Prescription steroid: long-term/high-dose use can cause adrenal suppression, Cushingoid features, osteoporosis, cataract/glaucoma, hypertension, diabetes worsening and increased infection risk. Avoid close contact with people who have infections (e.g., chickenpox/measles); seek medical advice if exposed. Use with caution in diabetes, hypertension, peptic ulcer disease, osteoporosis, glaucoma, psychiatric illness, liver disease and in elderly. Do not stop suddenly; taper under medical supervision. Live vaccines are generally avoided during immunosuppressive doses.