Prednisone and Rheumatoid Arthritis: Potential Risks and Long-Term Considerations

While prednisone effectively reduces rheumatoid arthritis inflammation, long-term use carries risks. Bone thinning (osteoporosis) is a significant concern; regular bone density checks and calcium/vitamin D supplementation are crucial.

Weight gain, increased blood sugar, and high blood pressure are common side effects. Maintaining a healthy diet and regular exercise mitigates these risks. Your doctor might recommend blood pressure and blood sugar monitoring.

Prednisone weakens the immune system, increasing susceptibility to infections. Practicing good hygiene and promptly reporting any infection to your doctor is vital. Vaccination against influenza and pneumonia is strongly recommended.

Cataracts and glaucoma are potential long-term eye problems. Regular eye exams are necessary to detect and manage these complications.

Mood changes, including anxiety and depression, can occur. Open communication with your doctor and potentially a mental health professional is important if you experience these symptoms. A gradual tapering of prednisone dosage, under medical supervision, helps minimize withdrawal symptoms.

Regular monitoring of your blood counts and other relevant lab tests enables your doctor to adjust your medication and manage potential complications.

Discuss your concerns and questions openly with your rheumatologist. They can help you develop a personalized management plan to maximize benefits and minimize potential risks associated with prednisone use.