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Prednisone uses and side effects

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Introduction

Prednisone is a corticosteroid medicine (a type of steroid) that mimics the effects of hormones your body naturally produces in the adrenal glands. It is not an antibiotic — instead, it reduces inflammation and suppresses the immune system.


Prednisone is a corticosteroid medicine (a type of steroid) that mimics the effects of hormones your body naturally produces in the adrenal glands. It is not an antibiotic — instead, it reduces inflammation and suppresses the immune system.

Composition

  • Active ingredient: Prednisone
  • Available in tablet, liquid, and sometimes injectable form.
  • Dosage strength usually ranges from 1 mg to 50 mg tablets.

Uses

Prednisone is prescribed for many inflammatory and autoimmune conditions, including:

  • Asthma and allergic reactions
  • Rheumatoid arthritis and joint pain
  • Systemic lupus erythematosus (SLE)
  • Inflammatory bowel diseases (Crohn’s disease, ulcerative colitis)
  • Skin diseases (eczema, psoriasis)
  • Certain cancers (to reduce inflammation and side effects of chemotherapy)
  • Organ transplant patients (to prevent rejection)
  • Severe COVID-19 or pneumonia (to reduce lung inflammation, under medical supervision)

Side Effects

Like other steroids, side effects depend on dose and duration of use.

Short-term side effects:

  • Increased appetite and weight gain
  • Mood changes, anxiety, insomnia
  • High blood sugar (hyperglycemia)
  • Stomach upset

Long-term side effects (chronic use):

  • Cushingoid appearance (round face, fat deposition)
  • Osteoporosis (weak bones)
  • Increased risk of infections (due to suppressed immunity)
  • High blood pressure
  • Cataracts and glaucoma
  • Thinning skin, easy bruising
  • Muscle weakness

⚠️ Important: Prednisone should never be stopped suddenly after long-term use; it must be tapered gradually under a doctor’s guidance to prevent adrenal crisis.


Famous Brand Names

Common global and regional brand names include:

  • Deltasone
  • Rayos
  • Prednisolone (a closely related drug, sometimes considered interchangeable)
  • Winpred
  • Meticorten

In Pakistan/India you may also find brands like:

  • Prednicort
  • Wysolone
  • Predmet

Here’s comparison table of Prednisone with other commonly used corticosteroids

CorticosteroidTypical Dose (mg)Common UsesCommon Side Effects
Hydrocortisone20Adrenal insufficiency, mild inflammation, stress dosingFluid retention, hypertension, hyperglycemia
Prednisone5Autoimmune diseases, asthma, allergic reactions, inflammatory disordersWeight gain, mood changes, osteoporosis, hyperglycemia, hypertension
Prednisolone5Same as prednisone; preferred in liver diseaseSame as prednisone
Methylprednisolone4Severe inflammation, autoimmune flares, allergiesSimilar to prednisone; less fluid retention
Triamcinolone4Arthritis (intra-articular), dermatologic conditions, allergiesLocal irritation (if injected), systemic effects similar to prednisone
Dexamethasone0.75Cerebral edema, severe allergic reactions, antiemetic, COVID-19 therapyInsomnia, hyperglycemia, mood changes, long-term use: osteoporosis
Betamethasone0.6Fetal lung maturation, dermatologic conditions, severe inflammationSimilar to dexamethasone; minimal fluid retention

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