Oral corticosteroids in the management of chronic rhinosinusitis with and without nasal polyps: Risks and benefits.

Abstract

BACKGROUND:

Oral steroids are synthetic mimics of adrenal cortex hormones and are considered a staple in the management of chronic rhinosinusitis due to their anti-inflammatory effects. Despite their common use, many providers are not familiar with the potential risks of the drugs.

METHODS:

Literature review.

RESULTS:

An overview of the existing data on the risks of oral steroids is presented as well as a review of the malpractice lawsuits with regard to oral steroid use and a discussion of the data that support the use of oral steroids in patients with chronic rhinosinusitis with and those without nasal polyps.

CONCLUSION:

It is essential for providers to be aware of the potential complications of a medication, the medical jurisprudence of the drugs, and the data that support their use.

• Authors: David M Poetker
• Journal: American journal of rhinology & allergy (Am J Rhinol Allergy) 2015 Sep-Oct Vol. 29 Issue 5 Pg. 339-42 ISSN: 1945-8932 [Electronic] United States
• PMID: 26358344 (Publication Type: Journal Article, Review)

Chemical References

• Glucocorticoids

Topics

• Administration, Oral
• Chronic Disease
• Disease Management
• Glucocorticoids (administration & dosage)
• Humans
• Malpractice (legislation & jurisprudence)
• Nasal Polyps (drug therapy)
• Rhinitis (drug therapy)
• Risk Assessment
• Sinusitis (drug therapy)