawal symptoms including fever, muscle and joint pain, and a general feeling of being unwell.
Stress: People who take cortisone and are also subjected to any unusual stress should increase the dosage of this medication before, during, and after the stressful situation, as directed by their doctor.
Pregnancy: This medication has not been adequately studied for use by pregnant women. It should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: This medication passes into breast milk and could slow growth, interfere with the baby's own steroid production, or cause other unwanted effects for the breast-feeding infant. Women taking this medication should not breast-feed.
Children: The growth and development of infants and children who take cortisone on a long-term basis should be carefully monitored.