Ocular Therapeutix more recently obtained approval for Dextenza, another dexamethasone product. Will physicians prescribe fewer topical nonsteroidals if drop-free steroids are available to cataract patients? This remains a big question. Large studies have shown the additive value of NSAIDs in preventing cystoid macular edema compared with steroids alone, but these studies were generally conducted with topical drops in which patient compliance with four-time-a-day steroid dosing is not completely reliable.
Repeating these studies with alternate drug delivery platforms such as Dextenza and Dexycu may yield a different result, making nonsteroidals nonessential for routine cataract patients. While the competition between companies intensifies with all these new product offerings, both patients and surgeons are sure to win as new, more convenient methods of steroid drug delivery become common practice over the next year or so. Healio News Ophthalmology Cataract Surgery.
By John A. Read next. January 08, Receive an email when new articles are posted on. Please provide your email address to receive an email when new articles are posted on. You've successfully added to your alerts. You will receive an email when new content is published. This article was first published in The Conversation. The use of image and performance enhancing drugs — in particular steroids — is a growing area of concern globally.
The use of these drugs has traditionally been limited to elite athletes and professional bodybuilders. But now their use is becoming normalised as part of a fitness and beauty regime for people who want to gain muscle, become leaner, and improve their appearance. Several population studies have shown the use of image and performance enhancing drugs in Australia is relatively low.
Number of performance- and image-enhancing drug detections at the Australian border, —06 to — If Australia is to respond to image and performance enhancing drug use effectively, we need to improve our prevention and harm-reduction strategies — and not merely further criminalise users. The most-researched and targeted image and performance enhancing drugs are steroids. But other examples include clenbuterol to lose weight and melanotan II a tanning agent.
The inappropriate and excessive use of these drugs has been associated with a range of negative physical and psychological health consequences. Steroid use, for example, has been linked to high blood pressure, heart attack, stroke, acne and skin infections, liver damage, tendon rupture, premature baldness and stunted bone growth in adolescents.
There are also psychological implications such as addiction, mood syndromes, and body image disorders. Another issue is that the widespread use of illicitly manufactured products sourced through the black market puts drug users at risk of adverse reactions to tainted products. In addition, as many of these substances are injected, there are potential harms from unsafe injecting practices.
In Australia, increases in the detection of these drugs at the border, coupled with contested concerns about links to organised crime , has led to greater levels of law enforcement. This means they are now classed alongside heroin, cocaine and ice in the highest category of dangerous illicit drugs. Similar tough penalties apply in New South Wales and Victoria.
However, there is little evidence that tougher penalties have resulted in reductions in steroid availability. The total number of seizures at the border fell in But there is evidence of increases in recent years.
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