Steroids

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Long-term treatment with pharmacological doses of corticosteroid may lead to secondary adrenal insufficiency. The risk can be reduced by giving the treatment every other day (see section 4.2). Chickenpox and measles can be more serious or even fatal in non-immunized children and adults treated with corticosteroids. Children, or adults who have not had these diseases, and who take immunosuppressive doses of corticosteroids, should be advised to avoid exposure to chickenpox and measles, and to seek care when exposed.

If your prednisolone tablets are labelled as "enteric coated" or "gastro resistant", you can take these with or without food but make sure to swallow them whole. Do not take indigestion medicines 2 hours before or after taking enteric coated or gastro resistant tablets. The dose of prednisolone you'll take depends on your health problem and whether you are taking it as a short course or for longer. Rifampicin induces the microsomal oxidation of glucocorticoids . This leads to an increased steroid need during rifampicin treatment and reduced steroid need after such treatment. Serum potassium should be closely monitored in patients receiving glucocorticoids and potassium reducing agents.

Therefore, blood pressure and renal function (S-creatinine) should be routinely monitored. In case of suspected renal crisis, blood pressure should be kept under close control. Potentially serious mental disorders may occur during treatment with corticosteroids including prednisolone. It can be anything from euphoria, sleep disorders, mood swings, personality changes and severe depression to psychotic manifestations.

Steroids are often taken alongside other medicines used to treat Crohn’s or Colitis, and your IBD team will consider all of your medicines when prescribing steroids. However, there are some medicines that can interact with steroids – so you should talk to your doctor or pharmacist if you’re taking, or plan to take any other medicines. This includes over the counter medicines or any herbal, complementary or alternative medicines or treatments. Taking steroids during pregnancy is a low risk to your baby, but you should still tell your doctor if you’re planning to get pregnant or find out you’re pregnant. Steroids are an effective treatment and there’s usually a greater risk to your baby if you’re unwell with Crohn’s or Colitis. Having active Crohn’s or Colitis at conception or during pregnancy increases the risk of pre-term birth and babies may have a lower birthweight or be smaller for their gestational age.

Prednisolone is a form of corticosteroid sometimes prescribed to fertility patients with recurrent miscarriage, elevated natural killer cells or implantation issues. Prednisolone is basically a synthetic hormone that helps suppress immune responses. Paul has been suffering repeated exacerbations of his COPD over winter and has been regularly using his rescue packs of medication. He has seen his GP and been diagnosed with a further non-infective exacerbation, for which he has been given prednisolone 30mg daily for seven days and advised to increase his blood glucose monitoring. Taking different medicines and managing side effects can be difficult – we understand and we’re here to help. Our Helplinecan answer general questions about different treatment options and can help you find support from others with the conditions.

When you’re in a flare-up and feel unwell, steroids can help to quickly reduce the inflammation in your gut to help you feel better . But they have a high risk of side effects and can’t control your Crohn’s or Colitis long-term. It is unlikely that your child will have side-effects if they only take prednisolone for a few days.