Long term use of prednisone refers to treatment that extends beyond three months. This means that if you are prescribed prednisone for more than three months, it is considered long term use. It is important to note that the majority of severe side effects associated with prednisone occur with long term use, as opposed to shorter courses of treatment.
When prednisone is used for short durations, such as a few days or weeks, it is generally considered to be relatively safe. In these cases, the benefits of the medication usually outweigh the potential risks. However, when prednisone is used for an extended period of time, there is an increased risk of developing side effects.
Some of the side effects that can occur with long term prednisone use include:
1. Weight gain: Prednisone can cause an increase in appetite, leading to weight gain. This weight gain is typically due to fluid retention and increased fat deposition. It can be particularly noticeable in the face, abdomen, and back of the neck.
2. Bone loss: Long term use of prednisone can lead to a decrease in bone density, increasing the risk of osteoporosis and fractures. This is especially problematic for individuals who already have a higher risk of osteoporosis, such as postmenopausal women.
3. Increased risk of infection: Prednisone suppresses the immune system, making individuals more susceptible to infections. This can include common infections such as colds and respiratory infections, as well as more serious infections like pneumonia.
4. Adrenal suppression: Prolonged use of prednisone can suppress the function of the adrenal glands, which produce natural steroids in the body. This can lead to a condition called adrenal insufficiency, where the body is unable to produce enough cortisol on its own. Abruptly stopping prednisone after long term use can also cause adrenal crisis, a potentially life-threatening condition.
5. Increased blood sugar levels: Prednisone can cause an increase in blood sugar levels, which can be problematic for individuals with diabetes or those at risk of developing diabetes. Regular monitoring of blood sugar levels is important for individuals taking prednisone long term.
6. Mood changes and psychological effects: Prednisone can affect mood and cause psychological side effects such as irritability, anxiety, and insomnia. It may also worsen existing mental health conditions.
7. Eye problems: Long term use of prednisone can increase the risk of developing cataracts and glaucoma. Regular eye exams are recommended for individuals on long term prednisone therapy.
It is important to weigh the potential benefits of prednisone treatment against the risks of long term use. In some cases, long term use may be necessary to manage certain chronic conditions, such as autoimmune disorders. However, healthcare providers typically strive to use the lowest effective dose for the shortest duration possible to minimize the risk of side effects.
Personal experiences and situations can vary, so it is always important to consult with a healthcare provider for personalized advice and guidance regarding long term prednisone use. They can monitor your health, manage side effects, and make any necessary adjustments to your treatment plan.