Medical Science
Long-Term Steroid Use Linked to Higher Risk of Adrenal Insufficiency
2025-05-11

A groundbreaking study reveals that individuals using steroid tablets for extended periods face a significantly elevated risk of developing adrenal insufficiency compared to those treated with non-steroidal anti-inflammatory drugs. The research, unveiled at a joint conference between two prominent European endocrinology societies, highlights the critical need for alternative treatments to mitigate these risks. Patients on long-term steroid regimens are not only more prone to diagnosis but also more likely to require hospitalization due to this condition.

Researchers from Rennes University Hospital in France conducted an extensive analysis involving over half a million people who had used either oral or inhaled steroids for durations ranging from three months to five years. Their findings indicate that prolonged use of oral steroids increases the likelihood of adrenal insufficiency by more than sixfold and triples the chance of hospital admission related to this ailment. Interestingly, while users of inhaled steroids also show a heightened risk of diagnosis, there is no corresponding rise in hospitalization rates.

Prior investigations have explored the effects of corticosteroids on brain structures like the pituitary gland, which controls cortisol secretion. However, comprehensive studies addressing the incidence of adrenal insufficiency after chronic exposure to both forms of corticosteroids have been scarce. This new evidence underscores the importance of educating healthcare providers about the potential dangers even with low doses of inhaled medications. Transitioning patients off long-term corticosteroid therapy requires careful planning, including the introduction of natural substitutes such as hydrocortisone, to safeguard their health and reduce avoidable hospital stays.

Advancements in medical understanding highlight the necessity for improved awareness among physicians regarding the risks associated with corticosteroid usage. By fostering better communication within the medical community and promoting safer practices, it becomes possible to enhance patient safety and quality of care. Emphasizing preventive measures can lead to reduced complications and ultimately improve outcomes for countless individuals relying on these essential yet potentially hazardous treatments.

more stories
See more