SIDE EFFECTS of Prednisone and Steroids that You NEED to Know | Rheumatologist Dr. Micah Yu

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  • čas přidán 24. 07. 2024
  • Prednisone and other steroids are commonly prescribed medications for managing various inflammatory conditions, including rheumatoid arthritis.
    These medications work by reducing inflammation and suppressing the immune system's response, thereby alleviating pain, swelling, and stiffness associated with rheumatoid arthritis flare-ups.
    While they can provide rapid relief from symptoms, long-term use of prednisone and steroids may lead to several side effects, including weight gain, increased risk of infections, osteoporosis, high blood pressure, and mood changes.
    Therefore, doctors typically prescribe them at the lowest effective dose for the shortest duration possible to minimize these adverse effects.
    It's essential for individuals taking prednisone or steroids to follow their healthcare provider's recommendations closely, undergo regular monitoring, and discuss any concerns or side effects with their healthcare team.
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    #rheumatologist #steroidssideeffects #prednisone
    0:00 Intro
    2:14 Short-Term Side Effects of Prednisone and Steroids
    4:13 Long-Term Side Effects of Prednisone and Steroids
    8:10 Insights on Using Prednisone and Steroids
    9:07 Are there other Options besides it?

Komentáře • 72

  • @SnoMotion-qk6mo
    @SnoMotion-qk6mo Před měsícem +4

    Prednisone is causing my sister so much agony. It’s affecting her body so bad but they haven’t offered an alternative. Praying for her to get better and stop these drugs. Prednisone can be fatal.

  • @ColletteGeeCoach
    @ColletteGeeCoach Před 5 měsíci +13

    After having a horrible side effect from methotrexate my doctor gave me prednisone. These are horrible drugs and although I feel somewhat better (in regard to my inflammation and joint pain), I feel worse from the side effects. My side effects happen no matter what drug I am given for RA. My doctor is pushing biologics on me, but after trying these other hard drugs I am going to take my chances with diet and herbs, which is what I was doing in the first place.

    • @courtneytirak7014
      @courtneytirak7014 Před 5 měsíci +1

      Same. I am afraid i will not be compliant bc i dont think i will be able to inject myself

  • @user-cv6vd9hu7u
    @user-cv6vd9hu7u Před 5 měsíci +12

    As an RA patient for more than 25 years, I've seen how RA meds and treatment options have progressed. Steroids are my #1 most hated because of the most visible and immediate side effects. I get cranky, bloated, heart racing, difficulty sleeping. But I do not resist when the doctor prescribes it for a very short time just to get inflammation under control.

  • @memyselfi8604
    @memyselfi8604 Před 3 měsíci +4

    Thank you for explaining so well

  • @Mansmatters
    @Mansmatters Před 5 měsíci +6

    This video is very informative

  • @txteach
    @txteach Před 2 měsíci +3

    Currently experiencing what I think is myopathy 5 weeks after finishing a 7 day reduced daily dose of prednisone. At first I felt so weak and shaky that I thought the steroids triggered blood sugar issues. I’m going back next week and hope to get answers. I will never take it again!

  • @veronicanicholls7132
    @veronicanicholls7132 Před 3 měsíci +5

    HI Doctor I was diagnosed with GCA I had raging inflammation and was started on 60mg gradually tapering. I have a Tozcilizuma injection weekly.
    Prednisone saved my life by reducing the inflamation.
    Sadly until another drug found predsinone is a necessary drug.

  • @stevebourne9551
    @stevebourne9551 Před 23 dny +2

    I find it surprising that so little proper information is provided about Prednisolone given it is so often used as a drug of last resort by many practitioners. I have read so many scare stories on the net about adverse side effects, but there is no mention of what dose the patient is on, though often it is ridiculously high. Prednisolone is a dirty word in the drugs world, which I believe is very unfair.
    It is very important to understand the difference between a physiologic and pharmaceutical dose. The former is a dose less than the amount of cortisone produced by the body (approx 35-40mg per day). The latter is anything that exceeds this. Most problems arise with a pharmaceutical dose as the body starts relying on the drug to produce the cortisone equivalent and that is why it is necessary to taper off the drug slowly to allow the body to start producing it's own again. Whereas at low doses of around 5mg or less, the body is still producing cortisone, so it is possible to stay on the drug for longer periods.
    It is also important to note that this drug will effect people in different ways - evident from reading the case histories above. I find the drug extremely effective with very few if any side effects, but other are not so lucky. For me it's a quality of life decision. I try to be sensible based on the information I have discovered about Prednisolone - which as I say is pitifully little. I partly suspect that this is the case because the patent has expired, so drug companies can find little incentive to do further research - no money in it! It also seems to do a much better job than many of the more expensive drugs.
    I suggest everyone try to read a book called 'Safe Uses Of Cortisol' by W Mck.Jefferies. This is the most comprehensive study on the subject I have found, and will prove a mine of useful and insightful information for anyone thinking about or taking glucocorticoids. Unfortunately the book can be a little expensive, but well worth it.

  • @attractionp.1185
    @attractionp.1185 Před 5 měsíci +2

    Thank you 🙏🏾!!!!!!💥⭐️🌟✨⚡️☄️💫☀️✨⚡️

  • @fredsandoval3377
    @fredsandoval3377 Před 22 dny +2

    I have been on steroids for 50 years. Is a nightmarish drug. I've had all the side effects Plus... You didn't mention the moon face, the constipation, travel with your kidneys your pancreas and your gallbladder in time... It's taking me 50 years to get down to 5 mg per day. The only Plus my face doesn't look as old as I am 50 but I will be turning 75 in August, but all my muscles have pretty much deteriorated. Keep up the good work.

    • @Dorisasaurus1133
      @Dorisasaurus1133 Před 13 dny +1

      I have been recently diagnosed with Chronic Ulcerative Colitis. 😢Rx prednisone 3 weeks ago. Headache solar sensitive, depression, mood swings, anxiety no sleep and I’m crying daily for my 10&11 year old daughters who are now on Summer break from Elementary school and should be enjoying their summer break but, I am so sick not only from the inflammation in my large intestine but from all these Dang side effects. My poor husband and my kids are ready to run away from me and I want to bang my head against a wall. I was Rx 150 pills to take over 8 week taper. I just started week 3 2 days ago. 😢 I just want it to be over now. Sending you Big Hugs Lots of Support and Strength. Prayers for you on Angel Wings 🪽 are sent

  • @barbarabonnette2705
    @barbarabonnette2705 Před 3 měsíci +2

    Thank you doctor for your information…..Ive been treated for RSV since Feb 9th……I was given Prednisone and a nebulizer as needed. It’s now April 2, and I’ve just finished my last script. My lungs are feeling better but the side effects from this drug is very real. I did have sleeplessness, I am experiencing swollen feet and legs, and arms, I definitely have put weight on, I do feel an occasional pressure in my chest which is concerning as I have HBP . My next appointment is Thursday and this will be my next discussion with my doctor.
    I truly hate taking drugs, but on the onset of this virus I just couldn’t breathe. Hope this helps with your inquiry.

  • @courtneytirak7014
    @courtneytirak7014 Před 5 měsíci +3

    I have been on prednisone w methotrexate since 2016 and cannot go lower than 5 mg daily. Every time I try to taper off, my symptoms flare. I recently tried again to taper and had to go back on a high dose to clear the flare and get myself back to the balance w the 5 mg. Now i have weight to lose (again) and glucose and high blood pressure to regulate AGAIN. I know it was worth a shot but i have lost another year to this issue have gone backward in the progress i have made w my health. frustrating. Any advice?

  • @mariesokolik2381
    @mariesokolik2381 Před 5 měsíci +1

    I hate taking it- I had a bone density test done …. I went off if it. I will take the pain. Been on since September- going off.,

  • @alizarei2303
    @alizarei2303 Před 4 měsíci

    Hi dr, I have a question that may seem a bit strange, but if you can just provide me with an answer I would really appreciate it. If someone takes prednisone lower than 0.50 mg like for example 0.30 mg a day, will this cause serious side effects in the long run?

  • @lanaofficiel4042
    @lanaofficiel4042 Před 3 měsíci +2

    Ho Doctor. I took a short course of Prednisone in decreasing doses for three months because of respiratory virus. Prednisone was the only thing that kept my lungs from closing down. I recovered from the respiratory virus and I didn't have any bloating or mood changes and I have been off the Prednisone for one and a half months now, but I've noticed that I am walking with a limp and I feel like my right leg is weaker than my left leg. I am doing leg exercises to build up my right leg. Will this leg weakness be permanent??? I was only on Prednisone for three months. I'm am 59 years old. Please help me doctor, I hope that my right leg will feel equal to my left leg. Should I use leg weights on my right leg?? I can't stand this limping. Please answer. Thank you for your help.

  • @bigalsace
    @bigalsace Před 3 měsíci +1

    They prescribed me prednisone cause I discovered I got Adult-onset Still's disease and my worst side effect would have to be the insomnia. Is there anything I could do to counter that?

  • @clarencesaldanha
    @clarencesaldanha Před 2 měsíci

    Dr.please let me know whether presedone steroid effect kifneys

  • @shameemhabib1974
    @shameemhabib1974 Před 3 měsíci

    Hi iam on prednisone at moment for pain of arthritis in spinal for L5-S1 ders relieve but not my legs n feet n toes.....plzzz give options on this....i need to have alternative for prednisone plzzz 😢

  • @Yisraelohim432
    @Yisraelohim432 Před 2 měsíci

    I’m on one week of steroids for dm and I want to quit them, I was given 3 month supply can I quit them sooner with out the adrenal risk?

  • @kostasg8475
    @kostasg8475 Před 5 měsíci +2

    I am on prednisone lately because of it I got heat problems

  • @CeeBee781
    @CeeBee781 Před 2 měsíci

    I just got prescribed this for the first time, for inflammation related to chronic non healing wounds that are being treated… I’m scared to take it but I’m hopeful it will help with pain and itching around the wounds.
    I was told to take it in the morning because it can interfere with sleep and make you kind of twitchy?

  • @antares5683
    @antares5683 Před 2 měsíci +3

    The withdrawal sucks too. Really bad for mental health, 3 months off stilll have anxiety

    • @Lian-ez8gx
      @Lian-ez8gx Před 2 měsíci

      Im almost 2 months off from sister med of this pill. Still feeling symptoms. Idk if it's still from the med or am i having other issue. I'm anxious again. What are your withdrawal symptoms?

    • @simonstones1918
      @simonstones1918 Před 3 dny

      Same for me, I’ve had a hell of a time since a short course…

  • @rajvinderkaur7364
    @rajvinderkaur7364 Před 5 měsíci +2

    Can you tell me about food that you diet ? Please I want to know about your food

  • @kristenwittig2599
    @kristenwittig2599 Před 2 měsíci

    I have Takayasus Arteritis diagnoised 14+ years & been on Prednisone 14 years along with Methotrexate & ACTEMRA Infusion. I started at 80mg X 2 years, 70mg X 2 years, etc. Sucks

  • @allanarocque839
    @allanarocque839 Před 5 měsíci +3

    Been on Prednisone for over 10 years 80% of that time I have been on 5mg.

    • @tgmtf5963
      @tgmtf5963 Před 4 měsíci +1

      Wouldn't that be detrimental to health?

  • @PeaknikMicki
    @PeaknikMicki Před měsícem

    Regarding Osteoporosis, wouldn't K2 MK7 help with that? (Directs calcium to your bones and helps prevent calcificatoin in veins).

  • @williamgomic9112
    @williamgomic9112 Před 17 dny

    huhu im naprotic syndrome 2nd relapse, on then off then on again then off again then currently on again now doc just started to taper off from 16 now reduce from 10 taper 1 tab per week. really suffering from all those side effects that you mentioned, insomnia the worst. my moonfaced terrible this time

  • @JonniStephenson
    @JonniStephenson Před 12 dny +1

    Mine is bruising and weight gain. 😢

  • @myki_mycs
    @myki_mycs Před 5 měsíci +4

    Hi doc😊
    I've been to steroids since i was 11 years old and now im 28 and i was diagnose with hip osteoporosis due to long term used of it. Im a jia patient since then.
    And now the ortho doc advice me to have a hip replacement but i declined and now im only taking calciumade and methotrexate along with omega 3 and turmeric supplements... And i çut all sweets and process food on my diet, and i can feel the effect... Knowing that before i cannot go out without taking dmards,steriods and nsaids med ..

    • @Lian-ez8gx
      @Lian-ez8gx Před 2 měsíci

      How are you now? How's your experienced with NSAIDs? I'm having issues now. Don't know if it's from nsaid..

  • @justaguy029
    @justaguy029 Před 4 měsíci +1

    I've been taking prednisone 40mg for only 1month + till last week, and now i experiencing the horrible side effect of it. Here i thought i was doing fine for past few days before i stop Prednisone but again, my abdominal pain and inflammation was back again, I've been enduring it for days to not take prednisone, I was given some medicine by my doctor while treating the side effects but I don't think it does anything...

  • @laurapermuter7195
    @laurapermuter7195 Před měsícem

    Hello, the injection steroid did not give me any bad symptoms when given. I bc felt great. However pill digested methyl prednisone gives me horrible heart race. I believe there is something else in the pill that are toxic or stomach issues reacting.

  • @jackki6869
    @jackki6869 Před 2 měsíci +1

    I got diabetes, fkn FAT, 80 LBS,bone fractures, depression

  • @AlexisAlexandreSamba
    @AlexisAlexandreSamba Před 4 měsíci

    Can Prednisone care leprosy

  • @7sevenworld
    @7sevenworld Před 2 měsíci

    Hi Dr Micah! I'm due for an MRI next month (June) , i am given Prednisolone 5mg (8 tablets) 12hrs before the procedure and another (8 tablets) 2 hrs before the procedure. Knowing that Prednisolone is a type of steroid, I am worried about my personal side effects to Dexamethasone, it will give endless hiccups that is eventually became painful and it will only stop when i am given Diazepam. I asked the doctor, and he can't really say, and if i have complications, they will treat me and cancel the MRI. Is there by any chance that I could have the same effects with Prednisolone?
    p/s: my contrast MRI is for prostate.
    I think this dose is 40mg twice within 12hrs right? sounds scary just for an MRI. How long will Predisolone wear off rightt after that last dose till i can go off with my normal diet and activities.

    • @abhijitbhagwat7258
      @abhijitbhagwat7258 Před 29 dny

      Hiccuf s are due to acidity caused by steroids. Treat acidity

  • @parulbhargava3909
    @parulbhargava3909 Před 4 dny

    I have taking Prednisone decreasing doses week by week now on 10 mg due to Autoimmune hymolytic Anemia, never heard in any videos uptill now, please make a video on it.
    Got moon face, tremors, cramps, eye problems, insomnia, palpitations. If anyone have same do text.

  • @candacesoucy243
    @candacesoucy243 Před 2 měsíci

    😮I've been on and off prednisone for 40 some odd years now. I know I didn't have much for options but I'm certainly paying for it now. I have osteoporosis, osteonacrosis in my left knee just found out my right tibia and femor both are necrotic. My adrenal glands have failed. I have crohns disease and emphysema, copd, loaded with arthritis,spinal stenosis in my neck and lower lumbar spine and have been bed ridden for several months with a compression fracture in my T8. I'm currently tapering very slowly and I'm taking 28mg at the moment if I even cut back a half mg my whole body suffers

    • @redfeathersharonspurgeon8201
      @redfeathersharonspurgeon8201 Před 2 měsíci

      That may be the number you need to stay at for now. Be patient. I am cutting down but sometimes I have to stop or go back up 10 mg for a little bit of tine. I am also using nutrients for the deficiencies that prednisone creates. I am not perfect nor are you. We choose little of our life. It what God has put in place long before our birth. Just be patient. Pray and have faith.

  • @patrickeason7239
    @patrickeason7239 Před 2 měsíci +3

    I hate prednisone 100 % !

  • @parulbhargava3909
    @parulbhargava3909 Před 4 dny

    My sugar level also shoot up though i m not diabetic 😮😮😮at all

  • @AZ-fc8xz
    @AZ-fc8xz Před 2 měsíci

    I've been taking prednisone for 13 years and I am getting it off finally my sides effect are: easy bruising, hair lose, lung aspergillus, osteoporosis :(

  • @leelemon007
    @leelemon007 Před 5 měsíci +2

    Good work no background music! Steroids are a godsend for a gout attack

  • @karenpinto1191
    @karenpinto1191 Před 2 měsíci

    I got 2 shots at the same time. One for each hip bone. I had it done in January and even tho it didn’t take the pain away it did some. I started acupuncture and the pain was gone after the second session.
    Do anyone know how to detox from prednisone? I’ve been working out and eating healthy since March and I have not lost a pound. I haven’t gained anything but I’m tired of the moon face and not being able to lose weight. My wedding is in 50 days. Help!

    • @Lian-ez8gx
      @Lian-ez8gx Před 2 měsíci

      Hello. Do you feel eye fatigue too? And feeling of skin tightness?

  • @jc238
    @jc238 Před 2 měsíci +1

    Recently prescribed Prednisone, one week in, so far the only noticeable side effect is insomnia.

  • @Tinkertotdat
    @Tinkertotdat Před 25 dny

    I have Adrenal insufficiency I have to take low dose prednisone for life and there is not enough information about what you can or cannot take with steroids. What's my biggest problem? Well since I don't produce cortisol and you can't control it like diabetes which has a meter to check ur blood I have to guess like when I get very stressed out or if I have infection. Double up on them if I'm sick or throwing up. I have lots of side effects too long to mention but I just would like to have a better quality of life. Every dr I have if I have side effect they blame steroid. I don't think there is option to come off these.

  • @wendycarbone6962
    @wendycarbone6962 Před 4 měsíci

    Are there any natural steroids for example supplements ?

    • @tgmtf5963
      @tgmtf5963 Před 4 měsíci

      I heard but vitamin D3 with mk7

    • @redfeathersharonspurgeon8201
      @redfeathersharonspurgeon8201 Před 2 měsíci

      I look at what the prednisone is taking the nutrients from that is the most worse and what I can afford. Then buy the nutrients as I slowly taper. I holding it at 20 but the severe horrid pain, weakness and breathing are extremely difficult for me. I do what I can and pray for strength to get thru and heal. I know I can never go fully off. I must control it at a lower dose and add back the nutrients it robs my body of.

  • @b0r3df4r3v3r
    @b0r3df4r3v3r Před 19 dny

    I took a 12 day cycle of Prednisone to take care of a bad case of poison ivy all over my body. It definitely eliminated the rash quickly. However, after the treat my body broke out in the worst acne.

    • @dave7435
      @dave7435 Před 18 dny

      Did you tapper dose or just left them? How many mg did you take?

  • @courtneytirak7014
    @courtneytirak7014 Před 5 měsíci +1

    Are all bioligics only in injectable form?

    • @MYAutoimmuneMD
      @MYAutoimmuneMD  Před 5 měsíci

      most are injectable or infusions so far. JAK inhibitors are oral and are a variation of biologics

    • @courtneytirak7014
      @courtneytirak7014 Před 5 měsíci

      @@MYAutoimmuneMD thank you!

  • @LB-ll7kb
    @LB-ll7kb Před 5 měsíci +3

    My late husband caught during a business trip Gilliam Barre Syndrome. Because of that he became paralyzed. Doctors prescribed Prednisone. My husband suffered from 90+ of the side effects you mentioned in your video, plus Kidney, Liver, Lung damage, bled from his anus. In the end, he's heart fail. He lost lots of hair, and he aged a lot. He looked like a 75+ man, when he died, he was 42.

    • @karenquick8737
      @karenquick8737 Před 5 měsíci +2

      I've been off and on, on Prednisone since 2098, when I was diagnosed. I started on 60 mg and tapered. I got so much relief, I cried. Since then I've been in a cocktail of meds and tapering Prednisone to help. I'm a severe case. I went through so many biological, to no avail, until I was on Xeljanz, and that's been a blessing since 2/15! Once in a great while I'd get a tapering again because of the Xeljanz not working fully or fading away. You would know that sometimes it needs to be stopped and then started again down the road, and having Prednisone to cover. If I'm doing ok, the 5 mg. of Prednisone takes a little more pain away. I gained so much weight and I keep trying to lose. A Dietician is helping me and she sympathizes with me because of this RA and Hypothyroidism. I have proved to her and myself, that I can lose. I'm paying attention to my calories and the carbs. I eat more protein, so I don't fill up on carbs. When I was on higher doses of Prednisone, I have more skin issues, like Shingles!! My last case was so horrible and I couldn't stop screaming. Calamine helped. I got a Shingles vaccine and nothing since! Thank goodness!! I'm thankful to be alive and better quality of life! Thank you, Dr. 😊😊

  • @judybenefield1445
    @judybenefield1445 Před 5 měsíci +7

    Satan’s TicTac’s!

    • @slomo1716
      @slomo1716 Před 5 měsíci +1

      Not true! But then again I think Gabapentin is POISON, well at least it is for me!

    • @Rachel_2112
      @Rachel_2112 Před 5 měsíci

      ​@@slomo1716 for me too