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STEROIDS

PRESENTED BY,
AKSA SIMON
VICKY MARY JOHNSON
MAJOR CLASSES OF STEROID HORMONES

1. Corticosteroids
• Glucocorticoids (Cortisol)
• Mineralocorticoids (Aldosterones)
1. Sex steroids
• Progestogens (Progesterone)
• Androgens (Testosterone)
• Estrogens (Estradiol)
BIOSYNTHESIS
RELATIVE ACTIVITY OF SYSTEMIC
CORTICOSTEROIDS
GLUCOCORTICOIDS

• Binds to glucocorticoid receptors


• Effective in fight inflammation caused by
immune system disorders
ACTIONS
• Carbohydrate, protein, fat & calcium metabolism
• Water excretion
• CVS, CNS
• Inflammatory responses
• Immunological and allergic responses
• Skeletal muscles
ADVERSE DRUG REACTIONS
• Hyperglycemia
• Cushing’s habitus
• Osteoporosis
• Peptic ulceration
• Suceptability to infection
• Muscular weakness
• Feotal abnormalities & growth retardation
MINERALOCORTICOIDS
• Enhancement of sodium reabsorption in DCT
• Associated with rise in potassium and
hydrogen ions excretion
ADVERSE DRUG REACTION
• Sodium and water retention
• Hypertension
• Edema
• Hypokalaemic alkalosis
INDICATIONS
o Replacement therapy
o Pharmacotherapy
• Arthritides
• Autoimmune disease
• Bronchial asthma
• Severe allergic reactions
• Collagen disease
• Malignancies
• Organ transplantation
CONTRAINDICATIONS
• Peptic ulcer
• Diabetic mellitus
• Hypertension
• Osteoporosis
• CHF
• Renal failure

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