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Psychic derangements may appear when corticosteroids are usedranging from euphoriainsomniamood swingspersonality changesand severe depressionto frank psychotic manifestationsAlsoexisting emotional instability or psychotic tendencies may be aggravated by corticosteroids.

Convulsionsdepressionemotional instabilityeuphoriaheadacheincreased intracranial pressure with papilledemapseudotumor cerebriusually after treatmentinsomniamood swingsneuritisneuropathyparesthesiapersonality changespsychic disordersvertigo.

Abdominal distentionelevation in serum liver enzyme levelsusually reversible upon discontinuationhepatomegalyincreased appetitenauseapancreatitispeptic ulcer with possible perforation and hemorrhageperforation of the small and large bowelparticularly in patients with inflammatory bowel diseaseulcerative esophagitis.

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