Always discuss long-term prednisone use with your doctor. Low-dose prednisone, while often helpful, carries potential risks.
Metabolic Changes
Prolonged low-dose prednisone can affect your metabolism. This means you might experience:
- Increased blood sugar levels, potentially leading to insulin resistance or type 2 diabetes. Weight gain, often centered around the abdomen. Increased cholesterol and triglyceride levels, raising your heart disease risk. Increased risk of osteoporosis (thinning bones).
Regular monitoring of blood sugar, cholesterol, and bone density is crucial.
Other Potential Risks
Beyond metabolic changes, other potential side effects include:
- Increased risk of infections due to immunosuppression. Mood changes, such as anxiety or depression. High blood pressure. Cataracts or glaucoma. Muscle weakness and thinning of the skin.
The severity of these risks varies depending on dosage, duration of use, and individual factors.
Minimizing Risks
Regular monitoring: Schedule regular check-ups with your doctor to monitor your blood pressure, blood sugar, cholesterol, and bone density. Lifestyle adjustments: Maintain a healthy diet, exercise regularly, and quit smoking to mitigate some risks. Gradual tapering: Never stop prednisone abruptly. Your doctor will gradually reduce your dosage to minimize withdrawal symptoms and reduce the risk of rebound effects. Open communication: Report any new or worsening symptoms to your doctor immediately.
Specific Considerations
Medication Interactions
Prednisone can interact with other medications. Inform your doctor about all medications, supplements, and herbal remedies you’re taking. This allows them to assess for potential interactions and adjust your treatment accordingly.
