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Influenza, commonly known as the “flu,” is an extremely contagious respiratory illness caused by influenza a or b viruses. Steroids increase your risk of infection so you might want to consider a flu shot before you start the medication. Avoid all immunizations while on steroids. Corticosteroid therapy in sars, mers and influenza. Corticosteroids have unique advantages in inhibiting inflammatory responses and have been. Zoster (shingles), and nasal flu (influenza) vaccine. See the discussion under influenza and hepatitis b vaccine for. Low-dose steroids reduce flu-like symptoms at the initiation of. Regarding the influenza vaccine, the u. Centers for disease control and. Influenza, and respiratory syncytial virus (rsv) (7, 18, 19). Systemic side effects were minimal in the steroid group compared with the. Recently, some studies have shown that corticosteroids may not be beneficial for patients with severe influenza and may even increase mortality. 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