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Corticosteroids are thought to actat least in partby controlling the rate of synthesis of proteinsAlthough there are a number of instances in which the synthesis of specific proteins is known tadalafil precio. to be induced by corticosteroidsthe links between the initial actions of the hormones and the final metabolic effects have not been completely elucidated.

Prolonged use of corticosteroids may produce posterior subcapsular cataractsglaucoma with possible damage to the optic nervesand may enhance the establishment of secondary ocular infections due to fungi or viruses.

Corticosteroids should be used with caution in patients with nonspecific ulcerative colitis if there is a probability of impending perforationabscessor other pyogenic infectionCorticosteroids should also be used cautiously in patients with diverticulitisfresh intestinal anastomosesactive or latent peptic ulcerrenal insufficiencyhypertensionosteoporosisand myasthenia gravis.

The physician should advise the patient to report any medical history of heart diseasehigh blood pressureor kidney or liver disease and to report current use of any medicines to determine if these medicines might interact adversely with fludrocortisone acetatesee Drug Interactions

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