What to Expect with Prednisone 20 mg: Side Effects and Effective Solutions

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This video provides a comprehensive analysis of the side effects associated with prednisone use, particularly at doses of 20 milligrams or higher. This highlights the lack of contemporary research on this older medication and discusses various side effects, including fluid retention, psychiatric disturbances, cardiovascular complications, fat redistribution, hyperglycemia, cognitive effects, and immunosuppression. This video emphasizes the importance of understanding these side effects and offers a "Prednisone Checklist" with strategies to help patients manage their treatment and minimize adverse effects.

Key Takeaways:
1. Understanding Side Effects: It’s important to understand the side effects of prednisone, especially at doses of 20 milligrams or higher, due to the lack of contemporary research and outdated studies on this older medication.
2. Fluid Retention and Hypertension: One of the primary side effects discussed is fluid retention, which can lead to swelling and high blood pressure. This occurs because prednisone mimics a hormone that regulates water balance in the kidneys.
3. Psychiatric and Cognitive Effects: Prednisone can cause psychiatric disturbances such as psychosis and mania, particularly at higher doses. Cognitive effects like brain fog and memory impairment are also concerns, with a noted risk of these issues at elevated doses.
4. Cardiovascular and Metabolic Risks: The medication is associated with cardiovascular complications, including heart rhythm changes and increased risk of cardiovascular events. Hyperglycemia is another significant concern, with a tenfold increased risk of elevated blood sugar levels at doses exceeding 30 mg.
5. Immunosuppression and Fat Redistribution: Prednisone can weaken the immune system, increasing the risk of infections. It also causes fat redistribution, leading to changes in body shape, such as truncal obesity, which is dose-dependent. A "Prednisone Checklist" is provided to help patients manage these side effects effectively.

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Dr. Megan is the Prednisone Pharmacist who experienced side effects from a prescription drug called prednisone. Here she teaches tips to deal with side effects naturally. Every week Dr. Megan posts a new video with an answer to your burning prednisone questions.

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