Prednisolone isn’t designed for long-term eczema management. Prolonged use carries significant risks outweighing the short-term benefits.
Risks: These include thinning skin (skin atrophy), easy bruising, increased risk of infections, high blood sugar (hyperglycemia), weight gain, osteoporosis, glaucoma, and cataracts. Cushing’s syndrome, a serious hormonal disorder, is a possibility with prolonged high doses. Withdrawal symptoms like eczema flare-ups can also occur if you stop taking it abruptly.
Benefits: Prednisolone rapidly reduces inflammation and itching, providing quick relief during severe eczema flares. This short-term control allows time for other treatments to take effect, such as topical corticosteroids or biologics.
Alternatives: Your doctor should prioritize long-term eczema management strategies like topical corticosteroids, moisturizers, light therapy, and potentially biologic medications. These options minimize the risks associated with prolonged steroid use.
Important Note: Always discuss the risks and benefits of prednisolone with your doctor. They will help you determine the appropriate treatment plan for your eczema, balancing short-term relief with long-term health.
