Prednisone, while sometimes helpful in managing pulmonary fibrosis symptoms, carries significant side effects. These can vary widely depending on the dosage and individual patient response. Common side effects include weight gain, increased appetite, fluid retention (causing swelling), and mood changes such as irritability or anxiety. You may also experience insomnia or difficulty sleeping.
Metabolic Effects
Prednisone affects your metabolism, potentially leading to high blood sugar (hyperglycemia) and increased risk of infections. Careful monitoring of blood glucose levels is necessary, and adjustments to diabetes medication may be required. Increased cholesterol and triglyceride levels are also possible, necessitating regular blood tests and lifestyle changes like dietary adjustments and increased physical activity (as tolerated).
Other Potential Side Effects
More serious, though less common, side effects include osteoporosis (weakening of the bones), increased risk of cataracts and glaucoma, and thinning of the skin. Gastrointestinal issues such as heartburn, nausea, and ulcers are also possibilities. Muscle weakness and increased susceptibility to bruising are other potential side effects. Your doctor will monitor for these issues and adjust your medication or recommend supplementary treatments as needed. Open communication with your physician about any side effects you experience is paramount for effective management.
