Whether inhaled corticosteroids are useful is unclear, but stopping inhaled corticosteroid therapy is safe. Predisposing factors include use of corticosteroid sprays or inhalers or immunosuppression. Dexamethasone is a type of corticosteroid medication. The usual agent is a topical corticosteroid (topical steroid). These included three intramuscular injections of the drug triamcinolone, a powerful corticosteroid. Therapeutic injections of corticosteroid and local anaesthetic may be used for persistent impingement syndrome. This involves taking a corticosteroid such as hydrocortisone and fludrocortisone. Plasma angiotensinogen levels are increased by plasma corticosteroid, estrogen, thyroid hormone, and angiotensin II levels. Molina tested positive for dexamethasone, a corticosteroid, after his loss to Joshua. For side effects, see corticosteroid and prednisolone. Complications including hypopigmentation may occur with corticosteroid injection. For more severe cases of osteoarthritis, intra-articular corticosteroid injections may also be considered. Recommended first line therapy often includes&colon; cyclophosphamide alternating with a corticosteroid. Symptoms can be improved by wearing a wrist splint or with corticosteroid injections. The adrenal cortex produces a number of different corticosteroid hormones.