Prednisone, while effective for inflammation, carries significant risks with extended use. Months of treatment, even at low doses, increase your chance of developing serious side effects. Specifically, prolonged use weakens your bones, increasing the risk of osteoporosis and fractures. This risk is magnified in individuals already predisposed to bone loss.
Metabolic Changes and Other Risks
Your body’s metabolism can be significantly altered. Expect weight gain, particularly around the abdomen, increased blood sugar (potentially leading to diabetes), and elevated blood pressure. These metabolic changes increase the risk of cardiovascular disease. Furthermore, prolonged prednisone use suppresses your immune system, leaving you more vulnerable to infections and potentially hindering wound healing. Mood changes, including irritability, anxiety, and depression, are also commonly reported. Lastly, long-term prednisone can lead to cataracts and glaucoma, affecting your vision.
Managing Risks
Regular monitoring by your doctor is vital. Blood tests track blood sugar, blood pressure, and bone density. Eye exams detect potential eye problems. Lifestyle modifications are crucial: a balanced diet, regular exercise (especially weight-bearing), and calcium supplements can help mitigate some risks. Your doctor might explore alternative treatments to reduce your reliance on prednisone. Open communication with your physician is paramount to managing the risks effectively.
