Corticosteroids, such as prednisone, are commonly prescribed medications used to treat a variety of conditions, including inflammation, arthritis, and certain autoimmune diseases. While effective, these medications can have several side effects that patients should be aware of.

One notable side effect is the impact on metabolism and fat deposition. Steroids can increase appetite, leading to weight gain, particularly in the abdominal area. To mitigate this, patients are advised to monitor their calorie intake and engage in regular exercise. It’s important to manage weight gain not only for physical health but also for maintaining self-esteem.

Corticosteroids also play a crucial role in managing arthritis. They serve as anti-inflammatories, reducing joint pain, warmth, and swelling. However, long-term or high-dose use can lead to significant side effects. Oral steroids like prednisone, taken for short periods, can cause side effects like difficulty breathing, facial swelling, blurred vision, severe headaches, joint pain, and rapid weight gain.

Injections, such as cortisone shots, are another form of corticosteroid therapy. They combine powerful anti-inflammatory effects with a short-acting pain reliever like lidocaine. These injections, targeting areas like the epidural space or inflamed joints, can effectively relieve pain. However, they too have drawbacks, such as depleting bone density and other systemic effects.

For patients with concerns about blood pressure, it’s important to note that prednisone and similar drugs can cause fluid retention, leading to increased blood pressure. This underscores the importance of monitoring and managing potential side effects under medical supervision.

In terms of pain relief, alternatives like aspirin or acetaminophen (Tylenol) can be considered. Aspirin, an NSAID, is beneficial for the heart but may cause stomach issues or bleeding in the digestive system. Acetaminophen is safe for the heart and gut but does not address inflammation.

For more comprehensive information on managing the side effects of corticosteroids, visit:
HSS on Reducing Corticosteroid Side Effects,
Nutrition & Supplements for Myositis Med Side Effects,
Harvard Health on Steroid Injections for Back Pain,
UW Orthopaedics on Corticosteroids for Arthritis,
and
Harvard Health on Heart-Safe Pain Relief.