F55. general feeling of discomfort or illness. Some side effects are mild and go away, while others are more serious and need medical attention. 0): 791 Prematurity with major problems; 793 Full term. There are many different types of steroids that have different onsets of action, duration, solubility, and reasons for use. Sanzari Children's Hospital. Glucose metabolism usually returns to normal after stopping steroids. Glucocorticoids are potent immunosuppressive and anti-inflammatory drugs used for various systemic and localized conditions. Physiological. Common side effects of fluticasone inhalation may include: cold symptoms such as stuffy nose, sneezing, sore throat, sinus pain; low fever, cough, wheezing, chest tightness; hoarseness or deepened voice; white patches or sores inside your mouth or on your lips; headache; or. Although intralesional corticosteroids are frequently well tolerated and effective in treating various dermatologic conditions, there is risk of potential side effects. The overall prevalence of type I steroid hypersensitivity is estimated to be. 41, 95% CI 1. 995A. Psychiatric adverse effects during systemic corticosteroid therapy are common. Although rare, risks and complications that apply to. Immune globulin. Combination inhalers. have described the first cases of anabolic steroid-induced hiccups [16, 17]. 811 T38. 19. Adverse Effect When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the appropriate code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug (T36T50). Talk with your doctor about the risks and benefits of using this medicine. Systemic corticosteroid use—such as treatment with prednisone, commonly used in respiratory disorders, rheumatoid arthritis, and other conditions common in older. swelling of the stomach area. Androgenic steroids are used for male sex hormone replacement and in the therapy of malignancies. Unsurprisingly the CCI of the STEROID group was higher than that of the NOSTEROID group, likely due to the worsening effects of long-term use of steroids. Substance Poisoning Accidental (unintentional) Poisoning Intentional self-harm Poisoning Assault Poisoning Undetermined Adverse effect Underdosing Acterol T37. F55. 0X5A for Adverse effect of glucocorticoids and synthetic analogues, initial encounter is a medical classification as listed by WHO under the range - Injury,. Classic clinical symptoms of ocular inflammation are erythema, edema, pain, photophobia, and an itchy sensation. Hypersensitivity reactions to steroids are broadly divided into two categories: immediate reactions, typically occurring within 1 h of. (See "Epidemiology and clinical manifestations of Cushing syndrome" . slow or irregular heartbeat. 812 T38. This adverse effect may put psychiatric patients at risk. Side Effects of Steroids. Weight gain while taking prednisone is typically due. However, your risk of side effects may increase if you’re prescribed higher doses of the drug. Side effects of anabolic steroids used by athletes at Unaizah Gyms, Saudi Arabia: a pilot study: Almaiman AA: 2019: 12: 0: 30: Yes:Steroid-induced psychosis represents a severe psychiatric adverse effect that can occur shortly following treatment with high-dose glucocorticoids. itching, rash, or hives. The second set of ICD-10 codes was more specifically symptom based. Medications containing steroids (glucocorticoids) have been available for over 50 years. (2016) 111:29–36. Its incidence is greater with higher radiation dose and concurrent chemotherapy. For this reason, the current recommendation for the use of these. This reaction can cause a skin rash, which can include: trouble breathing. Bibliog-Yes, it would be appropriate to report a code(s) for side effects when the patient requires additional treatment or medical care such as monitoring or treatment for the side effects. Long-term side effects include weight gain, mood changes, and reduced libido. Heroin causing adverse effects in therapeutic use: E935. 0X5A is a billable diagnosis code used to specify a medical diagnosis of adverse effect of glucocorticoids and synthetic analogues, initial encounter. greater risks for. International Classification of Diseases (ICD‐10) codes were used to identify patients with a diagnosis of IBD and chronic steroid use. A consensus document summarizing the benefits of systemic steroids for each upper airway disease type, as well as highlighting the potential harms of this treatment is currently. With guidance from inpatient coding experts, a list of 32 ICD-10 codes for poisoning and adverse effects related to the study drugs was created. Additional immunomodulatory therapies are often added to minimize the adverse effects of chronic corticosteroid therapy or to augment improvement in the disease. These include: delayed wound healing. ICD-10-CM includes a table of drugs and chemicals; however, the columns have been restructured to group all poisoning columns together, followed by adverse effect and underdosing. Other side effects not listed may also occur in some patients. Given the adverse consequences associated with steroid. Glucocorticoid steroids are the ones used to treat the musculoskeletal problems listed above. Design Retrospective cohort study and self controlled case series. Sanzari Children's Hospital. Adverse effect of other narcotics, subsequent encounter Abbreviation: ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification From: Statistical Brief #258, Hospital Burden of Opioid-Related Inpatient Stays: Metropolitan and Rural Hospitals, 2016dizziness or sense of constant movement or surroundings. (1) Steroids are a. Baclofen side effects (more detail)feeling weak or tired; stomach pain, bloody diarrhea, vomiting; or. Centers for Medicare and Medicaid Services and the National Center for Health Statistics. Steroids are one of the most commonly prescribed drugs, used mainly in the treatment of various autoimmune and inflammatory conditions. Alcohol can make some steroid side effects worse. Drugs that may lead to depressive, anxious, or psychotic syndromes include corticosteroids, isotretinoin. Although disturbances of mood, cognition, sleep, and behavior as well as frank delirium or even psychosis are possible, the most common. A well-known side effect of steroid eye drops is an increase in intraocular pressure (IOP), particularly in “steroid responders” []. Side effects caused by steroid eye drops are listed in Table 1. Call your doctor for medical advice about side effects. 0X5A became effective on October 1, 2023. Prednisone. Abuse of steroids; Steroid abuse; ICD-10-CM F55. Other side effects not listed may also occur in some patients. Psychological counseling and support can be of immense help in both the conditions. We report a case of corticosteroid-induced mania in a patient that previously tolerated higher doses of steroid therapy without neuropsychiatric. weight gain. menstrual irregularities. Thirty-six (8%) adverse joint events with imaging documentation were reported, with the vast majority occurring in individuals with moderate Kellgren-Lawrence grade 3 knee and hip OA on radiographs. Generally, patients who chronically use steroids are often complicated with multiple comorbidities and adverse effects of steroids, including tissue fragility, impaired glucose tolerance, and. The steroid coats the irritated nerve(s) that are causing your pain and works to reduce swelling and pressure on the nerves. • Systemic steroids: IV methylprednisolone (or equivalent) dosed at 1–2mg/kg with slow tapering when the toxicity resolves • Monitor closely for progression to Severe. Code History. Side Effects. 0): 791 Prematurity with major problems;Corticosteroids are drugs used in the management and treatment of almost all areas of medicine. If any of these effects last or get worse, tell. Adverse outcomes of chronic steroid use in IBD patients were analyzed, such as osteoporosis, opportunistic infections, mortality rate, and LOS. steroids. Adverse Effect When coding an adverse effect of a drug that has been correctly prescribed and properly administered, assign the appropriate code for the nature of the adverse effect followed by the appropriate code for the adverse effect of the drug (T36T50). swelling of your face, tongue, or throat. Cookie settings. red face. Cataracts (clouding of eye lenses) Glaucoma (nerve damage in the eye that can cause loss of vision) Systemic side effects due to using nasal steroid sprays are relatively rare. Check with your doctor immediately if any of the following side effects occur while taking albuterol: More common. Dizziness or severe drowsiness can cause falls, accidents, or severe injuries. doi: 10. It is certain that the administration of oral GCs, long-term and in high doses, may cause GC-induced AI [7,8,9,10]. 0X5A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. TA has an anti-inflammatory potency five times. Shakiness in the legs. 10. Steroid injections may be repeated but are limited to 3 or 4 injections per year due to the increased risk of side effects from cumulative steroid administration. Package insert / product label. Certain side effects were more likely than others to persist, namely: Addison disease (adrenal insufficiency) arthritis/joint pain. By increasing the activity of the immune system, immune checkpoint blockade can have inflammatory side effects, which are often termed immune-related adverse events. With guidance from inpatient coding experts, a list of 32 ICD-10 codes for poisoning and adverse effects related to the study drugs was created. 004. muscle pain or tenderness. A gradual reduction in prednisone dosage gives your adrenal glands time to resume their usual function. 05% (n=170 of 327 452) in steroid users compared with 0. Mechanisms of adverse effects — Glucocorticoids used in chronic disease (eg, prednisone or prednisolone) do not have significant mineralocorticoid, androgenic, or estrogenic. Prednisolone side effects. The adverse effects of oral corticosteroids are dose related — they can often be predicted according to the mineralocorticoid and glucocorticoid properties. 0): 894 Alcohol, drug abuse or dependence, left ama; 895. 63% carboxymethylcellulose sodium, and 0. Adverse effects of anabolic androgenic steroid use are largely dose dependent and reversible upon cessation of use, although there is some evidence to suggest that carcinogenesis may arise from even short‐term use (Frankenfeld et al. Hench, in 1949,1 was the first to report on the beneficial effects of ACTH and cortisone. Kenalog ® -40 Injection: Each mL of the sterile aqueous suspension provides 40 mg triamcinolone acetonide, with 0. 814 T38. Steroid-. The meaning of this term differs from the term "side effect" because side effects can be. Mechanism of hyperglycemia. blindness. Methods A systematic review of the literature was made based on a PubMed and Embase search covering the period 1956 to January 2010. Weight Lifting*. Side effects of andro. Intra-articular corticosteroid (IACS) injections are frequently performed to treat OA and other joint-related pain syndromes; however, there is conflicting evidence on their potential benefit. Some people may notice a flare-up of pain in the joint for the first 24 hours after receiving the injection. There are many instances where one can avoid the use of steroids. The adverse effects resulting from the use of inhaled, topical, and. Because they suppress the innate immune response and do significant long-term damage, all hormonal steroids and corticosteroids are contraindicated and should be discontinued before beginning the Marshall Protocol (MP). We report a case of a 35-year-old man with no previous history of psychosis who was seen for follow-up after a. EPIDEMIOLOGY. Short description: Adverse effect of drug/meds/biol subst, init. sores, ulcers, or white spots on the lips or tongue or inside the mouth. The ICD-10-CM is a morbidity classification published by the United States for classifying diagnoses and reason for visits in all health care settings. 0 Adrenal cortical steroids causing adverse effects in therapeutic use: Antibiotics: 760. You may notice a swollen face (“moon face”) and increased fat on the back of your neck and around your middle. These include betamethasone, mometasone, and prednisolone. Thirty-six (8%) adverse joint events with imaging documentation were reported, with the vast majority occurring in individuals with moderate Kellgren-Lawrence grade 3 knee and hip OA on radiographs. Steroids that are injected into muscles and joints may cause some pain and swelling at the site of the injection. Methods MEDLINE and Embase databases were. Problems with cortisone shots can range from mild to quite serious. increased blood pressure - severe headache, blurred vision, pounding in your neck or ears, anxiety, nosebleed. (1) The patient is under standard treatment/enrolled in a clinical trial <2. irritability. Take these steps to help control withdrawal symptoms: Exercise. Black, tarry stools. It depends on the dose of prednisone and the condition being treated. An overview of steroid preparations and their local delivery methods are presented in Table 2. Exogenous Cushing syndrome occurs when a person takes man-made (synthetic) glucocorticoid medicines to. When the platelet count is back to a safe level, the provider can tell how to cut down the medicine a little at a time. Prednisone is a corticosteroid (cortisone-like medicine or steroid). Prednisone is a type of corticosteroid (steroid) drug that reduces inflammation by suppressing the immune system. Corticosteroid eye drops are routinely prescribed to treat and control postoperative inflammation after cataract surgery. Oxandrolone side effects. 7 percent), insomnia (1. redness of the skin. Environmental factors are believed to have a significant effect on the development of AR symptoms [ 14 ]. numbness or tingling in the arms or legs. moon face *. thinning of the scalp hair. International Classification of Diseases (ICD-10) codes were used to identify patients with a diagnosis of IBD and chronic steroid use. numbness or tingling in the arms or legs. Some of the possible side effects include: fragile skin that tears or bruises easily. Side Effects. Joint and soft tissue injections can be divided into two primary categories: diagnostic and therapeutic. Adverse drug event cause ICD-9-CM diagnosis codes; Steroids: 365. Background To estimate the occurrence and type of adverse effects after application of an extra-articular (soft tissue) corticosteroid injection. Glucocorticoid steroids are the ones used to treat the musculoskeletal problems listed above. Mood swings. 0X5A - other international versions of ICD-10 T49. They promote the growth of skeletal muscle (anabolic effects) and the development of male sexual characteristics. Yes, side effects are expected to be the same with prednisolone 5-mL and 10-mL strengths. ICD-10-CM Official Guidelines for Coding and Reporting FY 2020. Although steroid treatment is effective for most patients, there are side effects that should be considered, says Kenneth V. Sudden sensorineural hearing loss (SSNHL) is a syndrome that develops rapidly with hearing loss progressing within 72 hours. Abrupt reduction or cessation of exogenous GCs may. dizziness or sense of constant movement or surroundings. A full recovery can take a week to several months. You may report side effects to FDA at 1-800-FDA-1088. Given the adverse consequences associated with steroid. high blood pressure. mood changes. trouble sleeping. These codes were more general in nature, for example, ‘Adverse effects of other opioids…’, to help identify any possible ADE. Although steroid treatment is effective for most patients, there are side effects that should be considered, says Kenneth V. We used a diagnosis code Z7952 to identify the current chronic systemic steroid use population and 02RF3, the ICD-10 procedure code for TAVR. Steroids are one of the most commonly prescribed drugs, used mainly to treat various autoimmune and inflammatory conditions. Contact Dermatitis. Routine Administration for Women at Risk of Imminent Preterm Birth. In the present review, we discuss the main epidemiologic characteristics associated with steroid use, with emphasis on the identification of high. If you notice any other effects, check with your. F55. F55. AAS use is widespread due to their ability to improve muscle growth for aesthetic purposes and athletes’ performance, minimizing androgenic. Cataracts are generally thought of as a condition of older persons. As damaging as they are, the abrupt discontinuation of corticosteroids can cause serious harm. Prednisone is a glucocorticoid that doctors may prescribe to reduce inflammation. com. Increased blood sugar. Coding professionals must refer back to the tabular list rather than coding directly from the table of drugs and chemicals. Corticosteroids have been used in ophthalmology for almost 50 years. These guidelines should be used as a companion document to the official version of the ICD-10-CM as published on the NCHS website. Serious side effects of Albuterol. Abstract. mental depression. 822 Immunodeficiency due to external causes Add Code also external cause such as: ~ AddA drug-induced myopathy is defined as the manifestation of myopathic symptoms occurring in patients without prior muscle disease when exposed to certain medications or recreational drugs and improvement or resolution of the symptoms once the offending drug is discontinued. Abuse of steroids; Steroid abuse; ICD-10-CM F55. weight gain. If you feel up to it, a slow walk or some stretches may help your aches and pain. Some of the possible side effects include: fragile skin that tears or bruises easily. belching. Chronic steroid use significantly increased a patient's risk of having a hospital stay longer than 30 days by 19%, risk of readmission within 30 days by 58%, risk of reoperation by 21%, and risk of death by 32%. People receiving long-term oral corticosteroids (more than 3 weeks duration) and those needing frequent courses (three or four per year) are at risk of systemic adverse effects, which are: Analysis of 19 RCTs showed that exposure to ICSs for ≥1 year increased the risk of pneumonia by 41% (risk ratio 1. 02% (n=293 of 1 221 493) in non-users during this period. stabbing pain. Additionally, cohort and NCC studies showed an association between ICSs and risk of tuberculosis and mycobacterial disease. ajem. These codes were more general in nature, for example, ‘Adverse effects of other opioids…’, to help identify any possible ADE. The rate of dural puncture incidence was found to. These side effects include skin thinning, loss of color in the skin and intense pain. The most common side effects were neck pain (6. , patients who had TAVI had a mean CCI of 5. Although the administration of antenatal corticosteroids for the prevention of respiratory distress syndrome (RDS) in fetuses at less than 34 weeks of gestation is widely supported and practiced since the National Institutes of Health Consensus statement in 1994, 1,2 little information exists on the use of antenatal steroids to promote fetal lung maturation in. (2018). The rate of dural puncture incidence was found to be 0. A number of factors that influence both the therapeutic and adverse effects of glucocorticoids will be reviewed here, including the biologic potency, pharmacokinetic properties of the glucocorticoid, daily dose, timing of doses during the day, individual differences in steroid metabolism, and the duration of treatment . Some side effects regress quickly after suspension (for example, side effects on the skin or blood changes). high blood pressure. Long-term side effects of high doses of anabolic androgenic steroids self-administration were evaluated in this study. Immunosuppressive Agents. The adverse effects from short-course use. 0X5A may differ. Any other eye infection—Ophthalmic corticosteroids may make existing infections worse or cause new infections. Injection technique requires knowledge of anatomy of the targeted area. The vasogenic edema that surrounds many brain tumors contributes significantly to morbidity. Fortunately most of the serious, life-threatening effects appear relatively infrequently, and may be more likely to occur with some of the oral agents. F01-F99 - Mental, Behavioral and Neurodevelopmental disorders. Corticosteroids have been utilized as mainstay pharmacological intervention for successful organ transplantation since the beginning. Felner et al. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Keywords: Addiction, phobia, topical corticosteroids. This is not a complete list of side effects and others may occur. ] Title: 0719/17 Prescribed drug induced psychosisnoisy, rattling breathing. Abstract. Inhale this medication by mouth as directed by your doctor, usually twice daily (in the. Methods: We performed a systematic review related to dosages, effects, side effects, and safety of intrapolyp steroid injection in patients with nasal polyps. trouble thinking, speaking, or walking. It is imp. 74Common side effects of dexamethasone may include: fluid retention (swelling in your hands or ankles); headache, dizziness; increased blood pressure; slow wound healing; acne, thinning skin, bruising or discoloration; changes in your menstrual periods; or. trouble thinking, speaking, or walking. passing gas. Importantly, there is no evidence to suggest any adverse impacts on growth from multiple short courses of steroids in children. The immediate allergic reaction of AR triggers nasal symptoms, such as sneezing, itching, rhinorrhea, and nasal congestion, as well as ocular symptoms, including tearing, itching, and redness [ 10, 13 ]. 0X5A - other international versions of ICD-10 T49. 816 Actinomycin C T45. Rare but serious neurologic adverse events have been reported with epidural corticosteroid injections, including spinal cord infarction. There have been case reports of patients with symptoms that imitate viral gastroenteritis (nausea, vomiting, diarrhea, and fever) occurring hours after a single dose of azathioprine. Patients may experience exquisite pain during the procedure when the bursa is. headache*. difficulty sleeping*. Released cytokines additionally damage liver cells or have immune-modulating effects . Anabolic-androgenic steroids (AASs) are a large group of molecules including endogenously produced androgens, such as testosterone, as well as synthetically manufactured derivatives. Conclusions. 1X3 T45. [ Ref] Very common (10% or more): Nausea, vomiting. Moderately early steroid treatment has been used to improve lung compliance and facilitate weaning from the ventilator. MRI and CSF parameters support these findings. These include betamethasone, mometasone, and prednisolone. “I don’t want people to be afraid of steroids because they are very. Among these adverse effects, abdominal discomfort (26. ICD-9-CM and ICD-10-CM Codes of Four Adverse Events and Negative Control Outcome. Unless. excess hair growth in females. Prednisolone may cause serious side effects. While the high efficacy of this class of medication is well known, the wide range of adverse effects, both local and systemic, is not well elucidated. 19. Myopathy can occur with systemic glucocorticoid therapy. However, there is no systematic study evaluating the frequency and associations of corticosteroid-induced mania. The most common include: pain or swelling in the skin at the injection site; a skin reaction at the. Common side effects of cortisone may include: high blood pressure; muscle pain or weakness; sleep problems (insomnia), mood changes;. numbness or tingling in the arms or legs. Topical corticosteroids, usually. swelling in the legs and ankles. 1: Methadone causing adverse effects in therapeutic use. Some side effects may occur. Resistance to Infection. Steroid use is considered a modifiable risk factor in intensive care unit patients; however, reported mechanisms are often lacking. com. Corticosteroids affect the way your body stores and uses fat. Multiple over-the-counter NSAIDs. However, one pediatric study reported adrenal suppression, which was measured by a low-dose adrenocorticotropin stimulation test, in 10% of children treated. Adverse effect of steroid was found in 33. Previous and current exposure to glucocorticoids (GCs) increases the risk of fracture and bone loss. troubled breathing at rest. 22 is to “use additional code to identify stage of chronic kidney disease N18. We performed a systematic review related to dosages, effects, side effects, and safety of intrapolyp steroid injection in patients with nasal polyps. increased urination. Steroid-induced psychosis is a well-documented phenomenon. Abnormal menstrual cycles. 1016/j. severe lack or loss of strength. Treatment-related adverse effects were reported in clinical trials at rates of 58% to 73%, with rates of grade 3 or higher adverse effects at 7% to 27%. pounding in the ears. Loss of muscle mass. Cortisone may cause serious side effects. lack of menstrual periods. sore throat. 1, 2, 3 The appearance of cutaneous atrophy and dyspigmentation can cause significant patient distress, especially in patients with skin of color, in whom. Stunted growth (when used by children. troubled breathing at rest. More than 90% of men reported increased muscle mass and were satisfied with their SARMs usage. Other side effects not listed may also occur in some patients. The most common side effects of cortisone shots include: Pain at the injection site. 9%). They may be used individually or in combination with other drugs and are prescribed in both short and long courses depending on the condition being treated and the response of the patient []. This topic will review the epidemiology, clinical manifestations, diagnosis, and management of hypersensitivity reactions to systemic glucocorticoids. Type 2 diabetes mellitus—Patients with diabetes may be more likely to develop cataracts or glaucoma with the use of corticosteroids. To manage long-term side effects: Choose foods high in calcium and vitamin D, including dairy, tofu, green vegetables, sauerkraut, cabbage, soybeans, rutabagas, dried beans, and salmon. Talk with your doctor if you think your child is not growing at a normal rate while using this medication. It can also sometimes worsen the underlying condition being treated. This focused review will specifically evaluate the effects of steroids on sleep deprivation, psychosis, delirium, and what is known about these effects in a critically ill population. 2017. Cortisone side effects. 2018 May;36 (5):749-753. We report a case of a 35-year-old man with no previous history of psychosis who was seen for follow-up after a brief. 3X3 T37. increased hunger, thirst,. 8%) was most common, followed by skin rash (14. Code History. This topic will focus particularly on the side effects of systemic prednisone, prednisolone, and methylprednisolone, as there are more data for these compounds. Abnormal fat deposits on the face, neck, and trunk. This is not a complete list of side effects and others may occur. C. Cutaneous side effects occurred in 2 patients on postprocedure day 0, while the other side effects occurred in 4 patients at a mean 3. Fluid retention: You may notice that your face, hands, or feet feel a little puffier than normal. Some side effects may occur that usually do not need medical attention. swelling of fingers, ankles, feet, or lower legs. Steroid dementia syndrome describes the signs and symptoms of hippocampal and prefrontal cortical dysfunction, such as deficits in memory, attention, and executive function, induced by glucocorticoids. stomach discomfort, swelling, tenderness, or upset. It can help reduce the symptoms of autoimmune diseases. Additional Information for Health Care Professionals . A corticosteroid taken by mouth or given by intramuscular injection is often called a systemic steroid. After 3 days, she reported visual hallucinations, which resolved without. T45. Steroids are effective in remission induction therapy for UC and yield favorable results at 1 month after initiation, with an efficacy rate of 80% and a remission rate of 50% [1–5]. A quarter of patients had blood glucose levels > 180 mg/dL, and 10%-30% of these patients received peri-operative steroids versus 4%-18% of non-hyperglycemic patients. Triamcinolone acetonide (TA) is a synthetic steroid of the glucocorticoid family with a fluorine in the ninth position []. Although not all of these side effects may occur, if they do occur they may need medical attention. However, one pediatric study reported adrenal suppression, which was measured by a low-dose adrenocorticotropin stimulation test, in 10% of children treated. 9), and 652 disease manifestation codes. She presented with non-specific symptoms of lethargy, malaise, and poor oral intake with weight loss for 1 month, and. 4, 9, 10 Further studies are required to elucidate a possible association between selective serotonin reuptake inhibitors and hypokalemia. At first, little was known about. Therapies that may be safe and effective given current information include DPP-4 inhibitors, metformin, and w. It usually occurs with oral systemic steroid treatment and is more common at higher doses, although there are case reports of occurrence with local steroid injections. 0 Adrenal cortical steroids causing adverse effects in therapeutic use: Antibiotics: 760. numbness or tingling in the arms or legs. Check with your doctor immediately if any of the following side effects occur: Incidence not known.