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Prednisone

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Molecule Summary

Uses
Allergies, inflammation, infection, cancer, organ transplant
Therapy
Steroid
Side Effects
Indigestion, weight gain, infections, bloating
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Molecule Description

Prednisone is a steroid medicine. It is used for the treatment of various health conditions including allergies, inflammation and rheumatic disorders affecting various organs such as bones, joints, skin, kidneys, lungs, etc. It is also used for the treatment of certain infections (with appropriate chemotherapy), prevent organ rejection during transplant and for certain type of cancer. This medicine works by modifying your immune response, reducing allergy and inflammation.

Uses

  • For the treatment of allergies, inflammation and rheumatic disorders associated with various organs.
  • For the treatment of a certain type of cancer and infections (with appropriate chemotherapy)
  • To prevent organ rejection during organ transplant procedures.

Contraindications

When should one not use Prednisone

  • If you are allergic to prednisone, other steroids or any other ingredients of this medicine.
  • If you have any serious infection and you are not taking any anti-infective treatment for that.
  • You should not take a certain vaccine (live vaccine), especially if you are immunocompromised.
  • If you are suffering from a viral infection of the eye (herpes infection).

Side effects

Common side effects of this drug are:

  • Infection
  • Weight gain
  • Indigestion
  • Sleeplessness
  • Mood swings
  • Confusion
  • Weakness
  • Fatigue
  • Impaired wound healing
  • Growth retardation

Precautions and Warnings

Pregnancy

Pregnancy

There is limited information available on the safety of this medicine during pregnancy. A long term use may be associated with low birth weight and growth retardation in the baby. Consult your doctor for more information. If you become pregnant while taking this medicine seek immediate medical help.

Breast Feeding

Breast Feeding

This medicine passes into breast milk in small amounts which are unlikely to affect the breastfed infant. Consult your doctor for more information.

Driving

Driving

There is limited information available on the effect of this medicine on the driving abilities of an individual. However, if you experience dizziness, drowsiness and visual disturbance you should not drive or use machines.

Alcohol

Alcohol

Although there is no known interaction with alcohol, one should limit their alcohol intake while taking steroids especially if the steroid is prescribed for long-term treatment. Consult your doctor to know more and what works for you best.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You experience any skin allergies and rise in blood sugar levels or you are diabetic.
  • You experience mood disturbances, fits and other psychiatric problems including suicidal thoughts.
  • You experience visual disturbances and eye infections. Upon long-term use, there is the probability that you may develop a cataract.
  • You are elderly, you have a heart problem, high blood pressure and cholesterol, blood clotting problems, liver and kidney diseases.
  • It can impair the fertility of an individual, be very cautious.
  • You have a history of muscle weakness due to steroid therapy or have a condition called myasthenia gravis.
  • This medicine makes you more prone to infections, in case you already have an infection like fungal infection or you have measles or chickenpox, you are taking medicines to suppress immune response discuss your condition with the doctor.
  • This medicine may cause inflammation and swelling in different parts of your gut like the stomach, pancreas and can also cause ulcers.
  • Children and adolescents receiving steroids should be observed for growth abnormalities as steroids can retard the growth.

Mode of Action

How Does It Work?

  • Prednisone is a man-made steroid. Steroids are hormones produced in the human body naturally that play an important role in maintaining normal physiological function and well being of the human body.
  • This medicine mimics the action of naturally produced steroids. It works by suppressing the immune response in allergies, inflammation, autoimmune diseases and during organ transplantation.

Interactions

Interactions with other medicines

  • You should not take any live vaccine while taking this medicine as it can reduce the effectiveness of the vaccine.
  • Antacids and certain antibiotics such as rifamycin can reduce the effectiveness of this medicine.
  • You may require a higher dose of this medicine if you are taking medicines to treat fits like phenobarbital, phenytoin.
  • If you are taking antifungal medicines like amphotericin and ketoconazole, oral contraceptive medicines, antibiotics like troleandomycin and erythromycin, immunosuppressants like ciclosporin, methotrexate you are more likely to experience side effects of either of the medicine.
  • There is an increased risk of stomach bleeding if you are taking painkillers or aspirin along with this medicine.
  • You should be cautious if you are taking any anti-diabetic medicine like insulin, medicines to stop blood clotting, water pill, medicine for hyperactive thyroid such as carbimazole and thiamazole and medicines for heart failure like digoxin.
  • Somatropin, a growth hormone if taken along can inhibit its growth in an individual.
  • Other medicines to treat asthma, like salbutamol may lead to an increase in potassium level in blood and you may experience irregular heartbeats.
  • Any other medicine, supplement or herbals, if you are taking or might take, should be discussed with your doctor.

Dosage

Overdose

An overdose of this medicine may aggravate existing conditions like oedema, salt imbalance, infection or ulcer. Seek immediate medical help.

Missed a Dose

If you missed any dose of this medicine take it as soon as you remember. If it's time for your next dose then skip the missed dose and continue with your regular dose schedule. Do not take a double dose of medicine to compensate for the missed one.

Frequently Asked Questions (FAQs)

It is important to inform your healthcare provider about your complete medical/surgical history, especially if you have any diseases like bleeding anomalies, fungal infections, kidney ailments or liver diseases.

No, steroids therapy should not be stopped abruptly as it can cause withdrawal problems, your dose will be gradually reduced by your doctor before completely withdrawing this therapy.

Hair loss is not a commonly known side-effect of Prednisone. As every individual has a different physiological response, your doctor can give you the best advice on this.

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