Prednisolone

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Drug Status

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Government Approvals

US(FDA), UK(BNF)

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WHO Essential Medicine

YES

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Known Teratogen

NO

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Pharmaceutical Class

Corticosteroid

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Controlled Drug Substance

NO

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Drug Ingredient

Prednisolone

Summary

  • Prednisolone is used to treat various conditions. These include inflammatory conditions like arthritis and colitis, allergic reactions such as severe allergies and asthma, autoimmune disorders like lupus and multiple sclerosis, endocrine disorders such as adrenal insufficiency, skin conditions like eczema and psoriasis, and respiratory conditions like chronic obstructive pulmonary disease (COPD) and asthma.

  • Prednisolone is a corticosteroid that works by suppressing the immune system and reducing inflammation. It inhibits the release of substances that cause swelling and irritation, helping to alleviate symptoms of inflammation and overactive immune responses.

  • Prednisolone is usually prescribed at 5 mg to 60 mg per day for adults, depending on the condition. It should be taken once daily, typically in the morning with food or milk to prevent stomach irritation. Always follow the prescribed dosage and schedule.

  • Common side effects of Prednisolone include weight gain, increased appetite, fluid retention, and digestive issues like upset stomach. Long-term use can lead to more serious side effects such as osteoporosis, high blood pressure, diabetes, cataracts, and an increased risk of infections.

  • Prednisolone should be used with caution in people with a history of infections, osteoporosis, diabetes, hypertension, or stomach ulcers as it can weaken the immune system. It's contraindicated in individuals with systemic fungal infections or those who have a known allergy to corticosteroids.

Indications and Purpose

How does one know if Prednisolone is working?

The benefits of Prednisolone are typically evaluated by monitoring the improvement of symptoms and clinical outcomes specific to the condition being treated. For example, in conditions like asthma or rheumatoid arthritis, benefits are assessed through reduced inflammation, improved lung function, or increased mobility. Laboratory tests and imaging may also be used to track changes in biomarkers, such as inflammatory markers or disease activity, helping healthcare providers gauge the drug's effectiveness. Additionally, symptom relief and quality of life improvements are key indicators of its therapeutic benefit.

How does Prednisolone work?

Prednisolone is a corticosteroid that works by mimicking the effects of natural hormones produced by the adrenal glands, specifically cortisol. It acts by suppressing inflammation and modifying the immune system's response. Prednisolone inhibits the production of substances like prostaglandins and leukotrienes, which contribute to inflammation. It also suppresses the activity of immune cells that trigger allergic reactions and autoimmune responses. As a result, it helps reduce swelling, redness, and discomfort in various inflammatory conditions.

Is Prednisolone effective?

Prednisolone has been proven effective in treating a wide range of inflammatory and autoimmune conditions through numerous clinical studies. Research shows that it effectively reduces symptoms of conditions like arthritis, asthma, and inflammatory bowel disease by suppressing inflammation and modulating immune responses. The medicine is also supported by evidence demonstrating its role in improving symptoms of allergic reactions, skin disorders, and certain types of cancer, showcasing its versatility and efficacy in clinical practice.

What is Prednisolone?

Prednisolone is a corticosteroid commonly used to treat conditions such as inflammation, allergies, arthritis, asthma, and autoimmune diseases. It works by suppressing the immune system and reducing inflammation by inhibiting the release of substances that cause swelling and irritation. This helps alleviate symptoms of inflammation and overactive immune responses.

Directions for Use

For how long do I take Prednisolone?

Prednisolone is a medication used to treat various conditions. The duration of use depends on the response to treatment. If there's no improvement after a reasonable time, the medication should be stopped and other treatment options considered. For long-term use, it's recommended to gradually reduce the dosage instead of stopping abruptly.

How do I dispose of Prednisolone?

If you can, bring unused medicines to a drug take-back program or collection site at a pharmacy or hospital. They will dispose of this medicine properly so they don't harm people or the environment. If you can't find a take-back program, you can throw most medicines in the trash at home. But first, take them out of their original containers, mix them with something undesirable like used coffee grounds, seal the mixture in a plastic bag and throw it away.

How do I take Prednisolone?

Prednisolone should be taken with food or milk to reduce the risk of stomach irritation. It is best to take it in the morning to mimic the body's natural cortisol rhythm. There are no specific food restrictions, but you should avoid alcohol as it may increase the risk of stomach irritation. Always follow your doctor's advice on dosage.

How long does it take for Prednisolone to start working?

Prednisolone typically starts working within a few hours to one day, depending on the condition being treated. For conditions like inflammation, you may notice improvement within the first few days of treatment. However, full benefits may take a few days to weeks for conditions like autoimmune diseases or chronic inflammation.

How should I store Prednisolone?

Prednisolone should be stored at room temperature, between 20°C to 25°C (68°F to 77°F). It should be kept away from excessive heat, moisture, and direct sunlight. Keep the medication in its original container, tightly closed, and out of reach of children. Do not freeze or refrigerate.

What is the usual dose of Prednisolone?

The dosage of this medication varies greatly from person to person and depends on factors like the condition being treated and how the patient responds to the medication. For children, the initial dose is typically between 0.14 to 1 mg per kilogram of body weight per day, divided into 3-4 smaller doses. This equates to approximately 4 to 60 mg per square meter of body surface area per day. In cases of nephrotic syndrome, a common pediatric regimen involves taking 60 mg per square meter of body surface area per day (divided into smaller doses) for four weeks, followed by 40 mg per square meter of body surface area per day every other day for four weeks. It's crucial to note that the dosage should be closely monitored and adjusted as needed to ensure the medication is effective and safe.

Warnings and Precautions

Can I take Prednisolone with other prescription drugs?

  1. Nonsteroidal anti-inflammatory drugs (NSAIDs): Increased risk of gastrointestinal bleeding or ulcers.
  2. Diuretics: May lead to potassium loss, increasing the risk of hypokalemia.
  3. Antidiabetic drugs: Prednisolone may reduce the effectiveness of insulin and oral diabetic medications.
  4. Anticoagulants (e.g., warfarin): May alter blood clotting, requiring closer monitoring.
  5. Immunosuppressants: Concurrent use can increase the risk of infections or weaken immune responses.

Can Prednisolone be taken safely while breastfeeding?

Prednisolone is excreted in breast milk, and although the amount is generally low, it can potentially affect a breastfeeding infant. Short-term use at low doses is typically considered safe, but long-term or high-dose use may lead to potential side effects in the infant, such as weight gain or developmental issues. It is important to consult a healthcare provider before using Prednisolone while breastfeeding.

Can Prednisolone be taken safely while pregnant?

Prednisolone is classified as a Category C drug for pregnancy, meaning that its use may be associated with fetal harm, but the benefits might outweigh the risks in certain situations. Animal studies have shown potential adverse effects on the fetus, including developmental issues, but adequate human studies are lacking. It should only be used during pregnancy if absolutely necessary and under medical supervision, especially in high doses or prolonged use.

Does Prednisolone have adverse effects?

Adverse effects, which are unwanted or harmful reactions to a medicine, can occur when taking any medication. For this medicine, some common adverse effects might include nausea, which is feeling sick to your stomach, dizziness, which is feeling lightheaded, headache, which is pain in the head, fatigue, which is feeling very tired, and dry mouth, which is a lack of saliva. These effects can vary in how often they happen. There are also serious adverse effects that are rare but need immediate medical attention, such as difficulty breathing, which is trouble getting air, or swelling of the face, which is puffiness in the face. It's important to report any new symptoms to your healthcare provider. Never stop taking a medicine without first talking to them, as they can help manage any adverse effects safely.

Does Prednisolone have any safety warnings?

To determine if a medicine has safety warnings, you should first check the prescription information provided with the medicine. This information often includes a section on warnings and precautions. For example, if a medicine has a warning about causing drowsiness, the rationale is that it affects the central nervous system, which is the part of the body that controls alertness and coordination. The possible consequence is that it may impair your ability to drive or operate machinery safely. Symptoms to monitor include feeling unusually sleepy or having trouble concentrating. If you notice these symptoms, it's important to avoid activities that require full attention and consult your healthcare provider for advice.

Is it safe to drink alcohol while taking Prednisolone?

Avoid or limit alcohol, as it may increase the risk of stomach irritation or ulcers when combined with Prednisolone.

Is it safe to exercise while taking Prednisolone?

Yes, exercise is safe and can help counteract weight gain or muscle weakness. Avoid overexertion if feeling unwell, and consult your doctor for specific recommendations.

Is it safe to stop Prednisolone?

To determine if it's safe to stop a medicine, first identify its purpose. If it's for managing a chronic condition like hypertension or diabetes, stopping it suddenly can lead to serious health risks, such as uncontrolled blood pressure or blood sugar levels. If the medicine is for symptomatic relief or treating an acute condition, like an infection, stopping it prematurely might result in the return of symptoms or incomplete treatment. Some medicines can cause withdrawal or rebound symptoms if stopped abruptly, which can be uncomfortable or even dangerous. It's crucial to consult with a doctor before stopping any medicine, as they can provide guidance on how to safely discontinue it, if appropriate, and monitor for any adverse effects.

Is Prednisolone addictive?

This medicine has no known potential for dependence or addiction. It is considered safe in terms of habit-forming properties. Therefore, there is no need to worry about developing a physical or psychological dependence on this medication. However, it is always important to follow the prescribed dosage and instructions provided by your healthcare provider to ensure safe and effective use. If you have any concerns or experience any unusual symptoms while taking this medicine, consult your doctor for further advice.

Is Prednisolone safe for the elderly?

When giving older adults prednisolone, doctors should start with a low dose and adjust it carefully. It's important to regularly check bone density and take steps to prevent fractures. Doctors should also regularly review the need for prednisolone to make sure the lowest effective dose is being used. Older adults tend to have higher levels of prednisolone in their blood, but it's not clear if they need a lower dose. Increased side effects, especially osteoporosis, are more common in older adults and can be related to the dose of prednisolone. Doses of 7.5 mg/day or higher raise the risk of fractures. Older adults may have reduced kidney function, so doctors should carefully choose the dose and monitor kidney function.

What are the most common side effects of Prednisolone?

A side effect is an unwanted or unexpected symptom caused by a medicine. For this medicine, common side effects may include nausea, which is feeling sick to your stomach, dizziness, which is feeling lightheaded or unsteady, headache, which is pain in the head, fatigue, which is feeling very tired, and dry mouth, which is a lack of saliva. The frequency of these side effects can vary, but they are generally considered common. It's important to note that when starting a new medicine, people might experience new symptoms that could be coincidental, unrelated, or temporary. These symptoms might also be due to another health issue. Always talk to a healthcare provider before stopping any medicine, as they can provide guidance on managing side effects and ensure your treatment is safe and effective.

Who should avoid taking Prednisolone?

Prednisolone should be used with caution in people with a history of infections, osteoporosis, diabetes, hypertension, or stomach ulcers. It can weaken the immune system, increasing the risk of infections. People with liver disease, glaucoma, or peptic ulcer disease should avoid using it. It's contraindicated in individuals with systemic fungal infections or those who have a known allergy to corticosteroids.