For people with eye problems: Long-term prednisone use can increase your risk of getting eye infections, cataracts, or glaucoma. Let your doctor know if you experience any vision changes or eye pain. For people with stomach problems: Prednisone can cause damage to your stomach. Let your doctor know if you experience bad stomach pain that does not go away or you get dark or bloody stools.
For people with mood disorders: Prednisone may cause changes in your mood or behavior. Let your doctor know if you have changes in your mood, feel depressed, or have trouble sleeping. For pregnant women: The delayed-release tablet Rayos is a category D pregnancy drug.
That means two things:. Prednisone should only be used during pregnancy if the potential benefit justifies the potential risk. Prednisone can be passed through breast milk. For older people: As you age, your kidneys, liver, and heart may not work as well. Prednisone is processed in your liver and removed from your body through your kidneys. It makes these organs work extra hard.
For children: Children might not grow as tall if they take prednisone for several months. This dosage information is for prednisone oral tablet. All possible dosages and forms may not be included here.
Your dosage, drug form, and how often you take the drug will depend on:. Dosage for children is usually based on weight. Your doctor will determine the best dosage for your child. Older adults may process drugs more slowly. A normal adult dose may cause levels of the drug to be higher than normal. If you are ages 65 years and older, you may need a lower dose or a different dosing schedule. For immediate-release tablets only: If you have a sudden return or worsening of your MS symptoms, you may need to take mg once per day for one week.
This dosage may then be reduced to 80 mg once per day every other day for one month. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. Always speak with your doctor or pharmacist about dosages that are right for you.
For this drug to work well, a certain amount needs to be in your body at all times. If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:. But if your symptoms are severe, call or go to the nearest emergency room right away. What to do if you miss a dose: If you forget to take a dose, take it as soon as you remember.
How to tell if the drug is working: You should experience less pain and swelling. There are also other signs that show that prednisone is effective, depending on the condition being treated.
Talk with your doctor if you have questions about whether this medication is working. Your doctor may do tests to check your health and make sure the drug is working and is safe for you. These tests may include:. Steroids such as prednisone change the amount of water and salts in your body. Tell your doctor if you're exposed to infectious illnesses like chickenpox or shingles.
If you take prednisolone for more than 3 weeks, or you're on a high dose, you'll get a blue steroid card. Show this card to your doctor or dentist before any treatment, so they know you're taking prednisolone. Prednisolone can cause extra side effects if you stop taking it suddenly. Do not stop taking prednisolone if you've been on it for more than 3 weeks or have taken high doses more than 40mg for more than 1 week.
It's also called by the brand names Deltacortril, Deltastab, Dilacort and Pevanti. Prednisolone can be taken by adults and children. Prednisolone isn't suitable for some people. Tell your doctor before starting the medicine if you: have had an allergic reaction to prednisolone or any other medicine have an infection including eye infections are trying to get pregnant, are already pregnant or you are breastfeeding have recently been in contact with someone with shingles , chickenpox or measles have recently had, or are about to have, any vaccinations Make sure your doctor is aware if you have: had liver problems had mental health problems either you or close family members any unhealed wounds heart failure or have had a recent heart attack high blood pressure diabetes epilepsy glaucoma underactive thyroid osteoporosis thinning bones a stomach ulcer.
It's important to take prednisolone as your doctor has advised. How much will I take? Will my dose go up or down?
Your dose may go up or down. Your dose may go up if your illness gets worse. What if I forget to take it? Do not take a double dose to make up for a forgotten one. What if I take too much? Taking too many prednisolone tablets by accident is unlikely to harm you.
If you're worried, talk to your doctor or pharmacist. Common side effects Common side effects happen in more than 1 in people. Keep taking the medicine, but tell your doctor if they bother you or don't go away: weight gain indigestion sleep problems restlessness sweating a lot Serious side effects You are more likely to have a serious side effect if you take a higher dose more than 20mg daily of prednisolone or if you have been taking it for more than a few weeks.
Information: You can report any suspected side effect to the UK safety scheme. Stunted growth in children Long periods of prednisolone treatment can slow down the normal growth of children and teenagers. What to do about: weight gain - try to eat well without increasing your portion sizes so you don't gain too much weight. 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.
If this doesn't help, talk to your doctor as you may be able to try a different medicine. Prednisolone and breastfeeding You can usually take prednisolone while you're breastfeeding. Non-urgent advice: Tell your doctor if you're:. Mixing prednisolone with herbal remedies or supplements There's very little information about taking herbal remedies and supplements with prednisolone.
Important For safety, tell your doctor or pharmacist if you take any other medicines, including herbal remedies, vitamins or supplements. How does prednisolone work?
When will I feel better? This can vary. For some illnesses, you will feel better after a couple of days. Ask your doctor what to expect for your illness. How long will I take prednisolone for?
This depends on your health problem. You may only need a short course of prednisolone for up to a week. Will I put on weight? How do I come off prednisolone and will I get withdrawal symptoms? You may also get extra side effects including: severe tiredness weakness body aches joint pain These side effects are most likely to happen if you have taken prednisolone for more than a few weeks or you take more than 40mg daily. Important Do not stop taking prednisolone without talking to your doctor - you will need to reduce the dose gradually.
Can I take prednisolone for a long time? It can lead to: thinner bones osteoporosis poorly controlled diabetes eyesight problems slower growth in children and teenagers If you have to take prednisolone for a long time, there are steps you can take to stay as healthy as possible: Take regular exercise and make sure you get enough calcium in your diet to help strengthen your bones.
Calcium-rich foods include milk, cheese and leafy greens. To check your bones, your doctor may arrange for you to have an occasional bone scan. If you have diabetes , you may need to check your blood glucose more often. Your doctor can advise you more about this. To reduce the chances of eyesight problems, visit an optometrist every 12 months to check for high pressure in your eye glaucoma and cataracts.
Make sure that children and teenagers have their height monitored regularly by a doctor so that any stunting of growth can be picked up promptly. Do I need to be careful of infections? Important Tell your doctor straight away if you come into contact with someone who has an infectious disease such as chickenpox or shingles. Can I have vaccinations? Some vaccines are not suitable for you while you are taking prednisolone. If you need any vaccinations, mention that you are taking a steroid.
Do I need a blue steroid card? Important If you need any medical or dental treatment, show your blue steroid card to the doctor or dentist so they know that you are taking prednisolone. Are there other steroids? The effects are dose related— higher the dose, the worse the side effects. Prednisone use should be minimized. A dose of 5 mg daily use to be considered acceptable, but current thoughts are to try to eliminate completely, particularly if you are prone to develop the conditions I mentioned above.
For some, methotrexate does appear to lose effect, but this is not universally true. Yes, there are a lot of new biologic drugs for RA that are very effective.
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