Prednisone is a corticosteroid medication physicians
prescribe when your body is not making enough corticosteroids due to illness
and inflammation. These conditions include arthritis, multiple sclerosis,
Crohn's disease, lupus and certain cancer types. While prednisone has many beneficial
effects, it also is linked to causing weight gain in those who take the
medication. Note that not all patients who take prednisone experience this side
effect.
BODY
FAT REDISTRIBUTION
Prednisone not only causes weight gain, it can result in a
phenomenon known as fat redistribution. This means fat deposits collect in
unusual areas, such as the back or base of your neck, according to the Johns Hopkins Vasculitis Center . These can
sometimes be mistaken for lymph nodes on the neck. If you experience this
weight gain type, speak to your physician. Your physician may recommend
decreasing your dosage, which can reduce the redistribution effect.
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SIGNIFICANCE
Weight gain with prednisone often is related to how long you
have been taking the medication and how much you are taking, according to the
University of California San Francisco Medical Center. This is because taking
prednisone can increase your appetite. As you eat more over time, you gain more
weight. Also, your body retains more fluid while taking prednisone, causing you
to experience water retention and swelling. If you have an inflammatory
condition that may restrict movement, this can mean you are inactive for a
period of time, resulting in added weight gain.
PREVENTION
You can take steps to prevent prednisone-related weight
gain. Avoid foods that are high in sodium, such as fast foods, chips,
prepackaged foods and canned and frozen foods because these cause you to retain
water. Increased potassium intake can combat water retention. Choose foods such
as baked potatoes,
bananas, dates, grapefruits, milk, oranges, raisins, stewed tomatoes and tomato
juice. Eating several smaller meals per day can help you feel fuller, longer.
Increasing your protein intake -- foods like milk, skinless chicken, fish and
soy -- also can help you feel fuller, longer.
WARNING
Taking prednisone over a long period of time can decrease
your adrenal gland production of steroids. This means if you cease taking or
skip a dosage of prednisone, you could experience serious side effects. If you
are concerned about your weight gain related to taking prednisone, talk to your
physician about your medication options and concerns. Your physician also may
recommend a specific diet and exercise program tailored to helping you maintain
a healthy weight.
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