Prednisone controls inflammation by suppressing our immune system and is four times more potent than cortisol at decreasing inflammation. However, prolonged use can cause immunosuppression, muscle wasting, bone changes, fluid shifts, and personality changes.
Tell your doctor right away if you have depression, mood swings, a false or unusual sense of well-being, trouble with sleeping, or personality changes while taking this medicine. This medicine might cause thinning of the bones (osteoporosis) or slow growth in children if used for a long time.
Because prednisone suppresses the body's immune system, it can also increase the risk of infection. Therefore, some precautions need to be taken. Before taking prednisone, talk to your healthcare provider about the following: If you have a history of allergies to prednisone or other steroid drugs.
Topical steroids
The fear of using corticosteroids is so common that it has its own name: corticophobia. For topical steroids, this fear stems from well-known and severe adverse effects like Cushing syndrome and permanent skin atrophy.
Nausea, vomiting, loss of appetite, heartburn, trouble sleeping, increased sweating, or acne may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.
The most serious prednisone side effects usually include allergic reactions, infections, gastrointestinal issues and elevated blood sugar. These may occur when people take larger doses or take the medication for long-term treatment.
A gradual reduction in prednisone dosage gives your adrenal glands time to resume their usual function. The amount of time it takes to taper off prednisone depends on the disease being treated, the dose and duration of use, and other medical considerations. A full recovery can take a week to several months.
Take prednisolone with breakfast so it does not upset your stomach. Taking prednisolone in the morning also means it's less likely to affect your sleep. If your prednisolone tablets are labelled as "enteric coated" or "gastro resistant", you can take these with or without food but make sure to swallow them whole.
There is no set limit on how long you can safely take prednisone. It depends on the dose of prednisone and the condition being treated. It may be prescribed short term or long term. The dosage will be adjusted or stopped based on your response or lack of response to the medication.
Common short-term side effects include changes in appetite, mood, energy, and sleep. Long-term prednisone treatment can lead to weight gain, osteoporosis, and cataracts. Diarrhea is not a side effect of prednisone. But other gastrointestinal symptoms are possible, like increased appetite and indigestion.
Common side effects of daily low dose prednisone include elevated blood pressure, swelling, changes in blood sugar, increased appetite, weight gain, insomnia, osteoporosis (thinning of bones), irregular menstrual periods, and mood changes.
It's best to take prednisone as a single dose once a day straight after breakfast. For example if your dose is 30mg daily, it's usual to take 6 tablets (6 x 5mg) all at the same time after breakfast. Prednisone is a type of medicine known as a corticosteroid or steroid.
Steroids should ideally only be used for a short period of time to get over a flare-up or while long term treatments, such as azathioprine, become established. If you are starting a course of steroids, then you should complete the full reducing course, which is generally prescribed for eight weeks.
Missed Dose
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Currently, creatine is the only natural steroid that the Food and Drug Administration (FDA) approve for short-term use in healthy adults aged over 18 years to improve athletic performance. Several studies have found that using creatine for 5–7 days can significantly increase: strength.
They include methotrexate, Arava, and the anti-TNF drugs such as Enbrel, Humira, and Remicade. These are very strong drugs as well and must be used with caution, but sometimes they can have good effects when taken in small amounts or as a short-term alternative to prednisone.
Your symptoms may be a return of inflammation, not withdrawal. Tapering too quickly can cause a flare to happen. If your disease flares, you may need to go back to a higher steroid dose for a short time to get the inflammation under control.
The elimination half life of prednisone is around 3 to 4 hours. This is the time it takes for your body to reduce the plasma levels by half. It usually takes around 5.5 x half-life for a drug to be completely eliminated from your system. This is (5.5 x 3) 16.5 hours to (5.5 x 4) 22 hours for Prednisone.
Prednisone generally works very quickly — usually within one to four days — if the prescribed dose is adequate to reduce your particular level of inflammation. Some people notice the effects of prednisone hours after taking the first dose.
Short-term treatment (7–14 days) with oral prednisone is used for many acute inflammatory and allergic conditions.
Prednisone is usually taken with food one to four times a day or once every other day. Your doctor will probably tell you to take your dose(s) of prednisone at certain time(s) of day every day. Your personal dosing schedule will depend on your condition and on how you respond to treatment.