I was taking prednisone in the morning but for 2 reasons I don’t do it any more: 1) I am very sore and stiff for hours upon awakening and therefore unproductive (no kickstart to the day because I am in pain and/or stiffness). 2) It conflicts with my supplements. It is highly recommended that most of the common supplements be taken in the morning with food because they are fat soluble. B12 is water soluble but it is recommended it be taken in the morning. I am not sure if b12 conflicts with prednisone if taken at the same time.
I am taking 40 mg Prednisone since 10 days, with sulfasalazine 1g twice, calcium vit-d3 to treat ulcerative colitis. I am getting better. Feeling side effects too.
The sugar needs to be low because the risk of diabetes increases when on prednisone, especially long term. Your suggestions are essentially what a pre-diabetic or diabetic diet would consist of, minus the bananas.
Hi Doctor Megan, I am coming into my 4th week of prednisolone 20mgs. First 2 or 3 days were tough until I found your vlogs. I have taken all your advice it has been very helpful. I have sent you an e-mail to say thanks. End of week 4 I am taking 10 for another month. Then down to 5mg after that then I am finished after that.I have pulmonary sarcoidosis and I have flare ups of my feet too which why they have put me the prednisolone.
Thank you for your expertise and advice. I had extreme pain from Trigeminal Neuralgia. The pain went away. The emergency room doctor have me 80 mg. Last night and after a few hours, no pain! I got the prescription today and the doctor ordered only 40 mg. for a few more days. I hope she did not make a mistake! I'm so scared of the pain returning. Meanwhile I'm trying to stay calm. Not easy..until I have my radiation treatments to shrink the meningioma. Could take a few months..anything you say will be much appreciated ❤❤❤❤
You can eat chocolat no problem. Everything this person is telling is bullshit. I use 21 years prednison and eat everything she says. I come from Europe the Netherlands and there is now dokter here that say you cannot eat this and that. And after 21 years off experience i know better then a dokter. Ps. Every day i eat chocolat.
doctor Megan my name is Lillian I was never told by a doctor or never aware that I could just stop cold turkey I have also been the Kanekalon shot my last shot was 3 weeks ago and I'm feeling so horrible what can I do to feel better
Hi! Check out this article about "Ultimate Diet Review for Prednisone" Read & watch here: prednisonepharmacist.com/education/ultimate-diet-review/ For more information about prednisone, we have a bunch of content and articles that might be of help in your condition. You can browse our website at Prednisonepharmacist.com and discover ways to manage and counteract the side effects of prednisone.
I am 56 years and use depomedrol 120mg for 21 years now , also use sometimes 30mg pils. My weight is the same as 21 years ago. I eat everything, bud i count calories every day for the past 21 years to keep my weight the same. I must say this, if i just have my shot i gain about 4 pounds every time, and then i lose them again becose of the calorie counting. I dont drink alcohol bud eat everything. What i experience is this, as long as you keep your calories normal you dont gain weight.
Thank you for sharing your experience. I had a double Lung transplant 2 years ago. I am taking 5mg prednisone, that is as low as they will go. I started doing lymphatic drainage and more exercise. Trying to avoid salt and sugar, I eat a lot of fruits is that sugar the same? It's not processed.
HI Dr. Megan, My sister-in-law has been taking high doses of prednisone that she buys under the counter for years. She is Asia and eats a LOT of white Thai jasmine rice. She eats is with every meal, every day. Is this safe? I am trying to get her off prednisone, but it is very difficult.
I've had a recent flare-up of my 17 year old myasthenia gravis and am on pulse methyl Prednisone 1mg infusions per day for three days a month. I get left lower abdomen aches and gastric problems and watery stools after the third day. Loperamide doesnt help much. What could?
I can say that I've been drinking two double espressos and 5 cups of drip coffee every day since my PMR began a year ago - and while I was using Prednisone. Nobody told me not to. At least in my case, I have not had PMR flare-ups secondary to caffeine usage. In that, I was fortunate. But if my physician told me to avoid caffeine, I would have? Avoiding caffeine is more desirable than prolonging your PMR symptoms or prolonging your course of treatment with prednisone.
@@steveiannazzo5451 if you can do it, and it might not be easy - try tapering off caffeine and see how the PMR responds. Also ask about Methotrexate as an alternative to Prednisolone. It is normally a once a week dose. An old tried and tested cancer drug from almost 80 yrs ago.
@@steveiannazzo5451 Prednisolone is better than Prednisone. Also I hope ypu know that tapering off it at any point is vital. The more gradual the better.
@@steveiannazzo5451 one more consideration is the the steroid in question triggers the release of natural endocannabinoids, i.e., the cannabis active ingredient that is native to our bodies. Hence these steroids get folks high.
Sweet potatoes are a rich source of many nutrients you need while on prednisone. As long as you eat it with some fat or protein (butter or something) to slow down the digestion, then it should be okay with your blood glucose.
You can check out this article about "10 Nutrients You Need While on Prednisone" Read and watch here: prednisonepharmacist.com/education/10-nutrients-you-need-while-on-prednisone/
Dr. Megan, Thank you for the helpful vode. I've been on Prednisone (5mg) for.... we'll just say a looong time. Anyways, I've had some higher than normal cholesterol levels, and I'm changing my diet around. I'm eating things like avocado, kefir, ground flaxseed meal, garlic. So, I'm on the right track. I wanted to know: Any interaction between Prednisone and EVOO? I started taking a tablespoon 20 minutes before eating.
What’s your take on mixing fish oil supplements and prednisone? Because I’m having the WORST side effects, I never saw my doctor so worried and was visibly upset at my state. He told me to taper that prednisone ASAP and as fast I could manage. I usually have a routine that works to keep side effects manageable .. I took it plenty of times and know what to expect. Definitely not this.., Huge loss of muscle mass, my arms and legs are spaghetti. I getting thinner.. )my face but body) No sleep at al for 5 days straight I had to get on sleep meds too.. I shake so bad I can’t write, cook or cut veggies,my wrists give up on me after a tiny bit of household work, and even my knees just gave up on me.. 😕 I can’t even walk stairs and I live in an appartement on the 3rd floor, no elevator. Takes forever to get to the top.. and completely exhausted afterwards. All that is different is the fish oil supplements, which I mentioned to my doc , but he was ok with it. But for some reason felt compelled to Google because it did not sit right with me.. Yet most pages say that indeed, no interaction was found.. However, there is one article from 2016 stating that fish oil can increase side effects of steroids : “Omega-3 fatty acids (including fish oil) Possible benefits: May protect against cardiovascular disease (though the NCCIH says study results have been mixed). May decrease some cancer and mental health risks. *Possible drug interactions* May increase bleeding risks with anti-clotting drugs. *May increase some of the side effects of steroids such as prednisone and hydrocortisone.* May blunt effects of the chemotherapy drug cisplatin. eu.usatoday.com/story/life/2016/04/24/mixing-medications-supplements-dangerous/83181520/ Just saying, I don’t know how accurate that source is but I am highly suspicious right now. Will discontinue the fish oil and see if what happens..
Hmm… I haven’t heard of that drug interaction with fish oil before. I will have to investigate! The other issues you’re dealing with sound awful! I’m so sorry.
@@PrednisonePharmacist Me neither, and neither did my doctor. I came across it because I was so puzzled about my strange reaction and tried to find out what I was doing differently.. And this fish oil was the only thing I recently introduced into my daily supplements/diet.. But now 10 days later, without fish oil, I can definitely say it was the fish oil contributing to at least some of the extreme side effects. It made me more anxious and the insomnia was something I never experienced before even on highest dose solumedrol.. I also had extremely high blood glucose levels which I never had before.. There are some case studies about fish oil causing or exacerbating insomnia and anxiety.. add prednisone to the mix that can also cause this, and well.. It was horrible. www.ncbi.nlm.nih.gov/pmc/articles/PMC4664844/ All I can say is that I feel a lot better and more like myself. Just 10 days later, still on prednisone. On a side note: it could also be that I just had a bad brand of fish oil. Most fish oil brands add vitamin e to prevent oxidation.. Mine did not have any vitamin e..
I've just started taking 35mg of prednisolone which il be on for 8 weeks. Thanks for the heads up on the omega 3 oils. Usually it's a anti inflammatory which I find bizarre. I have read pred can cause ulcers so I drink fleshly juiced cabbage juice before I take prednisolone to prevent further side effects. I hope you are much better and found a protocol without being on prednisolone.
@@sandeepn1610 Sorry you were put on prednisone.. The lady from this channel does have some very helpful tips and glad I could offer a little bit of help too. Hope things go as smoothy as possible for you! I was also really surprised to find out about the “fishy” side of fish oil supplements. Fish oil has many well documented health benefits and it’s true that it’s definitely a potent anti inflammatory. But prednisone is a potent anti inflammatory too, yet it also has many weird, unwanted systemic side effects. And sometimes we assume that just because something is a natural occurring compound, that it can’t have side effects. Natural remedies can be quite potent, but they can also have potent side effects.. And it sounds so cliche but it really is true that too much of a good thing can be toxic, even water or oxygen. We die if we don’t have enough but we also die if we get too much. the more I researched fish oil, the more I realized how similar it seemed to prednisone in terms of both benefits and side effects. People are reporting insomnia, anxiety, carb cravings on prednisone. But it also seems to be an issue that’s being reported with (excess) fish oil consumption. The effects of fish oil are probably a lot less pronounced, but still noticeable especially when high doses of fish oil are used. Here is another interesting study on fish oil: pubmed.ncbi.nlm.nih.gov/2707115/ In this study, the fish oil caused a 22% increase in blood sugar levels in people with type 2 diabetes over an eight week period. I think generally speaking a good quality fish oil supplement can be beneficial if you don’t eat fish regularly. But my uneducated guess is that it just doesn’t mix well with prednisone in your system. It’s still pretty much anecdotal at this point, there’s a few case studies out there and some early research that shows they interact. But there is a lot we still don’t know. Prednisone is just a weird drug. And well, this could be the same for fish oil if we ingest more than our bodies need.
@@annikaelisaa1879thank you for this informative take. do you think i should avoid omega 3s on long term prednisone? like salmon, sardines, tuna, avocado and etc.
I didn't change my diet at all, but I never ate processed foods to begin with. Two cups of coffee a day, one teaspoon of sugar per cup. I drink a lot of water, a least a gallon a day. Took Vitamin D, K and calcium to hopefully offset any bone loss. The side effects suck... muscle weakness, random muscle aches, joint aches/pains, headaches and worst of all, anxiety/panic attacks. When I was tapering down, omg, the first two days of a taper were fine, but day 3 is when the anxiety / panic kicked in. Terrible, absolutely terrible.
@@PrednisonePharmacist Yeah, it was brutal. I’d only take it again if absolutely needed. I had three docs tell me that I didn’t have temporal arteritis based on my presentation, blood work and biopsy, but better safe than sorry. I’m 9 days off prednisone and feel almost normal.
I was taking prednisone in the morning but for 2 reasons I don’t do it any more: 1) I am very sore and stiff for hours upon awakening and therefore unproductive (no kickstart to the day because I am in pain and/or stiffness). 2) It conflicts with my supplements. It is highly recommended that most of the common supplements be taken in the morning with food because they are fat soluble. B12 is water soluble but it is recommended it be taken in the morning. I am not sure if b12 conflicts with prednisone if taken at the same time.
Got it don't eat anything
😂😂 right pretty much 🤷♀️
That's funny but your telling the truth cuz it's like everything is cut out to eat
Especially in America. If it's not ultra processed, it's worrying about plastics, pesticides, and seed oils.
What about natural sugars ? Like grapes 🍇 mango 🥭 berries etc?
I am taking 40 mg Prednisone since 10 days, with sulfasalazine 1g twice, calcium vit-d3 to treat ulcerative colitis. I am getting better. Feeling side effects too.
The sugar needs to be low because the risk of diabetes increases when on prednisone, especially long term. Your suggestions are essentially what a pre-diabetic or diabetic diet would consist of, minus the bananas.
Hi Doctor Megan, I am coming into my 4th week of prednisolone 20mgs. First 2 or 3 days were tough until I found your vlogs. I have taken all your advice it has been very helpful. I have sent you an e-mail to say thanks. End of week 4 I am taking 10 for another month. Then down to 5mg after that then I am finished after that.I have pulmonary sarcoidosis and I have flare ups of my feet too which why they have put me the prednisolone.
Thank you for your expertise and advice. I had extreme pain from Trigeminal Neuralgia. The pain went away. The emergency room doctor have me 80 mg. Last night and after a few hours, no pain! I got the prescription today and the doctor ordered only 40 mg. for a few more days. I hope she did not make a mistake! I'm so scared of the pain returning. Meanwhile I'm trying to stay calm. Not easy..until I have my radiation treatments to shrink the meningioma. Could take a few months..anything you say will be much appreciated ❤❤❤❤
That dose of 40 mg is normal for a painful thing like that.
Many of the store bought ice cream has carrageenan as well, which is not good for you.
Taking it 3-4 am and exercising for the next 3 weeks. Glad I can eat bananas and eggs. No chocolate is difficult, however.
You can eat chocolat no problem.
Everything this person is telling is bullshit.
I use 21 years prednison and eat everything she says.
I come from Europe the Netherlands and there is now dokter here that say you cannot eat this and that.
And after 21 years off experience i know better then a dokter.
Ps. Every day i eat chocolat.
doctor Megan my name is Lillian I was never told by a doctor or never aware that I could just stop cold turkey I have also been the Kanekalon shot my last shot was 3 weeks ago and I'm feeling so horrible what can I do to feel better
Thank. You that video was very helpful ❤just one question can I eat honey ?
What a healthy breakfast means in this case? Boiled eggs with lemon water or. ?
Hi! Check out this article about "Ultimate Diet Review for Prednisone"
Read & watch here:
prednisonepharmacist.com/education/ultimate-diet-review/
For more information about prednisone, we have a bunch of content and articles that might be of help in your condition. You can browse our website at Prednisonepharmacist.com and discover ways to manage and counteract the side effects of prednisone.
mmm... My doctors always insist taking prednisolone with food reason given: to avoid gastric problems…
I understand that we can consume those you say occasionally like once a mont in special event but not daily rightt😢 only that right
I am 56 years and use depomedrol 120mg for 21 years now , also use sometimes 30mg pils.
My weight is the same as 21 years ago.
I eat everything, bud i count calories every day for the past 21 years to keep my weight the same.
I must say this, if i just have my shot i gain about 4 pounds every time, and then i lose them again becose of the calorie counting.
I dont drink alcohol bud eat everything.
What i experience is this, as long as you keep your calories normal you dont gain weight.
Can I take vit.with calcium?
Yes you can do anything.
Can I eat avocado, orange, apples while taking Prednisone?
No orange,yes to all else named.
Thank you for sharing your experience. I had a double Lung transplant 2 years ago. I am taking 5mg prednisone, that is as low as they will go. I started doing lymphatic drainage and more exercise. Trying to avoid salt and sugar, I eat a lot of fruits is that sugar the same? It's not processed.
Milk is extremely high in potassium. The only way that you are getting the recommended daily allowances for potassium. Milk.
Can I eat probiotics yogurt
Craving carbs is killing me😅
But what if you have to take prednisone forever? I have to permanently stop eating these foods? 😢😢
glad to find this channel, is black tea and green tea should be avoided to? thank youu
Can you eat wholemeal bread or wraps
Chocolate is caffeine.
Kitchen and all
HI Dr. Megan, My sister-in-law has been taking high doses of prednisone that she buys under the counter for years. She is Asia and eats a LOT of white Thai jasmine rice. She eats is with every meal, every day. Is this safe? I am trying to get her off prednisone, but it is very difficult.
I've had a recent flare-up of my 17 year old myasthenia gravis and am on pulse methyl Prednisone 1mg infusions per day for three days a month. I get left lower abdomen aches and gastric problems and watery stools after the third day. Loperamide doesnt help much. What could?
very good content congrationals Dr.Megan you are the best undestandable content creator on web thanks and all the best
Wow, thank you for your kind words!
@@PrednisonePharmacist not at all
Caffeine on prednizolone brings back the PMR symptoms.
I can say that I've been drinking two double espressos and 5 cups of drip coffee every day since my PMR began a year ago - and while I was using Prednisone. Nobody told me not to. At least in my case, I have not had PMR flare-ups secondary to caffeine usage. In that, I was fortunate.
But if my physician told me to avoid caffeine, I would have? Avoiding caffeine is more desirable than prolonging your PMR symptoms or prolonging your course of treatment with prednisone.
@@steveiannazzo5451 if you can do it, and it might not be easy - try tapering off caffeine and see how the PMR responds. Also ask about Methotrexate as an alternative to Prednisolone. It is normally a once a week dose. An old tried and tested cancer drug from almost 80 yrs ago.
@@steveiannazzo5451 Prednisolone is better than Prednisone. Also I hope ypu know that tapering off it at any point is vital. The more gradual the better.
@@steveiannazzo5451 one more consideration is the the steroid in question triggers the release of natural endocannabinoids, i.e., the cannabis active ingredient that is native to our bodies. Hence these steroids get folks high.
I like the advice ❤
im taking almost 3 yrs of prednisode 20ml and i notice my sugar getting up should i avoid rice?
great video. sweet potatoes?
Sweet potatoes are a rich source of many nutrients you need while on prednisone. As long as you eat it with some fat or protein (butter or something) to slow down the digestion, then it should be okay with your blood glucose.
what nutrients do I need if I'm on prednisone?
You can check out this article about "10 Nutrients You Need While on Prednisone"
Read and watch here:
prednisonepharmacist.com/education/10-nutrients-you-need-while-on-prednisone/
Hi, can you eat peanut butter and can you drink decaf coffee while on prednisone? Thanks
What about homemade ultra processed food?
I can't chew wheat bread at all I'm trying to put on weight
Hi what about oatmeal???
Thanks
Yes I’m in a famine and a war. Crohns.
That’s for sure!
Dr. Megan,
Thank you for the helpful vode. I've been on Prednisone (5mg) for.... we'll just say a looong time. Anyways, I've had some higher than normal cholesterol levels, and I'm changing my diet around. I'm eating things like avocado, kefir, ground flaxseed meal, garlic. So, I'm on the right track. I wanted to know: Any interaction between Prednisone and EVOO? I started taking a tablespoon 20 minutes before eating.
**video
Can you eat cheese o meat.while taking prednisolone?
So basically follow a healthy lifestyle.
Salt is in everything so I have to protein
Can I eat meat?
Definitely.
How about tart Cherry extract or Juice
Fruit is usually fine.
Can eat rice with prednsion
What’s your take on mixing fish oil supplements and prednisone?
Because I’m having the WORST side effects, I never saw my doctor so worried and was visibly upset at my state.
He told me to taper that prednisone ASAP and as fast I could manage.
I usually have a routine that works to keep side effects manageable .. I took it plenty of times and know what to expect.
Definitely not this..,
Huge loss of muscle mass, my arms and legs are spaghetti. I getting thinner.. )my face but body)
No sleep at al for 5 days straight I had to get on sleep meds too..
I shake so bad I can’t write, cook or cut veggies,my wrists give up on me after a tiny bit of household work, and even my knees just gave up on me.. 😕 I can’t even walk stairs and I live in an appartement on the 3rd floor, no elevator. Takes forever to get to the top.. and completely exhausted afterwards.
All that is different is the fish oil supplements, which I mentioned to my doc , but he was ok with it.
But for some reason felt compelled to Google because it did not sit right with me.. Yet most pages say that indeed, no interaction was found..
However, there is one article from 2016 stating that fish oil can increase side effects of steroids :
“Omega-3 fatty acids (including fish oil)
Possible benefits: May protect against cardiovascular disease (though the NCCIH says study results have been mixed). May decrease some cancer and mental health risks.
*Possible drug interactions* May increase bleeding risks with anti-clotting drugs.
*May increase some of the side effects of steroids such as prednisone and hydrocortisone.*
May blunt effects of the chemotherapy drug cisplatin.
eu.usatoday.com/story/life/2016/04/24/mixing-medications-supplements-dangerous/83181520/
Just saying, I don’t know how accurate that source is but I am highly suspicious right now. Will discontinue the fish oil and see if what happens..
Hmm… I haven’t heard of that drug interaction with fish oil before. I will have to investigate!
The other issues you’re dealing with sound awful! I’m so sorry.
@@PrednisonePharmacist Me neither, and neither did my doctor. I came across it because I was so puzzled about my strange reaction and tried to find out what I was doing differently..
And this fish oil was the only thing I recently introduced into my daily supplements/diet..
But now 10 days later, without fish oil, I can definitely say it was the fish oil contributing to at least some of the extreme side effects. It made me more anxious and the insomnia was something I never experienced before even on highest dose solumedrol.. I also had extremely high blood glucose levels which I never had before..
There are some case studies about fish oil causing or exacerbating insomnia and anxiety.. add prednisone to the mix that can also cause this, and well.. It was horrible.
www.ncbi.nlm.nih.gov/pmc/articles/PMC4664844/
All I can say is that I feel a lot better and more like myself. Just 10 days later, still on prednisone.
On a side note: it could also be that I just had a bad brand of fish oil.
Most fish oil brands add vitamin e to prevent oxidation.. Mine did not have any vitamin e..
I've just started taking 35mg of prednisolone which il be on for 8 weeks. Thanks for the heads up on the omega 3 oils. Usually it's a anti inflammatory which I find bizarre. I have read pred can cause ulcers so I drink fleshly juiced cabbage juice before I take prednisolone to prevent further side effects. I hope you are much better and found a protocol without being on prednisolone.
@@sandeepn1610 Sorry you were put on prednisone.. The lady from this channel does have some very helpful tips and glad I could offer a little bit of help too. Hope things go as smoothy as possible for you! I was also really surprised to find out about the “fishy” side of fish oil supplements.
Fish oil has many well documented health benefits and it’s true that it’s definitely a potent anti inflammatory. But prednisone is a potent anti inflammatory too, yet it also has many weird, unwanted systemic side effects. And sometimes we assume that just because something is a natural occurring compound, that it can’t have side effects. Natural remedies can be quite potent, but they can also have potent side effects.. And it sounds so cliche but it really is true that too much of a good thing can be toxic, even water or oxygen. We die if we don’t have enough but we also die if we get too much. the more I researched fish oil, the more I realized how similar it seemed to prednisone in terms of both benefits and side effects.
People are reporting insomnia, anxiety, carb cravings on prednisone. But it also seems to be an issue that’s being reported with (excess) fish oil consumption. The effects of fish oil are probably a lot less pronounced, but still noticeable especially when high doses of fish oil are used. Here is another interesting study on fish oil:
pubmed.ncbi.nlm.nih.gov/2707115/
In this study, the fish oil caused a 22% increase in blood sugar levels in people with type 2 diabetes over an eight week period.
I think generally speaking a good quality fish oil supplement can be beneficial if you don’t eat fish regularly. But my uneducated guess is that it just doesn’t mix well with prednisone in your system. It’s still pretty much anecdotal at this point, there’s a few case studies out there and some early research that shows they interact. But there is a lot we still don’t know. Prednisone is just a weird drug. And well, this could be the same for fish oil if we ingest more than our bodies need.
@@annikaelisaa1879thank you for this informative take. do you think i should avoid omega 3s on long term prednisone? like salmon, sardines, tuna, avocado and etc.
Could I eat apples
❤
God damn poison ivy
We should start eating human then lol
Prednisone gives me hiccups!
I didn't change my diet at all, but I never ate processed foods to begin with. Two cups of coffee a day, one teaspoon of sugar per cup. I drink a lot of water, a least a gallon a day. Took Vitamin D, K and calcium to hopefully offset any bone loss. The side effects suck... muscle weakness, random muscle aches, joint aches/pains, headaches and worst of all, anxiety/panic attacks. When I was tapering down, omg, the first two days of a taper were fine, but day 3 is when the anxiety / panic kicked in. Terrible, absolutely terrible.
That’s horrible! I’m so sorry prednisone affected you in this way. Would you do it again? Was it worth it?
@@PrednisonePharmacist Yeah, it was brutal. I’d only take it again if absolutely needed. I had three docs tell me that I didn’t have temporal arteritis based on my presentation, blood work and biopsy, but better safe than sorry. I’m 9 days off prednisone and feel almost normal.
Did you experience hair loss while and after Prednisone? Thanks
@@Emilyleestrong I did not, but it's hard to tell exactly because I always have a buzz cut.