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Things not to do while on prednisone |
Things not to do while on prednisone -
In order for patients with pemphigus and pemphigoid to get control of their disease, there are certain drugs that patients must take. Prednisone is the first drug of choice for treating these diseases. Prednisone prednisolone is one of the most successfully and one of the most commonly used drug for treating a variety of diseases, but it can have many side effects. As significant as these side effects can be, there are things we can all do nutritionally that might help lower these effects.
The Foundation has published articles in the newsletter on the subject of diet and pemphigus. There are some indications that foods in the Alium group of vegetables onions, garlic and leeks might have an effect on triggering pemphigus for some individuals.
The researchers add in many other foods that might also be thought of as trigger foods. We suggest that you be aware of these possible trigger foods when picking foods for your diet. It is prudent to remember, though, that most of the connections between diet and pemphigus are theoretical.
Although many of these side effects can be controlled with medication, there are many good foods that might help reduce the devastating effects of steroids. Potassium is a very important nutrient in maintaining the level of fluid inside a cell.
Steroids can deplete potassium. There is a delicate balance between potassium and sodium in and outside the cell that are critical for heart functions, nerve impulse transmission and muscle contractions. Foods high in potassium are: all fruits especially bananas, apricots, prunes, oranges, tomatoes and raisins. Vegetables such as potatoes, artichokes, and spinach as well as squash are also high in potassium. Beans and almonds are good sources as well.
There is some research that indicates that potassium can also help reduce blood pressure. Watch salt intake to reduce blood pressure and reduce fluid retention. Sometimes a person will think that fluid retention is akin to weight gain. Fluid retention can cause weight gain but as steroids are reduced, fluids will usually reduce as well, along with some of the weight gain.
Drinking plenty of water and exercising can help with fluid retention. Weight gain and increase in appetite — Sometimes if you are also taking an immunosuppressive, the appetite might be decreased. Your metabolism is how you burn fat.
As you age, your metabolism tends to slow down. Prednisone can have a negative effect on metabolism. Cravings seem to be heightened so drinking water, eating fruits and vegetables can help. Sometimes fruit or vegetable smoothies can fill us up.
Protein in the morning eggs and cheese — flavored soy cheese is good might help with cravings during the day. Keep some almonds around for to snack.
Loss of muscle mass — Exercise is very important for keeping muscle mass. While on prednisone, try to exercise within your own range. Men have a better chance of building up their muscles after the age of 50 than woman do because of testosterone, but exercise can help woman as well. Proteins amino acids are the building blocks of muscles. Protein repairs and builds muscle tissue. Extra corticosteroids in the body can break down amino acids.
These amino acids then go and make glucose in the liver instead of building up muscle mass. Eating extra protein check with the doctor regarding amounts might help build muscles. Foods high in protein are: fish, eggs, meat, milk, cheese, baked-beans, and soy products. Fish is not only a great source of protein, but also a great source of Omega-3 fatty acids. A decrease in bone density is extremely common when taking prednisone. Eating extra calcium and taking calcium supplements are very important for anyone taking prednisone.
It is known that women and men with thin bones have a higher rate of osteoporosis. It is recommended that everyone get a bone density test when they first start taking prednisone as a baseline for bone density loss. The doctor and nutritionist can advice on the correct amounts of calcium a person should get daily and how much extra someone should take.
Calcium rich foods are: milk, cheese, yogurt, greens, broccoli, sardines, canned salmon with bones, dried beans and peas, calcium-fortified foods such as calcium-fortified orange juice, and tofu. Vitamin D helps the absorption of calcium. It is found in fortified milk and cereals. Your body can make its own Vitamin D when your skin is exposed to sunshine. Getting Vitamin D from the sun is very helpful but it is recommended to have limited sun exposure with an autoimmune disease.
Remember though, when you go out in sun to wear a hat especially if you have lesions. Another result of taking prednisone for a long time is the increase in cholesterol. Tryglicerides may also be watched as well. Often cholesterol lowering drugs are called for, but often it is possible to change these factors with diet. It is possible to lower cholesterol naturally. Eating more servings of fruits and vegetables can help provide a greater drop in the cholesterol count because these foods are a good source of soluble fiber.
The specific foods that are particularly high in soluble fiber are apples, citrus fruit, berries, carrots, apricots, prunes, cabbage, sweet potatoes and Brussels sprouts. All of the beans or legumes also provide soluble fiber. Foods with Omega-3 fatty acids — salmon, sardines, tuna can work wonders in raising HDL levels. In some recent studies ingredients known as stanol esters and plant sterols that block the absorption of cholesterol from the intestines, have shown to be effective in reducing cholesterol as well.
Some foods with sterols are beans, seeds, and cereals — oats and bran especially. Soy products as well have sterols and traces can be found in fruits and vegetables. There are currently several butter substitute products out that contain sterols and research has shown some indication that these products help also in lowering cholesterol.
Lecithin might be helpful in lowering cholesterol as well, Lecithin is a fatlike substance reduced by every the liver and found in varying quantities in body cells and organs. Lecithin helps to emulsify fats and contains the B vitamin choline, from which the body manufactures one of several nerve transmitters. Lecithin metabolizes fat in the liver. In the bloodstream, lecithin prevents fats from accumulating on the walls of arteries.
In the intestinal tract, lecithin enhances t he absorption of vitamins A, D, and possibly E and K. Vitamin E is needed for normal body metabolism. It helps in the protection and healing of body tissues and skin. Eating foods with Vitamin E can possibly help your skin. Foods that are good sources of Vitamin E are vegetable oils, nuts, and green leafy vegetables. Fortified cereals are also a good source. Keep the body hydrated by drinking a lot of water. Keep the skin moist with lotions.
As we age the skin the skin repairs itself more slowly. One of the leading problems with steroid use is steroid-induced diabetes. The pancreas produces insulin. Insulin helps the body burn sugar for energy. Sugar is fuel for your cells. Insulin takes the sugar from the blood and delivers it into the cells. When blood sugar goes up the cells may be starved for energy.
This can eventually cause problems with the kidneys, nerves, heart and eyes. Corticosteriods interferes with the production of insulin. If the pancreas is working normally, it will increase the insulin produced normally when steroids are added in.
This is steroid-induced diabetes. If this occurs, it is often necessary to take medication that will help the pancreas monitor the blood sugar levels. If the blood sugar levels are borderline with steroids, lowering, dramatically, the intake of carbohydrates can often keep a hold on blood sugar levels. Ulcers and gastric problems can accompany the use of steroids.
The stomach produces a protective mucous layer that helps it defend itself against the acid it produces. Corticosteroids suppress the growth of gastric mucin, cells that produce mucous. This suppression interferes with production of the mucous layer. In addition, corticosteroids inhibit the production of mucous in the cells that remain.
Eventually, this leads to a thinning of the protective layer and a greater risk of ulcer. There are many good medicines used today both over-the-counter and with prescription that have virtually no side effects and can help reduce the problems. Some good suggestions to relieve symptoms of ulcers or gastritis — eat smaller meals.
Milk may give some initial relief. Add protein to your diet. If possible, avoid cafeinated coffee, large amounts of chocolate, citrus and tomato products. Try not to snack at bedtime as this can cause gastric acid secretions during the night.
❿Things not to do while on prednisone.Taking Prednisone? Here Are Some Foods to Avoid While on Steroids
If you've been prescribed prednisone or a related steroid, these pills may cause some nutritional side effects. If you want to lessen the risk of adding pounds, retaining fluid or raising blood sugar or BP, here are some foods to avoid while on steroids — and a few things worth adding to your diet. Prednisone is a corticosteroid, a group of drugs that act similar to hormones made by the adrenal glands, Mayo Clinic notes. Other corticosteroids include hydrocortisone, cortisone and methylprednisolone Medrol.
They are typically used to reduce inflammation and immune response in conditions such as asthma, arthritis and skin rash, among others. They may also be given if your body isn't producing enough of these hormones, the U. As Mayo Clinic points out, side effects depend on how high your dose is and how long you take the medication. A short-term and lower-dose course of prednisone may cause mild side effects, while taking higher doses or for longer periods may boost your risk of more troublesome side effects.
Among several possible prednisone side effects, Mayo Clinic cites these as ones you may be able to combat with diet changes:. Prednisone, particularly in higher doses, can send your appetite soaring and cause fat to accumulate, according to the University of California San Francisco UCSF Health.
To prevent weight gain, UCSF recommends people taking prednisone limit saturated fat and cholesterol by avoiding:. And to avoid overeating, try eating several smaller, balanced meals that all contain some protein, says Stacy Kennedy, MPH, RD, CSOa registered dietitian who is board-certified in oncology nutrition, and co-founder of Wellness Guides in Wellesley, Massachusetts.
The protein and fiber help satisfy hunger pangs, and the fruits and vegetables contain nutrients that help fight inflammation and boost the immune system. But not all carbs are bad. Roasted or baked potatoes — not drenched in butter or salt — are healthy side dishes, she says, and old-fashioned oatmeal — not the instant packets — makes for a good breakfast.
Spreading out food intake also helps avoid blood sugar spikes. Prednisone causes your body to excrete less salt, so sodium levels rise, which can lead to fluid retention and high blood pressure, says National Jewish Healthwhich advises cutting back on:.
Kennedy suggests limiting coffee and alcohol consumption, as too much can dehydrate the body. She also cautions against drinking soda, which often contains caffeine and extra sugar.
Prednisone and other steroids may disrupt your body's absorption and use of sodium, calcium, potassium, protein and vitamins C and D, according to National Jewish Health.
It recommends including foods rich in potassium in your diet, such as:. Dairy products provide the protein needed to keep muscles strong, improve wound healing and fight infection, according to National Jewish Health, which says calcium supplements are OK if needed. And because prednisone may upset your stomach, take it with food or milk, and don't lie down for a few hours after a dose, according to the University of Pennsylvania's OncoLink.
Nutrition Diets Special Dietary Considerations. Taking Prednisone? If you're taking prednisone, eat foods that are rich in key nutrients.
Video of the Day. What Does Prednisone Do? Weight gain. High blood sugar. High blood pressure. Fluid retention. Fight the Munchies and Fats. Fried foods. Foods with extra oil, butter, margarine or mayonnaise. Watch Carbs and Salty Foods. Kennedy says to stay away from carbs like:. Sugary sweets. Sweetened beverages. UCSF recommends people taking prednisone cut out these additional simple carbs:. Salty condiments soy sauce, Worcestershire sauce. Potato chips. Other packaged snacks and processed foods, which often contain substantial amounts of sodium.
Cut Down on Booze and Caffeine. When plain water doesn't cut it, she advises adding a squeeze of lemon or lime juice. Add These Foods to Your Diet. Orange juice. Baked potatoes. To counter calcium loss, Kennedy recommends including:. Non-dairy milks fortified with calcium and vitamin D.
❾-50%}Taking Prednisone? Here Are Some Foods to Avoid While on Steroids | livestrong.
She has never seen things like candy in wrappers. We need to focus on foods that she would recognize. We need to stay out of the middle of the grocery store and focus on traditional foods that people have eaten for millennia.
Only the real foods, whole foods: that is how we can avoid having too much sugar. So what exactly aside from flour and sugar am I talking about? I am talking about things that come out of the bakery like bread, rolls, boggles, donuts, or all those good delicious things. They turn right into sugar and straight into fat and all of those horrible consequences of high blood sugar.
Next, is sodium which we usually call salt or table salt. It can also be found in monosodium glutamate or MSG. Those food are really hard for our kidneys while we are on prednisone. Prednisone causes your body to retain sodium and get rid of potassium. Eating extra sodium in your diet makes it hard for your kidneys to keep up. Too much salt leads to sodium retention and water weight. There are only a few side effects to prednisone that are permanent.
Prednisone-induced osteoporosis is one of the few permanent side effects. That Bone Loss will never come back! The last food to avoid while on prednisone is alcohol.
Just like caffeine, there is no high evidence for this as well but it causes two theoretical problems. Alcoholic beverages like beer are also high in sugar that can lead to prednisone weight gain. Therefore, it is not about the high-fat foods, but we need to be concerned with the sugary things! I h ope you can eat more healthfully now that you know which foods make prednisone weight gain worse! You are being redirected to our trusted and authorized Nutranize product website.
The Nutranize website is designed, constructed and endorsed by Dr. Megan Milne, the Prednisone Pharmacist. Please grant us just a few seconds to get you there. Another result of taking prednisone for a long time is the increase in cholesterol. Tryglicerides may also be watched as well. Often cholesterol lowering drugs are called for, but often it is possible to change these factors with diet.
It is possible to lower cholesterol naturally. Eating more servings of fruits and vegetables can help provide a greater drop in the cholesterol count because these foods are a good source of soluble fiber. The specific foods that are particularly high in soluble fiber are apples, citrus fruit, berries, carrots, apricots, prunes, cabbage, sweet potatoes and Brussels sprouts.
All of the beans or legumes also provide soluble fiber. Foods with Omega-3 fatty acids — salmon, sardines, tuna can work wonders in raising HDL levels.
In some recent studies ingredients known as stanol esters and plant sterols that block the absorption of cholesterol from the intestines, have shown to be effective in reducing cholesterol as well. Some foods with sterols are beans, seeds, and cereals — oats and bran especially. Soy products as well have sterols and traces can be found in fruits and vegetables. There are currently several butter substitute products out that contain sterols and research has shown some indication that these products help also in lowering cholesterol.
Lecithin might be helpful in lowering cholesterol as well, Lecithin is a fatlike substance reduced by every the liver and found in varying quantities in body cells and organs. Lecithin helps to emulsify fats and contains the B vitamin choline, from which the body manufactures one of several nerve transmitters.
Lecithin metabolizes fat in the liver. In the bloodstream, lecithin prevents fats from accumulating on the walls of arteries. In the intestinal tract, lecithin enhances t he absorption of vitamins A, D, and possibly E and K.
Vitamin E is needed for normal body metabolism. It helps in the protection and healing of body tissues and skin. Eating foods with Vitamin E can possibly help your skin. Foods that are good sources of Vitamin E are vegetable oils, nuts, and green leafy vegetables. Fortified cereals are also a good source. Keep the body hydrated by drinking a lot of water. Keep the skin moist with lotions. As we age the skin the skin repairs itself more slowly.
One of the leading problems with steroid use is steroid-induced diabetes. The pancreas produces insulin. Insulin helps the body burn sugar for energy.
Sugar is fuel for your cells. Insulin takes the sugar from the blood and delivers it into the cells. When blood sugar goes up the cells may be starved for energy.
This can eventually cause problems with the kidneys, nerves, heart and eyes. Corticosteriods interferes with the production of insulin. If the pancreas is working normally, it will increase the insulin produced normally when steroids are added in. This is steroid-induced diabetes.
If this occurs, it is often necessary to take medication that will help the pancreas monitor the blood sugar levels. If the blood sugar levels are borderline with steroids, lowering, dramatically, the intake of carbohydrates can often keep a hold on blood sugar levels.
Ulcers and gastric problems can accompany the use of steroids. The stomach produces a protective mucous layer that helps it defend itself against the acid it produces. Corticosteroids suppress the growth of gastric mucin, cells that produce mucous.
This suppression interferes with production of the mucous layer. In addition, corticosteroids inhibit the production of mucous in the cells that remain.
Eventually, this leads to a thinning of the protective layer and a greater risk of ulcer. There are many good medicines used today both over-the-counter and with prescription that have virtually no side effects and can help reduce the problems.
Some good suggestions to relieve symptoms of ulcers or gastritis — eat smaller meals. Milk may give some initial relief. Add protein to your diet. If possible, avoid cafeinated coffee, large amounts of chocolate, citrus and tomato products.
Try not to snack at bedtime as this can cause gastric acid secretions during the night. Ginger tea even ginger candies is a wonderful way to reduce stomach discomfort. Some people find Peppermint helps. Others find that Peppermint can give them heartburn. Basically, what is best for people taking steroids is to eat as healthy as possible.
Keeping your weight down is so important. As weight can exacerbate some steroid side effects such as steroids-induced diabetes, high-blood pressure, and high cholesterol, losing weight while there is control of the disease and the steroid doses are down, can make a significant difference.
Drug information provided by: IBM Micromedex. Prednisone provides relief for inflamed areas of the body. It is used to treat a number of different conditions, such as inflammation swellingsevere allergies, adrenal problems, arthritis, asthma, blood or bone marrow problems, endocrine problems, eye or vision problems, stomach or bowel problems, lupus, skin conditions, kidney problems, ulcerative colitis, and flare-ups of multiple sclerosis.
Prednisone is a corticosteroid cortisone-like medicine or steroid. It works on the immune system to help relieve swelling, redness, itching, and allergic reactions.
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:. Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of prednisone in children. However, pediatric patients are more likely to have slower growth and bone problems if prednisone is used for a long time. Recommended doses should not be exceeded, and the patient should be carefully monitored during therapy. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of prednisone in the elderly.
However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for elderly patients receiving prednisone. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur.
In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:.
Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance for unwanted effects. Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid. Measure the concentrated liquid with the special oral dropper that comes with the package.
If you use this medicine for a long time, do not suddenly stop using it without checking first with your doctor. You may need to slowly decrease your dose before stopping it completely. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine.
If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Keep from freezing. If you will be taking this medicine for a long time, it is very important that your doctor check you at regular visits for any unwanted effects that may be caused by this medicine.
Blood or urine tests may be needed to check for unwanted effects. Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant.
If you think you have become pregnant while using this medicine, tell your doctor right away. If you are using this medicine for a long time, tell your doctor about any extra stress or anxiety in your life, including other health concerns and emotional stress.
Your dose of this medicine might need to be changed for a short time while you have extra stress. Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. Talk to your doctor right away if you have more than one of these symptoms while you are using this medicine: blurred vision, dizziness or fainting, a fast, irregular, or pounding heartbeat, increased thirst or urination, irritability, or unusual tiredness or weakness.
This medicine may cause you to get more infections than usual. Avoid people who are sick or have infections and wash your hands often. If you are exposed to chickenpox or measles, tell your doctor right away. If you start to have a fever, chills, sore throat, or any other sign of an infection, call your doctor right away.
Check with your doctor right away if blurred vision, difficulty in reading, eye pain, or any other change in vision occurs during or after treatment. Your doctor may want you to have your eyes checked by an ophthalmologist eye doctor. While you are being treated with prednisone, do not have any immunizations vaccines without your doctor's approval. Prednisone may lower your body's resistance and the vaccine may not work as well or you might get the infection the vaccine is meant to prevent.
In addition, you should not be around other persons living in your household who receive live virus vaccines because there is a chance they could pass the virus on to you.
Some examples of live vaccines include measles, mumps, influenza nasal flu vaccinepoliovirus oral formrotavirus, and rubella. Do not get close to them and do not stay in the same room with them for very long. If you have questions about this, talk to your doctor. This medicine may cause changes in mood or behavior for some patients.
Tell your doctor right away if you have depression, mood swings, a false or unusual sense of well-being, trouble with sleeping, or personality changes while taking this medicine. This medicine might cause thinning of the bones osteoporosis or slow growth in children if used for a long time. Tell your doctor if you have any bone pain or if you have an increased risk for osteoporosis.
If your child is using this medicine, tell the doctor if you think your child is not growing properly. Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain skin tests. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription over-the-counter [OTC] medicines and herbal or vitamin supplements.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.
Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:. Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
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Instant Boxed Dinner. Alcohol: Alcohol can worsen. Limit or avoid alcohol use while taking prednisone to help reduce the risk of indigestion and the development of stomach ulcers. Talk with your. My advice is to limit your food to whole foods: Vegetables, legumes, nuts, seeds, eggs, fish, meat and a limited amount of whole fresh fruits, healthy fats . Prednisone can cause weight gain, fluid retention and other changes. You should avoid overeating, limit salt and sugar and eat foods rich in. Watch Carbs and Salty Foods.Prednisone is a steroid that mimics certain hormones produced in the adrenal glands. It functions in many different ways. Prednisone also suppresses the immune system. You may wonder if you can still enjoy a glass of wine or a beer with dinner while you take prednisone. Still, discussing it first with your doctor is a good idea. In some cases, though, combining prednisone and alcohol may be problematic. For example, steroids and alcohol both suppress the immune system.
Using alcohol and prednisone together makes this difficulty even more likely. Prednisone may also increase your blood sugar levels beyond the threshold for diabetes. This effect is more likely in people who are already at risk of developing type 2 diabetes or who have taken steroids for a long time. Having more than one or two alcoholic drinks per day while you take prednisone increases your risk of type 2 diabetes even further.
This is because alcohol can also increase your blood sugar level. Alcohol and prednisone can each irritate the digestive tract and cause peptic ulcers. Prednisone may cause bones to become thin and brittle, possibly contributing to the early onset of osteoporosis. Drinking excessive amounts of alcohol for long periods while you take prednisone may increase the risk of osteoporosis.
Whether or not you drink, the side effects of steroid use can be harsh. Follow these tips to help ease some of the effects. Removing drinking from your daily activities until after you finish your treatment may be the best option. If you are more than just an occasional drinker and need to take steroids for a chronic condition, this might be a good opportunity to talk to your doctor about the benefits of giving up alcohol for your overall health.
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Prednisone can change your blood sugar levels, damage your digestive tract, and affect your bone health. In some cases, moderate alcohol use may be safe during treatment with prednisone.
Alcohol and prednisone effects. Prednisone and lifestyle tips. To drink or not to drink. How we vetted this article: Sources. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
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