Side effects of taking 10mg per day?

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What kind of side effects would you expect from taking 10mg per day? The same side effects as someone who starts at 40 or 60mg per day?

What about taking 10mg every other day?

I have Crohn's and the doctor wants me to start but after reading so much, I don't want a high dose right off the bat. I want to know how a small dose will affect me first, even if that means I realize that a higher dose will be needed to combat symptoms.
 
Hi there, I understand your concern about side effects with prednisone as there are some nasty ones.
I am no expert but I can't imagine them starting you on such a low dose as 10 mg as it usually takes a much higher dose for it to do it's thing. I think some poeple may start on as low as 25 mg, but the others would have to tell you that.

As far as my side effects experience, and I have been going down from 60 now @ 10 since mid July, I have had no weight gain or moonface. The appearance-based one that most concerned me was fuzzy hair growth on my face around where a man grows a beard and now, at the lower dose, i have started getting a few spots, but I had them before anyway so really just back to normal for me.

The worst effect for me has been the insomnia and anxiety/depression which I have found getting worse as the dose is lowered. Honestly? I'd rather have a bit of moon face and feel better than i do now!
 
Oh no way did I expect a reply so quickly!!!! :) :)

So you think that 10mg a day will likely not cause those advertised side effects? Moon face, acne, fat pockets on upper back, etc.? However, at such a low dose, I may not receive any assistance?

My main concern is that taking 10mg a day (or every other day) will result in the side effects that I fear most: moon face, fat distribution, diabetes, bone deficiency, etc.

I'm not concerned with the weight gain, because that can be controlled (albeit difficulty) by restraining the increase in appetite.

I would more than please my doctor by getting on prednisone, but if I'm going to get those above mentioned side effects at that low dose, I won't do it.
 
Not to sound "preachy" but I would follow your doctor's orders if you trust him/her. I've had some side effects such as the weight gain, girl beard, moodiness, etc, but for me it was better than the effects of the crohn's.

I was started on a 40mg taper. I was also on 10 mgs for several weeks until my Remicade would take effect.

Good luck.
 
Welcome Crush1,
We all totally understand your concerns about the physical side effects of Prednisone. Not everyone has all of the physical manifestations.

Chances are, if this is your first go round with Prednisone, you may not be that effected. Don't monkey around with steriods...it's not worth it.

They can be wonderful drugs for getting inflammation under control. Follow your doctors directions. If you you do begin to have uncomfortable side effects, speak to your doctor about another drug like Entocort. It has less wide spread side effects compared to Prednisone.
 
It may depend on where you are. In NZ we donlt get Entocort unless we are diabetic or have osteoperosis as it is too expensive apparantly
 
Wow, didn't expect so many responses! Way cool!

I need to be more honest though. I don't really post on forums so I was not sure how much information I should share, but everyone here seems very sincere and genuine, so I'm going to give you guys the true background info. I apologize for not being more forthcoming earlier. The following is very long, but it should give you an idea of what I'm dealing with.


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Almost 2 years ago I was diagnosed with a stricture in my pylorus, but I was scared to have surgery to correct it (making a connection from the stomach to the intestine) so I dealt with it. That included constant pain, bad gas, feeling bloated, etc.

Fastforward to a few weeks ago. I was all set to have surgery to fix the stricture on Nov. 9th. Fortunately I never made it. Oct 22 I started throwing up everything I ate or drank. I wasn't having any stomach pain, just couldn't keep stuff down. Went to the hospital on the 24th, still unable to keep anything down. Doctors said it was likely a stomach flu or virus, gave me some anti-nausea, sent me home.

5 days later, still couldn't keep stuff down. I'd manage to hold it in until night, but then it would all come out before I could get to bed. Went back to hospital on Oct.29, CT scan revealed intestinal blockage. The doctors made it clear that I would need surgery to fix the blockage, but they were not equipped for the procedure, so my primary worked to get me transferred to a different hospital.

I got there late at night, and a surgeon came to see me soon afterward. He said he'd have to operate right away, which I was fine with. I was already having surgery to fix my stricture, so if someone was going to cut me up, they better fix everything. It was the best decision I ever made!

The surgeon was experienced in this area and after fixing the intestinal blockage and establishing a path of travel from my stomach to intestine (to bypass the pylorus), he informed my waiting parents that I had Crohn's disease. Apparently he has done so many cases that he knew right away when he was looking at my intestines.

He didn't tell me though, and I didn't know until 4 days afterward, when the biopsy confirmed that I had Crohn's.

2 days after the surgery, I was started on medication but I didn't know what it was. I now know that I was being given 500mg of Pentasa every 6 hours, and 30mg of Prednisone every day. I was not getting any swelling, any acne, no moonface, nothing. At the time, I didn't think anything of the medication. I was just content that my stricture had been fixed, and that I now knew the cause of all my troubles.

I was discharged last Friday night, and early Sunday morning I was still WIDE AWAKE. That's when I started researching Crohn's more in depth, and got to a web site where people would talk about the medication they were taking. I read so many horror stories from Prednisone that I absolutely freaked out, went nuts, and decided to stop taking the Prednisone.

I'm still taking the Pentasa, because I read nothing bad about that. But all the stuff I read on Prednisone scared me. Plus, I read a lot that indicated that by restricting the diet, maintaining low residue/low fiber, and not eating the "forbidden" foods, Crohn's can be treated without medication.

The problem is that many Crohn's sufferers cannot fathom giving up dairy, fats, sugars, raw veggies/fruits (you can still steam them though), etc., whatever it is that causes a flare up for them. Hence it's much easier for a doctor to prescribe Prednisone than it is to convince the patient to stop eating certain foods altogether.

I didn't take Sunday's dose, so I was on 30mg a day for 1 week. Sunday night, I again got no sleep. Only 2 hours, damn insomnia effects of Prednisone. Monday I had some joint pain in my ankles, but the crazy withdrawals that I was expecting were absent.

Last night I got 9 hours of sleep, but woke up feeling quite fatigued. I took a 30min walk and the fatigue went away. Here I am now, sleepy, but I'm still feeling fine and not experiencing any horrible withdrawal, even though I read that not tapering can be seriously destructive to your body. The stories I've read of people trying to taper make me cringe, and here I am, 4 full days since the last dose I took, and I'm not feeling anything. I guess I should attribute that to the fact that I was on a smaller dose (I've read people starting at 100mg!!) for a short period of time.

Basically, I'm debating what to do with the Prednisone. I've been absolutely compliant diet wise; I eat 5-6 small meals, I don't touch dairy or raw veggies/fruits (except those allowed by the dietitian I spoke to in the hospital, green beans and pears and stuff), I don't eat red meat (didn't really eat much of it before), I don't touch whole wheat, etc.

I've done the diet to perfection, and haven't cheated or treated myself to anything. If eating in this fashion will allow me to escape Crohn's without medication (and it has thus far...no pain, no bloating, no cramps, smooth bowel movements), then I'm okay with doing this for the rest of my life.

2 years of suffering have made me realize that I should not treat food as a luxury but rather as fuel, and consume it only for the purpose of keeping me going. It's sad in a way, but to me it's better than taking a pill that has so many unruly side effects. Diabetes in 10-20% of patients? Bone deficiency? Weight gain, insomnia, mood swings? :( :( :(

The only reason I'm asking about the Prednisone is I'm wondering how much damage would be done if I take 10mg per day, or every other day, or every 2 days, or even once per week. If it can't hurt me the way I think it will, then I'm open to taking it. A lot of stories I read though, are of people who haven't had the surgery and don't want to get rid of their favorite foods, so for them the medication is necessary.
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Okay, that about sums it up. I'm pretty sure I'll get some heat for not following doctor orders, but I'd rather hear your true, uncensored point of view. In order to get that, I had to be completely honest, so thank you in advance for reading this and again, I apologize for not being completely truthful in my original post.
 
Wow, thanks for sharing that, it's quite a story!

I actually completely understand about you not wanting to take medications because of the side effects. I am currently tapering prednisone and my GI wanted to put me on Imuran (immune suppressant) but I felt really strongly that i didn't want to do this. We chatted about it over a few weeks in a couple of appointments and he has now said that while he would prefer me to take it, he also understands my concerns and that there is a chance that I will be able to maintain remission without it, not indefinately, but certainly for a while, especially since I have had no signs of flaring with the redusing pred which I hear happens a lot.

We agreed it was a 'gamble' to some extent but he is supportive in me trying to go the natural medicine/diet route first (check out my sig). Worst case is that I flare up again, have to go back on steroids and then take Imuran.

I am willing to take the gamble because I feel it is the right thing to do for me. I still have a lot of changes to make to diet etc but have already incorporated a lot of beneficial things and removed many bad ones.

So, I do understand you. My concern about the stopping pred is that if you still have inflammation, it may get worse again. My understanding is that the pred is very effective at getting rid of inflammation and the better job it is allowewd to do, the more likely the inflammation will STAY down.

Interesting you havenlt experienced any withdrawal from the sterioids. You are very lucky! I feel bad just going down 2.5 mg! However, I have heard that you can be on a highish dose for a short time and then come off. I have a friend who had some chest/asthma thing and was on a week of 40 mg and then stopped with no issues.

I would suggest that if you really donl't want to take the pred you make sure you get regular blood tests to make sure you have no inflammation because while you are inflamed damage is occuring.


Forgive me if any of this doesn't make sense as I am about to drop and need to go to bed.

Feel free to PM me if you want to chat about it

Shaz
 
It's been 2 weeks since I stopped the prednisone. Still on the pentasa.

Never got any of the crazy withdrawals. *phew*

I changed my diet about a week ago, and I've been eating <100g of carbs each day. The little stomach pain and bloating that I had last week has disappeared, and I'm having regular bowel movements every day.

Hopefully things stay this way, but it's definitely hard to cut back carbs. Never realized how addictive they are!
 

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