Ask the Skilful: What are the side effects of taking a low dose prednisone every day? Information technology'south the only thing that helps with my hurting, but I hear it'due south non a long-term solution?

Prednisone belongs to the grade of medications known every bit corticosteroids (or anti-inflammatory agents). These medications provide relief of inflammation and are used to treat a variety of medical atmospheric condition including pain, asthma, Sjögren's and rheumatoid arthritis. Every bit with all medications, corticosteroids have some adverse side effects related to the dose and the duration in which the medication is taken. Side effects associated with low dose (7.5 mg/24-hour interval or less) daily prednisone are less severe than those seen with higher doses (greater than 30mg/day) and tin unremarkably be managed with precautions. Common side effects of daily depression dose prednisone include elevated claret force per unit area, swelling, changes in blood sugar, increased appetite, weight gain, insomnia, osteoporosis (thinning of bones), irregular menstrual periods, and mood changes. Serious side furnishings associated with higher doses and long-term use (greater than 1 month) are impaired wound healing, decreased growth (in children), decreased muscle production, fat deposits, stomach ulcers or bleeding, vision bug, higher adventure for infection, and in rare cases life-threatening allergic reactions.

Although the list of side effects may make yous wonder whether you should have this medication or not, delight be reassured that many people have daily low dose prednisone with minor or no side furnishings. The following self-intendance tips may help minimize some of the side effects associated with prednisone. For those experiencing swelling and/or elevated claret pressure level, a healthy low sodium diet, regular exercise, and stress management can help to keep your blood pressure under command while taking daily low dose prednisone. If you have diabetes, information technology is important to monitor your claret sugar and study any astringent fluctuations in claret carbohydrate to your provider. It is recommended that prednisone be taken with food or milk to minimize stomach upset and reduce the take chances of stomach ulceration. Schedule yearly eye exams and report any new changes in vision to your eye doctor. Long term corticosteroid therapy may cause thinning of bones (osteoporosis) which increases the risk of os fracture. Talk to your doctor or pharmacist nigh vitamin D and calcium supplementation to help protect your bones. Since long term prednisone apply can increase your risk for infection, inquire your doctor or chemist to review your vaccination history and be sure to stay upwardly to appointment on all of your recommended vaccines. Alert your family members and friends about the possibility of mood changes associated with this medication, and then they can help detect any unusual changes in your behavior. Report any changes in mood or behavior to your doctor.

Although experiencing side effects is unpleasant, it is crucial to avoid sudden discontinuation of this medication. Never stop or decrease your dose unless instructed by your md. Your doctor can instruct yous on how to slowly decrease your dose if you need to cease taking this medication for any reason.

By Ajay John, Pharmacy Intern and Kayli Smith, Pharm.D

This article was first printed in  the Foundation's patient newsletter for members. Click here to learn more about condign a fellow member.

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