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Prednisone 5mg side effects: Side effects of prednisolone tablets and liquid

Side effects of prednisolone tablets and liquid

The higher the dose of prednisolone that you take and the longer you take it for, the greater the chance of side effects. You’re less likely to get side effects if you take a relatively low dose of prednisolone daily.

If you have been taking prednisolone for more than a few weeks, check with your doctor before stopping it suddenly to reduce your chances of withdrawal side effects.

Some side effects, such as stomach upset or mood changes, can happen straight away. Others, such as getting a rounder face, happen after weeks or months.

Common side effects

These common side effects of prednisolone happen in more than 1 in 100 people. There are things you can do to help cope with them:

Weight gain

If you have to take prednisolone for more than a few weeks, it’s likely that you’ll put on weight. Prednisolone can make you hungrier and also can make you retain more water in your body.

Try to eat well without increasing your portion sizes. Regular exercise will also help to keep your weight stable.

Once you stop taking prednisolone, your appetite and the way your body retains water should return to normal.

Indigestion

Take prednisolone with food to reduce the chances of stomach problems. It may also help if you avoid rich or spicy food while you’re taking this medicine.

If symptoms carry on, ask your doctor if you may benefit from taking an additional medicine to protect your stomach.

Problems sleeping (insomnia)

Take prednisolone in the morning so the levels are the lowest at bedtime.

Feeling restless

If you’re feeling restless when you’re trying to sleep, take prednisolone in the morning so the levels are the lowest at bedtime.

Sweating a lot

Try wearing loose clothing and use a strong anti-perspirant. If this does not help, talk to your doctor as you may be able to try a different medicine.

Mild mood changes

Prednisolone can affect your mood in different ways. Talk to your doctor if you are finding it hard to cope.

Speak to a doctor or pharmacist if the advice on how to cope does not help and any of these side effects bother you or last more than a few days.

Serious side effects

You are more likely to have a serious side effect if you take a higher dose of prednisolone or if you have been taking it for more than a few weeks.

Call a doctor or call 111 straight away if you get:

  • a high temperature, chills, a very sore throat, ear or sinus pain, a cough, more saliva or a change in colour of saliva (yellowish and possibly with streaks of blood), pain when you pee, mouth sores or a wound that will not heal – these can be signs of an infection
  • sleepy or confused, feeling very thirsty or hungry, peeing more often, flushing, breathing quickly or breath that smells like fruit – these can be signs of high blood sugar
  • weight gain in your upper back or belly, “moon face” (a puffy, rounded face), very bad headaches and slow wound healing – these can be signs of Cushing’s syndrome
  • a very upset stomach or you’re being sick (vomiting), very bad dizziness or passing out, muscle weakness, feeling very tired, mood changes, loss of appetite and weight loss – these can be signs of adrenal gland problems
  • muscle pain or weakness, muscle cramps, or changes in your heart rate – these can be signs of low potassium levels
  • severe stomach pain, severe back pain, severe upset stomach or you’re being sick – these can be signs of pancreas problems
  • breathlessness
  • swelling in your arms or legs
  • changes in your eyesight
  • any bruising or bleeding that is not normal
  • red or black poo

Immediate action required: Call 999 or go to A&E if:

Mood changes

You may notice mood changes and mental health problems while taking prednisolone.

Talk to your doctor or contact 111 if you have any mood changes including:

  • feeling depressed
  • feeling high, or moods that go up and down
  • feeling anxious, having problems sleeping, difficulty in thinking, or being confused and losing your memory
  • feeling, seeing or hearing things that do not exist (hallucinations)
  • having strange and frightening thoughts, changing how you act, or having feelings of being alone

The higher the dose, the more intense the mood changes can be.

Go to 111.nhs.uk or call 111.

Immediate action required: Call 999 or go to A&E if:

Serious allergic reaction

In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to prednisolone.

Immediate action required: Call 999 or go to A&E now if:

  • you get a skin rash that may include itchy, red, swollen, blistered or peeling skin
  • you’re wheezing
  • you get tightness in the chest or throat
  • you have trouble breathing or talking
  • your mouth, face, lips, tongue or throat start swelling

You could be having a serious allergic reaction and may need immediate treatment in hospital.

Long-term side effects

Taking prednisolone for a long time can lead to side effects such as:

  • thinner bones (osteoporosis)
  • poorly controlled diabetes
  • eyesight problems
  • high blood pressure (hypertension)

Children and teenagers

Taking prednisolone at higher doses for a long time can slow down the normal growth of children and teenagers.

Your child’s doctor will monitor their height and weight carefully for as long as they’re taking this medicine. This will help them spot any slowing down of your child’s growth and change their treatment if needed.

Even if your child’s growth slows down, it does not seem to have much effect on their eventual adult height.

Talk to your doctor if you’re worried. They’ll be able to explain the benefits and risks of giving your child prednisolone.

Other side effects

These are not all the side effects of prednisolone. For a full list, see the leaflet inside your medicine packet.

Information:

You can report any suspected side effect using the Yellow Card safety scheme.

Visit Yellow Card for further information.

Page last reviewed: 24 February 2022

Next review due: 24 February 2025

Prednisone Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Uses

Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system’s response to various diseases to reduce symptoms such as swelling and allergic-type reactions.

How to use prednisone oral

Take this medication by mouth, with food or milk to prevent stomach upset, as directed by your doctor. Take the tablet form of this medication with a full glass of water (8 ounces/240 milliliters) unless your doctor directs you otherwise. If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. If you are prescribed only one dose per day, take it in the morning before 9 A.M.

Take this medication exactly as directed by your doctor. Follow the dosing schedule carefully. The dosage and length of treatment are based on your medical condition and response to treatment. If you are taking this medication on a different schedule than a daily one (such as every other day), it may help to mark your calendar with a reminder.

Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Also, you may experience symptoms such as weakness, weight loss, nausea, muscle pain, headache, tiredness, dizziness. To prevent these symptoms while you are stopping treatment with this drug, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details. Report any new or worsening symptoms right away.

Tell your doctor if your condition lasts or gets worse.

Side Effects

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.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: muscle pain/cramps, irregular heartbeat, weakness, swelling hands/ankles/feet, unusual weight gain, signs of infection (such as sore throat that doesn’t go away, fever), vision problems (such as blurred vision), symptoms of stomach/intestinal bleeding (such as stomach/abdominal pain, black/tarry stools, vomit that looks like coffee grounds), mental/mood changes (such as depression, mood swings, agitation), slow wound healing, thinning skin, bone pain, menstrual period changes, puffy face, seizures, easy bruising/bleeding.

This medication may rarely make your blood sugar rise, which can cause or worsen diabetes. Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. If you already have diabetes, check your blood sugar regularly as directed and share the results with your doctor. Your doctor may need to adjust your diabetes medication, exercise program, or diet.

A very serious allergic reaction to this product is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking prednisone, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: current/past infections (such as fungal infections, tuberculosis, herpes), heart problems (such as heart failure, recent heart attack), high blood pressure, thyroid problems, kidney disease, liver disease, stomach/intestinal problems (such as ulcer, diverticulitis), bone loss (osteoporosis), mental/mood disorders (such as psychosis, anxiety, depression), eye diseases (such as cataracts, glaucoma), diabetes, mineral imbalance (such as low level of potassium/calcium in the blood), seizures, blood clots, bleeding problems.

Using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stress. Before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past 12 months. Tell your doctor right away if you develop unusual/extreme tiredness or weight loss. If you will be using this medication for a long time, carry a warning card or medical ID bracelet that identifies your use of this medication.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This medication may mask signs of infection. It can make you more likely to get infections or may make current infections worse. Stay away from anyone who has an infection that may easily spread (such as chickenpox, COVID-19, measles, flu). Talk to your doctor if you have been exposed to an infection or for more details.

The liquid form of this medication may contain sugar and/or alcohol. Caution is advised if you have diabetes, liver disease, or any other condition that requires you to limit/avoid these substances in your diet. Ask your doctor or pharmacist about using this product safely.

Tell your health care professional that you are using prednisone before having any immunizations/vaccinations. Avoid contact with people who have recently received live vaccines (such as flu vaccine inhaled through the nose).

This medicine may cause stomach bleeding. Daily use of alcohol while using this medicine may increase your risk for stomach bleeding. Limit alcoholic beverages. Consult your doctor or pharmacist for more information.

Older adults may be more sensitive to the side effects of this drug, especially bone loss/pain, stomach/intestinal bleeding, and mental/mood changes (such as confusion).

This medication may slow down a child’s growth if used for a long time. Consult the doctor or pharmacist for more details. See the doctor regularly so your child’s height and growth can be checked.

During pregnancy, this medication should be used only when clearly needed. It may rarely harm an unborn baby. Discuss the risks and benefits with your doctor. Infants born to mothers who have been using this medication for an extended period of time may have hormone problems. Tell your doctor right away if you notice symptoms such as nausea/vomiting that doesn’t stop, severe diarrhea, or weakness in your newborn.

This medication passes into breast milk but is unlikely to harm a nursing infant. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: aldesleukin, mifepristone, drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, “blood thinners” such as dabigatran/warfarin, NSAIDs such as aspirin/celecoxib/ibuprofen).

If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually 81-162 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details.

This medication may interfere with certain lab tests (such as skin tests), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.

Does prednisone oral interact with other drugs you are taking?

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Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

Do not share this medication with others.

If this medication is used for an extended time, lab and/or medical tests (such as blood mineral levels, blood glucose, complete blood count, height/weight measurements, bone density tests, blood pressure, eye exams) should be done while you are taking this medication. Keep all medical and lab appointments. Consult your doctor for more details

This medication may cause bone problems (osteoporosis) when taken for an extended time. Lifestyle changes that may help reduce the risk of bone problems include doing weight-bearing exercise, getting enough calcium and vitamin D, stopping smoking, and limiting alcohol. Discuss with your doctor lifestyle changes that might benefit you.

If you are taking this medication daily and miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

If you are taking this medication on a different schedule than a daily one (such as every other day), ask your doctor ahead of time about what you should do if you miss a dose.

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Images

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Are you currently using prednisone oral?

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

What helps, analogues, dosage, side effects

THERE ARE CONTRAINDICATIONS. POSSIBLE SIDE EFFECTS. A SPECIALIST’S CONSULTATION IS NECESSARY. Allergy Joint and muscle pain Bronchial asthma Joint inflammation 24 3510722 reg. number 31917

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Contents of the article

  • Prednisolone: ​​from what
  • Prednisolone for allergies
  • Prednisolone for covid
  • Prednisolone: ​​dosage
  • Consequences of treatment with Prednisolone
  • Prednisolone: ​​side effects
  • Prednisolone and alcohol
  • Before nisolone: ​​analogues
  • Ask an expert on the topic of the article

Prednisolone is successfully used for treatment of inflammatory and autoimmune diseases since 1955. This is a proven drug. Prednisolone has thousands of clinical studies in its “baggage”, is included in the list of vital and essential drugs in Russia and WHO.

We tell you when Prednisolone helps, what side effects it has and how to use the drug correctly.

All products Prednisolone

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Prednisolone: ​​what

Prednisolone is a synthetic hormone glucocorticoid. In the human body, glucocorticoids are produced by the adrenal glands. They regulate carbohydrate, protein and mineral metabolism.

Prednisolone has the following actions:

  • anti-inflammatory
  • decongestant
  • antiallergic
  • anti-shock
  • immunosuppressive

The drug has a wide range of indications, it is used for:

  • shock states
  • allergic diseases, including anaphylactic shock
  • cerebral edema
  • bronchial asthma
  • systemic lupus erythematosus and rheumatoid arthritis
  • inflammatory diseases of the joints
  • acute adrenal insufficiency
  • thyrotoxic crisis, thyroiditis
  • hepatitis and hepatic coma
  • diseases of the skin and eyes
  • diseases of the hematopoietic organs
  • lung diseases (including tuberculosis and cancer)
  • in organ transplantation

Hormone treatment seriously affects the organs and systems of the human body. There are a lot of contraindications for Prednisolone, a complete list is indicated in the instructions for the drug and in the Register of Medicines of Russia (RLS). The drug is contraindicated in pregnancy and breastfeeding.

For life-saving use, the only contraindication is hypersensitivity to prednisolone or any of the drug’s components.

You may be interested in: Bronchial asthma clinical guidelines for treatment and prevention

Prednisolone for allergies

The antiallergic effect of Prednisolone is due to the fact that the drug changes the body’s immune response to allergens. The hormone inhibits the synthesis of biologically active substances – allergy mediators. Reduces the number of cells responsible for immunity. Inhibits the formation of antibodies.

In case of anaphylactic shock and bronchial status, prednisolone is administered intravenously, in other cases, for allergies, the doctor prescribes intramuscular injections or tablets.

Prednisolone for covid

Glucocorticoids, including Prednisolone, are indicated for the complicated course of coronavirus infection. They are prescribed when pneumonia develops with respiratory failure.

World Health Organization (WHO) Interim Guidelines published based on clinical trial data:

  • Recommendation #1: WHO strongly recommends oral or intramuscular corticosteroids (dexamethasone, hydrocortisone, or prednisolone) for the treatment of patients with severe and critical COVID-19.
  • Recommendation #2: WHO does not recommend the use of corticosteroids in the treatment of patients with non-severe COVID-19 unless the patient is already taking the drug for another condition.

Prednisolone: ​​dosage

The dose of Prednisolone and the duration of therapy is determined by the doctor individually, depending on the indications and the severity of the disease.

At the beginning of the course, the drug is prescribed in a higher dose. When a therapeutic effect is achieved, it is reduced to maintenance.

The daily dose is best taken once in the morning. This corresponds to the biological rhythm of the adrenal glands. The high dose can be divided into 2-4 doses, and the largest dose taken between 6 and 8 am.

Withdrawal of the drug is carried out gradually. A smooth dose reduction is due to the “withdrawal” syndrome. When treated with Prednisolone, the adrenal glands stop producing their own glucocorticoids. With a sharp cessation of the intake of Prednisolone, the body remains without hormones.

A serious life-threatening condition occurs. It is necessary to gradually reduce the intake of the hormone from the outside in order to restore the function of the adrenal glands. The doctor should draw up a scheme on how to reduce the dose of Prednisolone. For each case, it is individual and depends on the duration of treatment and the dose that the patient took during treatment.

If Prednisolone is used urgently and not more than 3 days, then gradual withdrawal is not required

Effects of treatment with Prednisolone

Hormone treatment should be taken very seriously. Long-term therapy with large doses of Prednisolone is accompanied by numerous adverse reactions.

One of the most noticeable is weight gain. It is better from the first days of therapy to choose a diet with a lot of vegetables, exclude sugar, limit carbohydrates, fatty and fried foods. Arrange fasting days, drink plenty of water and give yourself physical activity.

Still needed:

  • take medicines to protect the digestive tract, heart and bones
  • monitor blood pressure
  • see an ophthalmologist
  • monitor glucose levels
  • stop taking the drug gradually under the supervision of the attending physician

Prednisolone: ​​side effects

The frequency and severity of side effects depends on the duration of treatment, the level of doses taken and compliance with the rules for taking the drug. We indicate the most severe negative effects:

  • development of diabetes
  • adrenal suppression
  • bleeding and gastrointestinal ulcers
  • increased blood pressure, cardiac arrhythmias up to cardiac arrest, heart failure
  • thrombosis
  • osteoporosis
  • mental disorders
  • development and exacerbation of infections

Antacids and potassium preparations are prescribed to reduce side effects.

Prednisolone and alcohol

Do not drink alcohol during treatment with Prednisolone. Alcohol increases the risk of erosions, ulcers and bleeding in the gastrointestinal tract.

Prednisolone analogues

Hormone therapy is a complex and responsible process. Only the attending physician can choose an analogue to replace Prednisolone. For information, we indicate drugs that also belong to glucocorticoids:

  • Dexazon
  • Dexamethasone
  • Kenalog
  • Cortef
  • Medrol
  • Methylprednisolone
  • Metipred
  • Polcortolone
  • Triamcinolone

All goods Metipred

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All products Medrol

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All products Kenalog

6 reviews

All products Dexamethasone

14 reviews

Let’s summarize the information.

Prednisolone is a powerful analogue of natural glucocorticoids. It suppresses the immune system and has an anti-inflammatory effect. In emergency and severe cases, the drug saves lives.

Treatment with Prednisolone is carried out only according to strict indications and under the supervision of doctors. Against the background of hormone therapy, improper treatment and abrupt withdrawal, serious side effects appear.

The drug has a pronounced “withdrawal” syndrome, so the correct termination of treatment is as important as the therapy itself.

Prednisone is available from pharmacies by prescription. Only a doctor can replace the drug with an analogue.

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Zotina Natalya Igorevna,

Expert pharmacist

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Prednisolone – what you need to know when taking this drug

Most often in non-medical circles it is called a steroid or glucocorticoid, many people think that this is a very dangerous drug and are very reluctant to agree to treatment with this drug.

But for certain diseases, it is prednisone that is considered an obligatory and necessary drug of first choice in the treatment of a disease (for example, nephrotic syndrome, which you can read about here).

We are not talking about the drug itself and for what diseases it should be prescribed, but our information block about what doctors usually forget when they prescribe prednisolone. Usually, children come for a consultation while taking prednisolone in combination with asparkam. Believe me, hypokalemia (decrease in the level of potassium in the blood), in connection with which asparks are prescribed, is not the most common complication when prescribing prednisolone.

In our practice, almost 90% of patients receiving this drug are diagnosed with nephrotic syndrome.

Prednisolone is prescribed for a long period of time (the full course of therapy before the drug is discontinued may last 6-12 months), additional drugs must be prescribed to prevent the side effects of prednisolone. They are:

  1. In order to protect the mucosa of the upper gastrointestinal tract (esophagus, stomach, duodenum), prednisolone may cause indigestion, nausea, vomiting and more serious complications such as steroid ulcers. However, all this can be avoided by taking the so-called – gastroprotective drugs (i.e. Protection of the stomach in literal translation). These are antacids (eg Maalox, phosphalugel, etc.), H+ pump blockers (eg Omeprazole), drugs that improve the motility of the gastrointestinal tract. All doses of drugs are selected individually according to age and body weight.
  2. Bone protection. Long-term use of steroids can cause a decrease in bone mass, so-called steroid osteoporosis (bone thinning) can develop, which ultimately leads to bone fractures. But this condition can also be prevented, it is necessary to take calcium and vitamin D preparations . The dose of drugs is also selected individually.

Other things to watch out for:

  1. Mandatory blood pressure monitoring
  2. Observation of an ophthalmologist: control of vision, the state of intraocular pressure and the lens of the eye.