to use prednisone on an every other day basis when it he started at 20 mg per day for several weeks then was on 5mg per day Copyright © VetInfo.

Prednisone should be taken at the same time s each day to maintain an even level in your blood. For the medication to work properly, it must be taken as prescribed. Do not take your dosage for longer than prescribed, and do not stop taking it suddenly see Prednisone Withdrawal. This is something that you should bring up to your physician because the side effects of the medication should have worn off by this time.

What does long-term use of prednisone do? What are some of the side effects? Long-term effects of corticosteroids, the class of drugs that includes prednisone, include an increased risk of osteoporosis, thinning skin, bruising easily, increased risk of infections, increased blood sugar levels, and cataracts.

Patients should discuss these risks with their health care provider and ask how to reduce the risks of these side effects. Do not stop or change the amount of medication you take without talking to your health care provider first. Can polymyalgia rheumatica be a result of taking simvistatin?

I was taking simvistatin and almost wound up not being able to function. Now I am on prednisone. Is my body ruined? How long do you think I might be on prednisone? I am taking 20 mg once a day but after 24 hours I can feel it wearing off. While there is no certainty for what causes polymyalgia rheumatica, simvistatin can cause problems in some people that result in muscle aches, fever, bloating , and overall malaise. In some cases this is a result of acute damage to the liver or kidney and as long as the causing agent isn't continuously taken, it will not cause permanent damage.

The prednisone will help with the pain, fever, and reduction of the inflammation. Since you have already taken the prednisone for over a week, you will eventually have to taper down off of the dose. Will prednisone keep my diabetes' numbers up? Yes, long term use of prednisone may elevate your blood sugar. Can taking prednisone for 6 to 12 months cause a prediabetic condition, high blood sugar, high cholesterol and pre-osteoporosis?

It is always important to be aware of the side effects of a medication so you can recognize the symptoms if they occur. According to the research available, prolonged use of prednisone may increase the risk for osteoporosis and cause changes in blood glucose sugar levels.

It is important, with prolonged treatment with prednisone, that you are routinely monitored by a healthcare provider. Contact your doctor if you experience any unusual or bothersome symptoms while taking prednisone. For additional information regarding prednisone: How much is too much prednisone? I have been taking 20mg for 5 days along with cephalexin. Clinical studies show that prednisone 20 mg daily fits in the ranges of usual daily doses.

Prednisone is used to treat inflammation associated with illnesses. If a patient's kidney function or liver function is low, then a doctor might prescribe a lower dose.

Cephalexin is an antibiotic and these medications are commonly prescribed together to treat infections. Can prednisone affect A1c, TSH, and blood pressure? Your question regards prednisone and if the medication can affect hemoglobin A1c a measure of blood sugar control , TSH thyroid-stimulating hormone , and blood pressure. According to LexiComp, prednisone can alter glucose production and regulation and possibly cause hyperglycemia higher blood sugar. Prednisone has also been shown to cause fluid retention and hypertension elevated blood pressure.

Finally, prednisone can cause thyroid changes and sometimes dosages need adjustment. Here is a page with additional information about prednisone: Jennyfer Marisco, RPh Q: I've been on prednisone for my asthma for more than 20 years. I also take Singulair and theophylline along with two inhalers, albuterol and Advair Prednisone side effects are getting worse and the doctors say there is nothing more they can do.

Is there any help in sight for prednisone-dependent patients? The treatment strategy for asthma, as for many other conditions, is based on a number of patient-specific characteristics. Your health care provider is the best person to help you determine a plan for treating your asthma.

Dosage requirements for prednisone are variable and must be tailored to the individual patient. Meanwhile, doctors have learned a great deal about allergies and the immune system in recent years, and some of this knowledge is being used to develop medications to treat asthma.

The hope is to provide new and improved therapies for people with asthma and allergies. Derek Dore, PharmD Q: My son has been taking prednisone for 2 years. What are the long-term side effects for this medication for a 5 year old child?

Prednisone is a synthetic corticosteroid, a glucocorticoid, used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders. Side effects resulting from treatment with glucocorticoids are dependent upon the size of the dose and the duration of treatment. In general, taking prednisone for long periods of time may cause, increased facial hair, fracture of weight bearing bones legs and hips , glaucoma, increased risk of developing blood clots and swelling of theface.

These are not all the possible side effects that can occur with prednisone. I have prednisone-induced osteoporosis. I am tapering off prednisone, down to 4 mg daily. How much does 4 mg harm bones, compared to higher doses? However, according to some medical evidence, patients on doses as low as 2. This information is solely educational. It's important to consult with your physician or health care provider about any specific question regarding your medical conditions or medications; particularly before taking any action.

Is 20mg of prednisone twice a day a low dose? This is my third day of six and I am experiencing tightness in my chest. I do not know what condition you are using the prednisone to treat, but 20mg twice daily is in the dosage range of this medication. If you are experiencing tightness in your chest or shortness of breath, you should contact your health care provider and let them know the symptoms you are having. They would want to know about this so they can give your the best medical treatment for your condition.

Take your prednisone with food around the same time each day. Not knowing what other medications you may be taking, you should also talk to your pharmacist to see if there are any drug interactions taking place. I have included a site with more information: My 5-year-old granddaughter had an asthma attack, and her lungs were swollen. Is it normal to put a 5-year-old on prednisone for 5 days?

Could this harm her in any way? Prednisolone is a glucocorticoid that depresses the release or activity of inflammation or histamines. Prednisolone is found in oral formulations such as Pediapred or Orapred. Prednisolone should be taken with food or milk.

Fortunately, short term use of steroids do cause the unwanted side effects that are often associated with prednisone. The most common side effects of taking prednisone or prednisolone short term are trouble sleeping or excitability. Children as young as a couple months old are sometimes given prednisolone to treat respiratory infections.

Kimberly Hotz, PharmD Q: Why does prednisone cause weight gain, joint pain, and impaired vision? Prednisone is a corticosteroid used to treat many inflammatory disorders.

Prednisone, like all steroids, has significant side effects especially when taken long-term. It is always best to only use prednisone and other steroids for a short time if possible; however, some conditions may require long term use. Side effects of prednisone include increased appetite and weight gain. Long term use can cause compression fractures and osteoporosis. Long term prednisone use can lead to glaucoma or cataracts.

Patients who are on long term steroid treatment need to be followed closely by their health care provider to check for these and other potentially serious side effects. Your health care provider can provide more information on your treatment course of prednisone and why it is needed. Please see the following Everyday Health link for more information on Prednisone.

I take prednisone from time to time for Crohn's disease. I am aware that prednisolone has a little bit higher equivalency than prednisone. Other than that, is it the same drug and are both equally effective for my illness?

Both prednisone and prednisolone are in a class of drugs called corticosteroids. They prevent the release of substances in the body that cause inflammation. Corticosteroids are used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, Crohn's disease, arthritis, lupus, psoriasis, and breathing disorders.

Prednisone is converted in your body by the liver into prednisolone. Prednisolone is the active corticosteroid that is primarily responsible for the effects on inflammation. Generally, prednisone is considered the corticosteroid of choice in treating inflammatory conditions. However, some doctors prefer prednisolone for a variety of reasons. Do you lose your weight gain after stopping prednisone? Or even lowing the dose of prednisone?

Weight gain is usually the most dreaded side effect of steroid use, incurred to some degree by nearly all patients who take them. The use of oral corticosteroids is not recommended in the treatment of optic neuritis and may lead to an increase in the risk of new episodes. Corticosteroids should not be used in active ocular herpes simplex because of possible corneal perforation. Precautions General Precautions The lowest possible dose of corticosteroids should be used to control the condition under treatment.

When reduction in dosage is possible, the reduction should be gradual. Discontinuation of corticosteroids may result in clinical improvement. Cardio-Renal As sodium retention with resultant edema and potassium loss may occur in patients receiving corticosteroids, these agents should be used with caution in patients with congestive heart failure, hypertension, or renal insufficiency.

Endocrine Drug-induced secondary adrenocortical insufficiency may be minimized by gradual reduction of dosage. This type of relative insufficiency may persist for up to 12 months after discontinuation of therapy following large doses for prolonged periods; therefore, in any situation of stress occurring during that period, hormone therapy should be reinstituted. There is an enhanced effect of corticosteroids on patients with hypothyroidism.

Gastrointestinal Steroids should be used with caution in active or latent peptic ulcers, diverticulitis, fresh intestinal anastomoses, and nonspecific ulcerative colitis, since they may increase the risk of a perforation. Signs of peritoneal irritation following gastrointestinal perforation in patients receiving corticosteroids may be minimal or absent. There is an enhanced effect due to decreased metabolism of corticosteroids in patients with cirrhosis. Musculoskeletal Corticosteroids decrease bone formation and increase bone resorption both through their effect on calcium regulation i.

This, together with a decrease in the protein matrix of the bone secondary to an increase in protein catabolism, and reduced sex hormone production, may lead to inhibition of bone growth in pediatric patients and the development of osteoporosis at any age. Growth and development of infants and children on prolonged corticosteroid therapy should be carefully observed. Special consideration should be given to patients at increased risk of osteoporosis e. Inclusion of therapy for osteoporosis prevention or treatment should be considered.

To minimize the risk of glucocortoicoid-induced bone loss, the smallest possible effective dosage and duration should be used. Lifestyle modification to reduce the risk of osteoporosis e. Calcium and vitamin D supplementation, bisphosphonate e. Neuro-Psychiatric Although controlled clinical trials have shown corticosteroids to be effective in speeding the resolution of acute exacerbations of multiple sclerosis, they do not show that they affect the ultimate outcome or natural history of the disease.

The studies do show that relatively high doses of corticosteroids are necessary to demonstrate a significant effect. An acute myopathy has been observed with the use of high doses of corticosteroids, most often occurring in patients with disorders of neuromuscular transmission e. This acute myopathy is generalized, may involve ocular and respiratory muscles, and may result in quadriparesis. Elevation of creatinine kinase may occur.

Clinical improvement or recovery after stopping corticosteroids may require weeks to years. Psychiatric derangements may appear when corticosteroids are used, ranging from euphoria, insomnia, mood swings, personality changes, and severe depression, to frank psychotic manifestations. Also, existing emotional instability or psychotic tendencies may be aggravated by corticosteroids. Ophthalmic Intraocular pressure may become elevated in some individuals.

If steroid therapy is continued for more than 6 weeks, intraocular pressure should be monitored. Information for Patients Patients should be warned not to discontinue the use of corticosteroids abruptly or without medical supervision. As prolonged use may cause adrenal insufficiency and make patients dependent on corticosteroids, they should advise any medical attendants that they are taking corticosteroids and they should seek medical advice at once should they develop an acute illness including fever or other signs of infection.

Following prolonged therapy, withdrawal of corticosteroids may result in symptoms of the corticosteroid withdrawal syndrome including, myalgia, arthralgia, and malaise. Persons who are on corticosteroids should be warned to avoid exposure to chickenpox or measles. Patients should also be advised that if they are exposed, medical advice should be sought without delay. Drug Interactions Amphotericin B Injection and Potassium-Depleting Agents When corticosteroids are administered concomitantly with potassium-depleting agents e.

In addition, there have been cases reported in which concomitant use of amphotericin B and hydrocortisone was followed by cardiac enlargement and congestive heart failure.

Hepatic Enzyme Inducers, Inhibitors and Substrates. Depending on the condition being treated, a starting dose of 5 mg to 60 mg per day of prednisone is not uncommon. The benefit is usually not immediate; it may take a few days or longer to see any results.

Drug Interactions A number of drug interactions are possible with prednisone. This is another reason to tell your doctor about everything you're taking, including herbal supplements and vitamins. For example, estrogen may interfere with the breaking down of prednisolone the active form of prednisone.

Another medication, Dilantin phenytoin , increases the activity of liver enzymes that eliminate prednisone, which may decrease its effectiveness. Taken With Food The most common way to take prednisone is as a single daily dose with breakfast.

Fine tuning of your prednisone dosage will take place as your doctor follows your progress. The goal, of course, is to control your illness with the lowest effective dose of prednisone possible for the shortest period of time.

Your doctor will routinely reassess what dose is necessary for you. This is not a casual drug and taking it inconsistently can be very dangerous. If you forget a dose, it is safe to take the normal dose of the medication as soon as you remember and resume your normal schedule the following morning. If you do not remember until the next day, skip the missed dose.

Do not abruptly stop taking this medication on your own. If prednisone is taken for months and years, the adrenal glands within the body lose their ability to produce steroids naturally. In fact, the adrenal glands can shrink in size. When you travel, always carry a supply of medication with you.

When flying, keep all your medications in your carry-on baggage. If you have taken prednisone for more than a month, you may require an extra dose during physically stressful situations such as major surgery or severe infections. Usually the dose need be raised for only a day or so. This may be true even up to one year after you have discontinued the medication. This point is well known to doctors, but it is important for you to remember if you are away from your doctor and require major surgery or develop a severe infection.

If you are on long term prednisone therapy, carry a notice with you on a Medic-Alert bracelet or in your wallet. Medic-Alert Foundation can be contacted a their website at www. These side effects are minimized but not completely eliminated by every other day use of prednisone.

In any situation in which long term use of prednisone is anticipated, these things must be considered as possible side effects.

These effects are probably more important than the adrenal suppression in most patients. Despite all of this, I will use prednisone on a daily basis when it is the best medication for older dogs with arthritis, especially when they are at or near the point where the owners would consider euthanasia without the benefits of the medication. My reasoning in this instance is that side effects may take a long time to develop into a problem and any time past the time euthanasia is being considered is better than none.

Now that carprofen Rimadyl Rx is available there is an alternative to prednisone for some patients and we are making this decision a little less often than in the past.

Ultimately, you have to decide what is best in this situation since you are in the best position to judge the importance of using the medication every day. Your vet is correct that alternate day dosing is best in most circumstances but there are times when it is appropriate to make exceptions. Hello, I have two separate questions. C- It is pretty widely accepted that prednisone may predispose dogs and cats to diabetes.

It is not as clear to me whether this is enhancement of an existing tendency to develop the disease or if it is an independent effect. They also can induce insulin resistance, leading to hyperglycemia. In diabetic patients, corticosteroids can make insulin regulation more difficult since they have this effect on blood sugar levels.

I think this is a relatively rare side effect but it is a consideration, especially in a pet likely to already be predisposed to diabetes. Lately he seems to be hallucinating as if bugs were crawling on the ground or flying in the room.

I started giving him Pred when he was about 1 year because he was getting fidgity and breathing heavy and scratching so badly that he got bloodly hot spots on his hind end and on his stomache. The vet prescribed Pred and all his symptoms went away and he was playful and happy and his fur was beautiful. Now he just seems to be different. The vet I just went to said, as long as he is happy and doing well the pills are okay. He didn't know what kind of side-effects they caused or if it shortened the dogs life.

But, like I said, just lately he's been acting strangely I love this dog sooo much, and I just want to know what to expect from his long-term taking of this pill. Please get back to me, as I as very concerned. Your credits sound very reputible. Prednisone is known to produce a "steroid psychosis" in some people. To the best of my knowledge, no one really knows for sure if this occurs in dogs, but I believe that it does.

I have seen two or three dogs with really strange behavior when they were on prednisone that cleared up consistently when they were not on prednisone. Allergies are also reported to produce central nervous system effects, including behavioral changes, in some dogs. This always makes it hard to decide if the problem is from allergies or from the treatment of the allergies. Another thing I would consider in your dog's case is a visual problem.

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