Explain how cortisol suppresses the immune system, and why this is sometimes a useful therapy. What are some negative side effects of cortisol therapy? Why do doctors prescribe cortisol in doses that taper off at the end of the therapy period? Why do doctors sometimes prefer to prescribe nonsteroidal anti-inflammatory drugs?

What will be an ideal response?


Cortisol prevents cytokine release and antibody production by white blood cells and decreases leukocyte mobility
and migration; cortisol is thus an effective anti-inflammatory and antirejection drug for transplant patients.
Cortisol weakens the skeleton and alters brain function, in addition to suppressing the immune system. Because
cortisol suppresses ACTH production by negative feedback, the adrenal cortex atrophies during cortisol therapy.
Tapering off of dosing allows adrenal cortex function to return gradually. Nonsteroidal anti-inflammatories avoid
the negative side effects of cortisol therapy and are therefore more appropriate for minor inflammation.

Anatomy & Physiology

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