If your dose of prednisone is low and for a short period of time it is unlikely you will experience any weight gain
Side effects of prednisone are more likely if your dose is high or your treatment is long-term.
Weight gain is a known side effect of prednisone.
Not everyone will gain the same amount of weight while on prednisone but most will have some degree of weight gain.
Prednisone affects your metabolism and how your body deposits fat. This can increase your appetite, leading to weight gain, and in particular lead to extra deposits of fat in your abdomen.
In addition this is complicated by being less physically active because of pain and other consequences of chronic inflammatory disease.
Some people feel an increased appetite so they eat more. Try an apple instead of a bag of chips. Weight gain, except for some water weight which will go away, will be due to eating too much. Just as it normally does. Keep track of your diet and you will be fine. Long term use does have problems but little trouble with short term use. It does cause type II diabetes at high levels for long time use. Consult your doctor and see what is recommended with your conditions believe me, they don't want you gaining weight. And off the prednisone as soon as possible. If possible.
Oh yes, I have been on prednisone on and off for about 4 months. I am embarrassed to say I have gained 15lbs. My face looks like a blowfish. Last June I had neck surgery. With my now 3 chins I don't have a neck. All you see is a blob of skin. I have tried to go without the medication. But I am able to do so much more when taking it. I have a lung disease and am only 48 yrs old. I live on oxygen and my O2 sats have been really low. I was in a bad car accident(fell 30 feet of an embankment flipping my car) with the accident, the lungs are worse. I bruised a lung badly. I suffer with chronic back and neck pain now. I'm going out of town soon to see a specialist and possibly discuss a lung biopsy. It sucks to be in pain and ill on a daily basis.
Some people temporarily gain weight, but it will go away. It raises your cortisol and insulin and makes your body hold estrogen. If you eat fiber rich foods like ground flax seeds, Jerusalem Artichokes and lower carb intake it will prevent a lot of gain. Eliminate soy and dairy, two of the biggest estrogen keepers. Take Alpha lipoic acid and conjugated linoleic acid too. Also, walking 30 mins a day keeps estrogen levels in check. If you take it around 2am I heard cortisol will be in check too, but I don't know if it's true. I lost three lbs. on 13 days tapered from 60.
I started on 60 mg of Prednisone Feb 3,2017 and being tapered off. Last dose May 3,2017.
At first for 3 days a messed up sleep schedule. Had trouble falling asleep and staying asleep. That quickly changed and I was able to sleep. No big deal.
I got the puffy face as well. Was a lot puffier when on a higher dose. Went down but still puffy. Normally my face is not like that.
Biggest side effect and annoyed by it is weight gain. I experienced increased appetite but more so when on a higher dose. Thought nothing of it and ate when I felt hunger. Went from 220 pounds Feb 3 2017 to 234 pounds April 16 2017. I noticed my weight gain and try to only eat smaller meals and very light snacks. A light snack is a individual serving size container of yogurt and some fruit. I eat smaller meals where I am full but nowhere near stuffed. I do not eat the healthiest but not terrible. I do eat lots of frozen pre-packaged meals and food. Throughout the day I do drink lots of water. I cut out all pop/soda and alcohol expect the occasional drink maybe 2 times per week at a restaurant. At home I no longer have them on hand. Even with this I can't loose any weight. How do I loose weight? Could some of the weight gain be water weight? Will I loose weight just by getting off the med?
- Prednisone Information for Consumers
- Prednisone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Prednisone (detailed)
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