Steroids may impair your ability to fall asleep, especially when they are taken in the evening. Self-care tips: If possible, the physician will try to have you take your entire daily dose in the morning. This may help you sleep better at night (evening doses sometimes make it difficult to fall asleep).
I also recommend some simple and usually safe over-the-counter treatments such as melatonin or chamomile.
Neurologic effects such as sleep disturbance, psychosis, and delirium are commonly cited adverse effects (AEs) of corticosteroids. Steroid use is considered a modifiable risk factor in intensive care unit patients; however, reported mechanisms are often lacking.
Listening to audiobooks or watching television – something with a strong narrative can help me focus and relax the hormones in my body. Be kind to yourself while on prednisone. Joining prednisone support groups has made me feel less crazy.
Increase in Energy. Prednisone can cause an increase in energy. You may also develop insomnia, or difficulty sleeping. Taking the medication in the morning may help to prevent this.
Prednisone has a tendency to raise the level of glucose, or sugar, in the blood, which can cause increased body fat or diabetes in some people. It is important to avoid "simple" carbohydrates and concentrated sweets, such as cakes, pies, cookies, jams, honey, chips, breads, candy and other highly processed foods.
When your moon face is caused by prednisone or another steroid, the simplest treatment is often to reduce your dosage. Your doctor can put you on a lower dose. Over time, being on a lower dose will reduce the appearance of moon face.
Psychological withdrawal symptoms could last for 2 to 8 weeks. The doctor may give you blood tests to check your cortisol levels as you taper off prednisone. You may need to taper off more slowly or go back to your regular dose if you have severe symptoms.
This medicine may cause changes in mood or behavior for some patients. 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.
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.
Taking prednisone too late in the evening can cause sleeplessness and insomnia, too. Make sure you also take your dose of prednisone with food, and just FYI, grapefruit juice has no effect on prednisone. Prednisone has long-lasting effects and is usually prescribed once daily.
Steroids and immunosuppressant medications.
Melatonin may cause these medication to lose their effectiveness. DO NOT take melatonin with corticosteroids or other medications used to suppress the immune system.
Sleep disturbance: Prednisone keeps some people awake. This is because it affects the hormones that help you feel energized (cortisol) and sleepy (melatonin). So it's common for people to report difficulty sleeping while they're taking prednisone.
No interactions were found between prednisone and Simply Sleep.
Prednisone directly causes atrophy of muscle fibers (myopathy) leading to muscle weakness. This is a very common side effect of chronic (a few months or more) prednisone use but can be either mild or severe. Patients usually notice weakness most in the upper legs.
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.
These symptoms generally last one to two weeks as you are tapering. Make sure to avoid other medications unless your doctor says it's okay. The psychological symptoms can stick around longer than the physical ones. Frequently, the psychological withdrawals can last two to eight weeks.
These feelings can pinball back and forth in quick succession and seem to come about for no reason and without provocation. In other words, a person receiving prednisone may find themselves feeling incredibly sad or mad and have absolutely no idea why.
Weight gain, fluid retention, nausea, mood swings, sleeplessness and overall weakness are signs to watch. This is especially true for someone on a long-term treatment plan. Exercise helps with fluid retention, depression and high blood sugar.
Once you stop taking corticosteroids, extra weight, water retention, and the puffiness of moon face will begin to go away. It can take about a year, though, for your body and face to return to their pre-corticosteroid states.
Prednisone Side Effects
Taking high doses of steroids for more than a few weeks can start to affect how the body works. The body holds on to fluid, creating the 'moon face' look and change in body shape. Blood pressure can start to raise due to changes in your cardiovascular system.
But, although moon face is common, it's temporary. “When the patient stops taking the prednisone, fat distribution goes back to normal and moon face disappears after a few weeks,” Dr. Galligan says.
Fluid retention can cause weight gain but as steroids are reduced, fluids will usually reduce as well, along with some of the weight gain. Drinking plenty of water and exercising can help with fluid retention.
Yes. Prednisone is one of several medications known to cause weight gain. This is usually more likely to happen with long-term use or higher doses. For example, about 70% of people in one study who took oral corticosteroids (including prednisone) for over 60 days reported weight gain.