Side Effects and Risks of Prednisone in COPD Patients

Prednisone, while effective for managing COPD exacerbations, carries potential side effects. Understanding these is crucial for informed decision-making with your doctor.

Common Side Effects

Expect some common side effects like increased appetite, weight gain, mood swings, and difficulty sleeping. These usually lessen as your dosage decreases. Fluid retention can also occur, leading to swelling in your legs or ankles. Monitor your weight and report any significant changes to your physician.

Serious Side Effects: What to Watch For

While less frequent, serious side effects necessitate immediate medical attention. These include increased blood sugar levels (hyperglycemia), increased risk of infection, weakening of bones (osteoporosis), and an increased risk of cataracts and glaucoma. Regular monitoring of blood sugar and bone density may be recommended, depending on your individual circumstances.

Impact on Existing Conditions

Prednisone can worsen pre-existing conditions. If you have high blood pressure, diabetes, or heart problems, your doctor will carefully consider the risks and benefits before prescribing prednisone. Open communication about your medical history is paramount.

Medication Interactions

Prednisone interacts with other medications. Always inform your doctor and pharmacist of all medications, supplements, and herbal remedies you are taking to prevent harmful interactions. This includes over-the-counter drugs.

Managing Side Effects

Side Effect Management Strategy
Increased Appetite/Weight Gain Focus on a balanced diet with portion control. Consult a dietitian if needed.
Insomnia Maintain a regular sleep schedule and avoid caffeine before bed. Discuss sleep aids with your doctor if necessary.
Mood Swings Engage in stress-reducing activities like exercise or yoga. Consider counseling if needed.
Fluid Retention Reduce sodium intake. Elevate your legs when resting.

When to Contact Your Doctor

Contact your doctor immediately if you experience severe side effects such as chest pain, shortness of breath, severe headaches, or vision changes.