The word steroid might make you think of "roid rage" or
side effects in athletes, weightlifters, and bodybuilders who use them. But if your
doctor prescribed a steroid as part of your child's cancer treatment, don't worry.
It's not "that" kind of steroid.
It's an important cancer medicine.
Steroids are chemicals made normally by the body. Other steroids are manmade medicines.
Both have many different jobs and help organs work properly. The most common steroids
How Do Steroids Work?
Steroids can reduce
(irritation and swelling) in the body. Sometimes they lower the body's
ability to fight infection.
Steroids can help with cancer treatment in a variety of ways. They can:
higher blood sugar than normal. Sometimes, people develop diabetes temporarily.
If your child already has diabetes, you'll need to do careful blood sugar level checks.
for girls, missed or late periods
Less common side effects include trouble fighting infections, acne flare-ups, and
increased facial hair.
How Do People Take Steroids?
Doctors can prescribe steroids for cancer treatment in several ways:
by an injection into the muscle (IM)
through a vein (IV)
by mouth (orally) as a liquid or pill
as a cream applied to the skin
The doctors will give you all the details, but there are some things to remember
when your child takes steroids by mouth for cancer treatment. Steroids, both the liquid
and the pill form, have a bitter somewhat unpleasant taste.
To make sure your child doesn't miss any doses:
Mix the liquid steroid in a small amount of a tasty liquid, like your child's
You can add a few drops of flavoring, like chocolate syrup or peppermint, to the
spoon of medicine.
Steroid pills are quite small and mixing them in applesauce or pudding can make
them easier to take.
What Else Should I Know About Steroids?
Steroids can irritate the stomach. To protect it, your child should
take them with food in the stomach. The doctor might recommend stomach medicines,
either prescribed or over the counter (such as Zantac, Pepcid, or Prilosec). It might
help for your child to start taking these medicines a couple of days before the steroids
begin and to continue taking them for a few days after the steroids are done.
Don't stop the steroids without your doctor's advice. If you notice
anything strange while your child takes the steroids, tell the doctor right away.
Sometimes, steroid medicine is decreased slowly over time (described as being weaned
or tapered). Other times doctors may just stop the steroids. If this happens, your
child's body could go through a type of withdrawal if it's placed under a stressful
situation like a new fever or infection.
Your child might have a steroid card or medical alert bracelet.
A lot of steroid treatments happen in a doctor's office or clinic. But some kids and
teens on long-term steroid treatment take pills at home. They might have a steroid
card or wear a medical alert bracelet. Your child should keep this card on hand or
wear the medical alert bracelet at all times. If there's an emergency, the card or
bracelet will let doctors know about the steroids, which can change the treatment