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Prednisone with antacids. Interaction between Antacid I and Prednisone

Is it okay to take tums while on prednisone? Also, is it safe to take my vitamin d supplement while on prednisone? - Answered by a verified Health Professional.

If possible, anticholinesterase agents should be withdrawn at least 24 hours before initiating corticosteroid therapy. If concomitant therapy must occur, it should take place under close supervision and the need for respiratory support should be anticipated.

Anticoagulants, Oral Coadministration of corticosteroids and warfarin usually results in inhibition of response to warfarin, although there have been some conflicting reports. Therefore, coagulation indices should be monitored frequently to maintain the desired anticoagulant effect. Antidiabetics Because corticosteroids may increase blood glucose concentrations, dosage adjustments of antidiabetic agents may be required.

Antitubercular drugs Serum concentrations of is oniazid may be decreased. Bupropion Since systemic steroids, as well as bupropion, can lower the seizure threshold, concurrent administration should be undertaken only with extreme caution; low initial dosing and small gradual increases should be employed. Cholestyramine Cholestyramine may increase the clearance of corticosteroids. Cyclosporine Increased activity of both cyclosporine and corticosteroids may occur when the two are used concurrently.

Convulsions have been reported with this concurrent use. Digitalis Glycosides Patients on digitalis glycosides may be at increased risk of arrhythmias due to hypokalemia. Estrogens, Including Oral Contraceptives Estrogens may decrease the hepatic metabolism of certain corticosteroids, thereby increasing their effect.

Fluoroquinolones Postmarketing surveillance reports indicate that the risk of tendon rupture may be increased in patients receiving concomitant fluoroquinolones e. Tendon rupture can occur during or after treatment with quinolones. Drugs which inhibit CYP 3A4 e. Glucocorticoids are moderate inducers of CYP 3A4. Coadministration with other drugs that are metabolized by CYP 3A4 e.

In addition, ketoconazole alone can inhibit adrenal corticosteroid synthesis and may cause adrenal insufficiency during corticosteroid withdrawal. Nonsteroidal Anti-Inflammatory Agents NSAIDS Concomitant use of as pirin or other nonsteroidal anti-inflammatory agents and corticosteroids increases the risk of gastrointestinal side effects.

Aspirin should be used cautiously in conjunction with corticosteroids in hypoprothrombinemia. The clearance of salicylates may be increased with concurrent use of corticosteroids; this could lead to decreased salicylate serum levels or increase the risk of salicylate toxicity when corticosteroid is withdrawn.

Phenytoin In postmarketing experience, there have been reports of both increases and decreases in phenytoin levels with dexamethasone coadministration, leading to alterations in seizure control. Phenytoin has been demonstrated to increase the hepatic metabolism of corticosteroids, resulting in a decreased therapeutic effect of the corticosteroid. Quetiapine Increased doses of quetiapine may be required to maintain control of symptoms of schizophrenia in patients receiving a glucocorticoid , a hepatic enzyme inducer.

Skin Tests Corticosteroids may suppress reactions to skin tests. Thalidomide Coadministration with thalidomide should be employed cautiously, as toxic epidermal necrolysis has been reported with concomitant use.

Vaccines Patients on corticosteroid therapy may exhibit a diminished response to toxoids and live or inactivated vaccines due to inhibition of antibody response. Corticosteroids may also potentiate the replication of some organisms contained in live attenuated vaccines. Increased dosage of rapidly acting corticosteroids is indicated in patients on corticosteroid therapy subjected to any unusual stress before, during and after the stressful situation. Cardio-Renal Average and large doses of hydrocortisone or cortisone can cause elevation of blood pressure, salt and water retention , and increased excretion of potassium.

These effects are less likely to occur with the synthetic derivatives except when used in large doses. Dietary salt restriction and potassium supplementation may be necessary. All corticosteroids increase calcium excretion. Literature reports suggest an apparent association between use of corticosteroids and left ventricular free wall rupture after a recent myocardial infarction ; therefore, therapy with corticosteroids should be used with great caution in these patients.

Endocrine Corticosteroids can produce reversible hypothalamic- pituitary adrenal HPA axis suppression with the potential for corticosteroid insufficiency after withdrawal of treatment.

Adrenocortical insufficiency may result from too rapid withdrawal of corticosteroids and may be minimized by gradual reduction of dosage. This type of relative insufficiency may persist for up to 12 months after discontinuation of therapy; therefore, in any situation of stress occurring during that period, hormone therapy should be reinstituted.

If the patient is receiving steroids already, dosage may have to be increased. Metabolic clearance of corticosteroids is decreased in hypothyroid patients and increased in hyperthyroid patients. Changes in thyroid status of the patient may necessitate adjustment in dosage. Infection General Patients who are on corticosteroids are more susceptible to infections than are healthy individuals. There may be decreased resistance and inability to localize infection when corticosteroids are used.

Every person metabolizes medication differently, so it is hard to give a definitive answer, but he should not be experiencing that much trouble if he took the medication for a short period of time five days or so. If the trouble continues, you should have a discussion with his physician. Does taking 5 mg of prednisone a day cause weight gain? I have reviewed the literature regarding prednisone, and based this review, the indications are that short-term usage of prednisone should not cause weight gain.

However, there is a high probability of weight gain with long-term usage. If you are on long-term therapy, you may have weight gain. You may want to discuss with your physician the possibility of switching from a steroidal anti-inflammatory to a non-steroidal anti-inflammatory medication NSAID such as ibuprofen. This is something that you should bring up to your physician because the side effects of the medication should have worn off by this time. What does long-term use of prednisone do?

What are some of the side effects? Long-term effects of corticosteroids, the class of drugs that includes prednisone, include an increased risk of osteoporosis, thinning skin, bruising easily, increased risk of infections, increased blood sugar levels, and cataracts. Patients should discuss these risks with their health care provider and ask how to reduce the risks of these side effects. Do not stop or change the amount of medication you take without talking to your health care provider first.

Can polymyalgia rheumatica be a result of taking simvistatin? I was taking simvistatin and almost wound up not being able to function. Now I am on prednisone. Is my body ruined? How long do you think I might be on prednisone? I am taking 20 mg once a day but after 24 hours I can feel it wearing off. While there is no certainty for what causes polymyalgia rheumatica, simvistatin can cause problems in some people that result in muscle aches, fever, bloating , and overall malaise.

In some cases this is a result of acute damage to the liver or kidney and as long as the causing agent isn't continuously taken, it will not cause permanent damage. The prednisone will help with the pain, fever, and reduction of the inflammation.

Since you have already taken the prednisone for over a week, you will eventually have to taper down off of the dose. Will prednisone keep my diabetes' numbers up? Yes, long term use of prednisone may elevate your blood sugar. Can taking prednisone for 6 to 12 months cause a prediabetic condition, high blood sugar, high cholesterol and pre-osteoporosis? It is always important to be aware of the side effects of a medication so you can recognize the symptoms if they occur.

According to the research available, prolonged use of prednisone may increase the risk for osteoporosis and cause changes in blood glucose sugar levels. It is important, with prolonged treatment with prednisone, that you are routinely monitored by a healthcare provider. Contact your doctor if you experience any unusual or bothersome symptoms while taking prednisone.

For additional information regarding prednisone: How much is too much prednisone? I have been taking 20mg for 5 days along with cephalexin. Clinical studies show that prednisone 20 mg daily fits in the ranges of usual daily doses. Prednisone is used to treat inflammation associated with illnesses.

If a patient's kidney function or liver function is low, then a doctor might prescribe a lower dose. Cephalexin is an antibiotic and these medications are commonly prescribed together to treat infections. Can prednisone affect A1c, TSH, and blood pressure? Your question regards prednisone and if the medication can affect hemoglobin A1c a measure of blood sugar control , TSH thyroid-stimulating hormone , and blood pressure. According to LexiComp, prednisone can alter glucose production and regulation and possibly cause hyperglycemia higher blood sugar.

Prednisone has also been shown to cause fluid retention and hypertension elevated blood pressure. Finally, prednisone can cause thyroid changes and sometimes dosages need adjustment. Here is a page with additional information about prednisone: Jennyfer Marisco, RPh Q: I've been on prednisone for my asthma for more than 20 years. I also take Singulair and theophylline along with two inhalers, albuterol and Advair Prednisone side effects are getting worse and the doctors say there is nothing more they can do.

Is there any help in sight for prednisone-dependent patients? The treatment strategy for asthma, as for many other conditions, is based on a number of patient-specific characteristics. Your health care provider is the best person to help you determine a plan for treating your asthma. Dosage requirements for prednisone are variable and must be tailored to the individual patient. Meanwhile, doctors have learned a great deal about allergies and the immune system in recent years, and some of this knowledge is being used to develop medications to treat asthma.

The hope is to provide new and improved therapies for people with asthma and allergies. Derek Dore, PharmD Q: My son has been taking prednisone for 2 years. What are the long-term side effects for this medication for a 5 year old child? Prednisone is a synthetic corticosteroid, a glucocorticoid, used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders.

Side effects resulting from treatment with glucocorticoids are dependent upon the size of the dose and the duration of treatment. In general, taking prednisone for long periods of time may cause, increased facial hair, fracture of weight bearing bones legs and hips , glaucoma, increased risk of developing blood clots and swelling of theface.

These are not all the possible side effects that can occur with prednisone. I have prednisone-induced osteoporosis. I am tapering off prednisone, down to 4 mg daily. How much does 4 mg harm bones, compared to higher doses?

However, according to some medical evidence, patients on doses as low as 2. This information is solely educational. It's important to consult with your physician or health care provider about any specific question regarding your medical conditions or medications; particularly before taking any action.

Is 20mg of prednisone twice a day a low dose? This is my third day of six and I am experiencing tightness in my chest. I do not know what condition you are using the prednisone to treat, but 20mg twice daily is in the dosage range of this medication.

If you are experiencing tightness in your chest or shortness of breath, you should contact your health care provider and let them know the symptoms you are having. They would want to know about this so they can give your the best medical treatment for your condition. Take your prednisone with food around the same time each day. Not knowing what other medications you may be taking, you should also talk to your pharmacist to see if there are any drug interactions taking place.

I have included a site with more information: My 5-year-old granddaughter had an asthma attack, and her lungs were swollen. Is it normal to put a 5-year-old on prednisone for 5 days? Could this harm her in any way? Prednisolone is a glucocorticoid that depresses the release or activity of inflammation or histamines.

Prednisolone is found in oral formulations such as Pediapred or Orapred. Prednisolone should be taken with food or milk. Fortunately, short term use of steroids do cause the unwanted side effects that are often associated with prednisone. The most common side effects of taking prednisone or prednisolone short term are trouble sleeping or excitability.

Children as young as a couple months old are sometimes given prednisolone to treat respiratory infections. Kimberly Hotz, PharmD Q: Why does prednisone cause weight gain, joint pain, and impaired vision?

Prednisone is a corticosteroid used to treat many inflammatory disorders. Prednisone, like all steroids, has significant side effects especially when taken long-term. It is always best to only use prednisone and other steroids for a short time if possible; however, some conditions may require long term use. Side effects of prednisone include increased appetite and weight gain.

Long term use can cause compression fractures and osteoporosis. Long term prednisone use can lead to glaucoma or cataracts. Patients who are on long term steroid treatment need to be followed closely by their health care provider to check for these and other potentially serious side effects.

Your health care provider can provide more information on your treatment course of prednisone and why it is needed. Please see the following Everyday Health link for more information on Prednisone. I take prednisone from time to time for Crohn's disease. I am aware that prednisolone has a little bit higher equivalency than prednisone. Other than that, is it the same drug and are both equally effective for my illness? Both prednisone and prednisolone are in a class of drugs called corticosteroids.

They prevent the release of substances in the body that cause inflammation. Corticosteroids are used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, Crohn's disease, arthritis, lupus, psoriasis, and breathing disorders. Prednisone is converted in your body by the liver into prednisolone. Prednisolone is the active corticosteroid that is primarily responsible for the effects on inflammation.

Generally, prednisone is considered the corticosteroid of choice in treating inflammatory conditions. However, some doctors prefer prednisolone for a variety of reasons. Do you lose your weight gain after stopping prednisone? Or even lowing the dose of prednisone? Weight gain is usually the most dreaded side effect of steroid use, incurred to some degree by nearly all patients who take them.

The amount of weight gain varies from individual to individual. In addition to causing weight gain, prednisone leads to a redistribution of body fat to places that are undesirable, particularly the face, back of the neck, and abdomen.

For more information on prednisone, click on this link: Will prednisone keep me awake at night? Prednisone is in a class of medications called corticosteroids which prevents the release of substances in the body that cause inflammation. Prednisone can be used to treat allergic disorders, skin conditions, and breathing disorders. Side effects of prednisone may include headache, dizziness, increased sweating, stomach pain, and sleep problems. Typically, prednisone is taken in the morning with food because of the possibility of insomnia.

For more information on prednisone: I am taking prednisone for 8 days. I have begun having lower back spasms. Does this have anything to do with the prednisone?

There is no mention of lower back spasms as a reported adverse effect of prednisone Deltasone. The closest mention was a side effect of muscle weakness. It is important to ask your health care provider about questions you have about possible side effects from your medications. Please talk with your health care provider regarding the lower back spasms for further guidance. Click here for additional information provided by Everyday Health regarding back pain.

Jen Marsico, RPh Q: Should predisone be taken daily or just as needed? Prednisone is an oral steroid used to reduce inflammation in the body. It is typically taken daily for a specified period of time or daily long term for certain chronic conditions. Prednisone can also be prescribed as needed depending on the medical condition being treated. There is no standard way to take prednisone, thus it is important that you take Prednisone only as prescribed for you.

If you received a prednisone prescription from your local pharmacy without specific directions, contact the pharmacy or your doctor Q: Can prednisone cause or aggravate inflammation in the shoulder? I could not find any reference to Prednisone causing inflammation or aggravating inflammation in the shoulder. I did run across several references that stated that moderate to severe pelvic inflammatory disease PID may cause pain in the right shoulder area.

I would consult with my physician a gynecologist would be great if this could in fact be a symptom related to the PID or may be due to another underlying issue.

Melissa Liddle, PD Q: What is the best way to lose weight that you gained from being on prednisone in the past year? The only real way to lose weight is to burn more calories than are consumed. Calories are burned at rest performing basic bodily functions. It is possible to increase metabolism which will increase the calories the body burns on its own.

Some possible ways to increase metabolism include not skipping meals, eating many small meals rather than going for long period without eating and by increasing muscle mass through exercise. Cardiovascular exercise such as walking or swimming will help burn calories above and beyond what your body burns to function. Even starting with small amounts of exercise and slowly working up can be beneficial. It is important to consult with your doctor before starting an exercise program.

Cutting down on calories is another way to lose weight. The combination of decreased calories with increased activities will be the most effective. Cutting calories too much is not the answer either. This puts your body into starvation mode and slows your metabolism which causes you to hold onto weight.

A well-balanced diet which includes fruits, vegetables, whole grains and lean protein is important. Speak with a dietician about what your dietary goals should be and a dietary plan that would be ideal for you. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Laura Cable, PharmD Q: Does 2 mg daily of prednisone do any damage to bones? Prednisone is in a drug class called corticosteroids.

Prednisone is used alone or combined with other medicines to treat symptoms of having low corticosteroid levels in the body. Corticosteroids are natural hormones produced by the body that are necessary for the body to function normally. Prednisone is also used in people who have normal corticosteroid levels, but who have certain medical conditions, such as arthritis, severe allergic reactions, multiple sclerosis, lupus, asthma, and other medical conditions involving the lungs, skin, eyes, kidneys, blood, thyroid, stomach, and intestines.

However, medical evidence does show that patients on doses as low as 2. Kristen Dore, PharmD Q: Is there some thing compariable to prednisone without all the nasty side affects? Prednisone belongs to a class of medications called corticosteroids that prevents the release of substances in the body that cause inflammation.

Prednisone is used for a variety of conditions including skin conditions, allergy conditions, asthma, and inflammation. Side effects associated with prednisone include sleep problems, dry skin, dizziness, nausea, and changes in the shape of body fat.

This is not a complete list of side effects associated with prednsione. When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist.

If possible, use one pharmacy for all your prescriptions and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects. Tell your health-care provider about any negative side effects from prescription drugs.

You can also report them to the U. I am down to 4 mg prednisone daily. How soon can I safely come off this medication? I have been on it for over a year. Prednisone is in a class of drugs called corticosteroids. Prednisone prevents the release of chemicals in the body that cause inflammation. Prednisone is used to treat many conditions such as skin conditions, allergic disorders, arthritis, ulcerative colitis, psoriasis, lupus, and breathing disorders.

You should consult your physician before stopping prednisone. A gradual tapering of the medication is recommended. But, this depends on the condition for which the prednisone is being taken. Prednisone withdrawal symptoms include nausea, vomiting, headache, fever, and muscle pain. Long-term effects of prednisone use include Cushing Q: I have been taking predisone for at least 10 years.

I usually take 4 mg per day. My doctor presently told me that I might have to stay on it for life now because my body might not be able to make its own.

Could that be the case? I have gained weight over the years and it's almost impossible to lose. Drugs can cause weight gain in several different ways. Some can increase appetite or make you crave certain types of foods like those high in carbohydrates or fat. Other medications may slow down metabolism or cause fluid retention.

However, the effect of prescription drugs on body weight is complex. Some drugs have no effect on weight, while others cause weight gain or weight loss. Also, the same medications can cause weight gain in certain individuals and weight loss in others. There are also drugs that initially cause weight loss and then lead to weight gain with long-term use. Most prescription medications associated with changes in body weight affect the central nervous system.

Mood stabilizers lithium, valproic acid , antipsychotics, and anticonvulsants have also been linked with weight gain. Other drugs that have been reported to cause weight gain include diabetes medications insulin, sulfonylureas, and thiazolidinediones , antihypertensive drugs, certain hormonal contraceptives, corticosteroids such as prednisone , antihistamines, some chemotherapy regimens, and antiretroviral protease inhibitors.

If you think a drug you are taking is causing weight gain, tell your health care provider. Do not stop any medication or change the dose without first talking to your provider. Only your doctor can tell you how long you may need to be on a medication such as prednisone. It is possible to need to be on it long-term for some conditions. I was put on prednisone for an outbreak of hives at a minute clinic. Sometimes, while I'm sitting. Sometimes even while conversing with someone.

Sometimes, like right now, while sitting before the computer - surfing, reading or typing. No headaches or dizziness or spinning vision accompanies this though. At most, pain at the nape down to the shoulders and the upper back would follow. Read More Hello new to forum - thank you in advance. I have left arm pain, weakness, numbness for approx 1 month.

Went to FP who is a DO diagnosed with cervicalgia. I was tested for common food allergens and for h pylori. Read More ankles swelling constantly making walking difficult, leg cramps when I wasn't swelling and foamy urine. Now that I have a diagnosis, I am on pill forms of Prednisone every other day and Cyclosporine 2x every day. Today is the second consecutive day I've been on it so dose three overall. Yesterday when I took it I exhibited the same symptoms as before, muscle pain and tenderness, especially in my lower back, plus I think the ringing in my ears is worse; had to take a tylenol to sleep.

I called the on call doctor at my rheumy's office to ask about these symptoms, and as usual, he was extremely unhelpful and clueless.

Read More I was put on prednisone for wheezing. I was coughing for a while before I went to my dr's. She put me on it to help my lungs. I took it for 1 day. Funny thing is I don't remember much before.

I know i just ate regularly like i usually did. The pain doesn't feel like gas.

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