1) Prednisone is powerful
As a corticosteroid, it works by reducing inflammation and changes
how your immune system works. It is often prescribed for arthritis but
also treats a variety of other conditions. If used from the beginning,
this drug has been shown to reduce and prevent future joint damage
caused by rheumatoid arthritis. In general, corticosteroids are used
for short periods of time such as when you experience a flare-up of your
arthritis.
2) It may be just one part of your treatment plan
Since this drug is associated with a number of side effects, the
least amount of use is typically the best. Therefore, other drugs may
be prescribed to you at the same time to treat your arthritis. This may
include non-steroidal anti-inflammatory medications, disease-modifying
anti-rheumatic drugs, or various over the counter medications. Under a
doctor's supervision, these drugs may be prescribed in a bigger dosage
than what is safe for Prednisone.
3) There may be life style changes involved
There are some things you cannot do while taking this drug. For
example, you should not drink grapefruit juice or eat grapefruit.
Grapefruit can negatively impact some of the enzymes that work to break
down the drug. You may also need to increase your daily amount of
potassium and calcium and limit salt intake.
4) There are many side effects
Typically, the more powerful a drug, the more side effects you are
going to experience. Prednisone is a very powerful drug, and therefore
side effects come with the territory. Many side effects are mild, but
you should still discuss them with your physician. Common side effects
include weakness, insomnia, fatigue, headache, dizziness, heartburn,
sweating, changes in skin texture or color, bulging eyes, irregular or
absent periods, or difficulty healing. There are also some possible
long-term side effects that include osteoporosis or stunted growth in
children. Some side effects are more severe and you should alert your
doctor immediately if you experience them: seizures, twitching muscles,
hives or skin rash, difficulty with breathing or swallowing, vision
problems, vomiting, unusual swelling, signs of infection, confusion, or
depression.
5) Other Warnings
Other than side effects, there are some other things you must deal
with: conflicting medications, decreased resistance to infection, or
complications resulting from surgeries, pregnancy, dental work, and
vaccines. Do not suddenly stop taking Prednisone. You must wean off the drug slowly to allow your adrenal glands to begin producing cortisol on their own again.
