Key takeaways: Corticosteroids — like prednisone — can have serious long-term side effects. This is especially true when someone takes them for a long time or at a higher dose. Examples of corticosteroids side effects include weight gain, osteoporosis, eye problems, and increased infection risk.
Serious side effects 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 problems, higher risk for infection, and in rare cases life-threatening allergic reactions.
There's no limit on how long you can take prednisone. It depends on the condition being treated and the dosage. It could be as short as 3 to 5 days or up to several months or even years.
Other potential side effects—like vision problems and osteoporosis —may be permanent.
Corticosteroids — like prednisone — can have serious long-term side effects. This is especially true when someone takes them for a long time or at a higher dose. Examples of corticosteroids side effects include weight gain, osteoporosis, eye problems, and increased infection risk.
“Some say it's okay for an RA patient to take 5 mg of daily for years if need be, while others think prednisone is dangerous and want their patients off it completely,” Dr. Tiliakos says. “I'm of the school of thought that it's acceptable to take 5 mg for long periods of time, though it depends on the patient.”
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.
For example, a 1–2 week course is often prescribed to ease a severe attack of asthma or gout. This is usually taken without any problems. Side effects are more likely to occur if you take a long course of steroids (more than 2–3 months), or if you take short courses often.
Specific medications in this group include (in no particular order) Flovent, Pulmicort, QVAR, Asmanex, and many others, both brand-name and generic. These are medicines that are similar to prednisone, but the dose is much lower than prednisone taken by mouth, and the side effects are dramatically reduced.
The amount of prednisone it takes to overdose isn't known. However, National Institutes of Health experts state that sustained prednisone use at 40 mg daily can cause adverse effects. There are no recorded reports of someone accidentally overdosing by taking large doses of prednisone.
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.
Still, dexamethasone is more potent (stronger) than prednisone. If you're in a situation where you need a more potent steroid, dexamethasone will likely be the preferred option between the two. It also works longer in your body than prednisone does.
Methylprednisolone and prednisone are corticosteroids that can have a significant impact on the body. They are effective medications for reducing inflammation. Both medications can produce a range of side effects and complications. Methylprednisolone is more potent than prednisone.
Official answer. Prednisone does not usually cause sleepiness but may make you feel dizzy, irritable with mood swings, or cause you to have trouble sleeping (insomnia). If your dose is stopped too quickly or if you take prednisone for a long period of time you may feel severely fatigued.
It's safer to taper off prednisone. Your doctor will gradually lower your dose. Tapering helps prevent withdrawal and stop your inflammation from coming back. As you taper, you may notice subtle symptoms.
You could expect a dose of prednisone to stay in your system for 16.5 to 22 hours. 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 half lives for a drug to be completely eliminated from your system.
Moderate to high dose use of glucocorticoids poses a significant risk of infections, including common mild infections as well as serious life-threatening infections. There is a linear increase in the risk with dose and duration of therapy, especially with common bacterial, viral, and fungal pathogens.
People taking prednisone can also experience higher blood sugar, which is a special concern for those with diabetes. Because prednisone suppresses the body's immune system, it can also increase the risk of infection.
Compromised immune system
Turns out, prednisone's greatest asset is also its greatest weakness. The very action that makes prednisone so effective — its ability to mute the immune system and relieve symptoms — can also lead to an increased risk of illness and infection, since your body's defenses are low.
At this point, the adrenal glands need to be producing natural cortisol, as the Prednisone is no longer providing enough corticosteroid to keep the body functioning properly. At 5mg per day, it is usually advisable to reduce by only ½ mg at a time.
It is known and has been repeatedly demonstrated that low doses of prednisone or prednisolone (10 mg daily or 5 mg bid) will control most of the inflammatory features of early polyarticular rheumatoid arthritis (Table 2).
“If corticosteroids are to blame, gradually tapering off them can help with weight loss and facial swelling,” Dr. Guo said. “You'll take less and less until your body adjusts, and you might be able to safely stop the steroid. You need to have normal adrenal gland function before you stop long-term steroids.”
Prednisone and Rayos are the same medication, but Rayos is designed to start working 4 hours after you take it. By comparison, prednisolone is also available as an orally disintegrating tablet (ODT). ODTs are dissolved on your tongue and can be swallowed with or without water.