Used in replacement doses (20 mg of hydrocortisone or equivalent) systemically to treat adrenocortical insufficiency. Larger doses are usually used for their anti-inflammatory, immunosuppressive, or antineoplastic activity. Used adjunctively in many other situations, including autoimmune diseases. Topical corticosteroids are used in a variety of inflammatory and allergic conditions. Inhaled corticosteroids are used in the chronic management of reversible airway disease (asthma); intranasal and ophthalmic corticosteroids are used in the management of chronic allergic and inflammatory conditions.
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