Posted by Chonas (198.133.22.93) on February 19, 2000 at 18:35:12:
In Reply to: Pred side effects posted by Page on February 19, 2000 at 14:35:10:
Prednisone
Pronunciation: PRED ni sone
Brand: Deltasone, Liquid Pred, Meticorten, Orasone, Prednicen-M, Sterapred, Sterapred DS
What is the most important information I should know about prednisone?
• Do not stop taking prednisone suddenly if you have been taking it for a few weeks. You may need a gradual reduction in dosage before you stop taking this medication.
• Take prednisone with food or milk to lessen stomach upset.
• Carry some type of medical identification that will let others know you are taking prednisone in the case of an emergency.
What is prednisone?
• Prednisone is in a class of drugs called steroids. Prednisone reduces swelling and decreases your body's ability to fight infections.
• Prednisone is used to treat many different conditions. It is used to treat endocrine (hormonal) disorders when the body does not produce enough of its own steroids. It is also used to treat many disorders such as arthritis, lupus, severe psoriasis, severe asthma, ulcerative colitis, and Crohn's disease.
• Prednisone may also be used for purposes other than those listed in this medication guide.
Who should not take prednisone?
• Do not take prednisone if you have a serious bacterial, viral, or fungal infection. Prednisone weakens your body's immune response and thus its ability to fight infection.
• Before taking this medication, tell your doctor if you have
· high blood pressure or heart disease,
· kidney disease,
· diabetes mellitus, or
· any other medical conditions.
• You may not be able to take prednisone, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
• Prednisone is in the FDA pregnancy category C. This means that it is not known whether prednisone will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
• Prednisone passes into breast milk. Do not take prednisone without first talking to your doctor if you are breast-feeding a baby.
How should I take prednisone?
• Take prednisone exactly as directed by your doctor. Do not take more or less than is prescribed for you. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Take prednisone with food or milk to lessen stomach upset.
• Measure the liquid with the dropper provided or with a special dose-measuring spoon or cup. Ask your pharmacist for a dose-measuring spoon or cup if you do not have one.
• If you are taking one dose daily, take that dose before 9 a.m. if possible, so as to follow your body's natural cycle. If you take more than one dose daily, space the doses evenly throughout the day as directed by your doctor.
• Do not stop taking prednisone suddenly if you have been taking it for a few weeks. You may need a gradual reduction in dosage before you stop taking this medication.
• Carry some type of medical identification that will let others know you are taking prednisone in the case of an emergency.
• Store prednisone at room temperature away from moisture and heat.
What happens if I miss a dose?
• If you take one dose daily, take the missed dose as soon as you remember. However, if you don't remember until the next day, skip the dose you missed and take only your regular daily dose.
• If you take more than one dose daily, you can either take the missed dose as soon as you remember, or you can take two doses at the next dose time.
• If you take one dose every other day, take the missed dose as soon as you remember, then go back to your regular every-other-day schedule.
What happens if I overdose?
• Seek emergency medical attention. A single large dose of this medication is unlikely to cause symptoms or death. An overdose is more likely to be caused by a chronic overdose--large doses taken over a period of time.
• Symptoms of an overdose include obesity (especially around the stomach); a round face; increased hair growth (especially around the face); acné; bruising; increased blood pressure; swollen hands, feet, or ankles (fluid retention); and sore or weak muscles.
What should I avoid while taking prednisone?
• Avoid alcohol. Acting together, alcohol and prednisone can be very damaging to your stomach.
• Avoid sources of infection. Wash your hands frequently and keep them away from your mouth and eyes. You may catch infections easier while you are taking prednisone.
• Avoid immunizations during treatment with prednisone unless your doctor approves.
What are the possible side effects of prednisone?
• If you experience any of the following serious side effects, stop taking prednisone and seek emergency medical attention:
· an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
· increased blood pressure (severe headache or blurred vision); or
· sudden weight gain (more than 5 pounds in a day or two).
• Other, less serious side effects may be more likely to occur. Continue to take prednisone and talk to your doctor if you experience
· insomnia;
· nausea, vomiting, or stomach upset;
· fatigue or dizziness;
· muscle weakness or joint pain;
· problems with diabetes control; or
· increased hunger or thirst.
• Other side effects that occur only rarely, usually with high doses of prednisone, include
· acné,
· increased hair growth,
· thinning of your skin,
· cataracts,
· glaucoma,
· osteoporosis,
· round face, and
· changes in behavior.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect prednisone?
• The following drugs may decrease the effects of prednisone:
· barbiturates such as amobarbital (Amytal), secobarbital (Seconal) and phenobarbital (Luminal, Solfoton);
· cholestyramine (Questran);
· ephedrine (used in many over-the-counter cough, cold, allergy, diet, and energy preparations);
· phenytoin (Dilantin) and ethotoin (Peganone); and
· rifampin (Rifadin).
• Prednisone may not be as effective if it is taken with any of the medicines listed above.
• Other drugs may increase the effects of prednisone and lead to side effects:
· birth control pills;
· estrogens such as Premarin, Ogen, and others;
· ketoconazole (Nizoral); and
· erythromycin (Ery-Tab, EES, E-Mycin, others), azithromycin (Zithromax), and clarithromycin (Biaxin).
• Before taking this medication, tell your doctor if you are taking any of the medicines listed above. You may require a lower dose of prednisone.
• Drugs other than those listed here may also interact with prednisone. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.
Where can I get more information?
• Your pharmacist has addition information written for health professionals about prednisone that you may read.