Prednisone (Oral Route) Side Effects - Mayo Clinic
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Tremors after prednisone.Identifying and Managing Essential Tremor |
Tremors after prednisone
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Identifying and Managing Essential Tremor.
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Drug-induced tremor is involuntary shaking due to the use of medicines. Involuntary means you shake without trying to do so and can't stop when you try.
The shaking occurs when you move or try to hold your arms, hands, or head in a certain position. It is not associated with other symptoms. Drug-induced tremor is a simple nervous system and muscle response to certain medicines. Drugs that can cause tremor include the following:. The tremor may affect the hands, arms, head, or eyelids.
In rare cases, the lower body is affected. The tremor may not affect both sides of the body equally. Your health care provider can make the diagnosis by performing a physical exam and asking about your medical and personal history. You will also be asked about the medicines you take. Tests may be done to rule out other reasons for the tremor. A tremor that occurs when the muscles are relaxed or that affects the legs or coordination may be a sign of another condition, such as Parkinson disease.
The speed of the tremor can be an important way to determine its cause. Blood tests and imaging studies such as a CT scan of the head, brain MRIand x-rays are usually normal. Drug-induced tremor often goes away when you stop taking the medicine that is causing the shaking. You may not need treatment or changes in the medicine if the tremor is mild and does not interfere with your daily activity.
If the benefit of the medicine is greater than the problems caused by the tremor, your provider may have you try different dosages of the medicine.
Or, you may be prescribed another medicine to treat your condition. In rare cases, a drug such as propranolol may be added to help control the tremor. Severe tremor can interfere with daily activities, especially fine motor skills such as writing, and other activities such as eating or drinking. Call your provider if you are taking a medicine and a tremor develops that interferes with your activity or is accompanied by other symptoms.
Always tell your provider about the medicines you take. Ask your provider if it is OK to take over-the-counter medicines that contain stimulants or theophylline. Theophylline is a drug used to treat wheezing and shortness of breath. Caffeine can cause tremor and make tremor caused by other medicines worse. If you have a tremor, avoid caffeinated drinks such as coffee, tea, and soda.
Also avoid other stimulants. Insights into pathophysiology from medication-induced tremor. PMID: pubmed. Drug-induced disorders of the nervous system. Aminoff's Neurology and General Medicine.
Other movement disorders. Goldman-Cecil Medicine. Philadelphia, PA: Elsevier; chap Updated by: Amit M. Review provided by VeriMed Healthcare Network. Editorial team. Drug-induced tremor. Drugs that can cause tremor include the following: Cancer medicines such as thalidomide and cytarabine Seizure medicines such as valproic acid Depakote and sodium valproate Depakene Asthma medicines such as theophylline and albuterol Immune suppressing medicines such as cyclosporine and tacrolimus Mood stabilizers such as lithium carbonate Stimulants such as caffeine and amphetamines Antidepressant drugs such as selective serotonin reuptake inhibitors SSRIs and tricyclics Heart medicines such as amiodarone, procainamide, and others Certain antibiotics Certain antivirals, such as acyclovir and vidarabine Alcohol Nicotine Certain high blood pressure drugs Epinephrine and norepinephrine Weight loss medicine tiratricol Too much thyroid medicine levothyroxine Tetrabenazine, a medicine to treat excessive movement disorder.
The shaking is usually fast, about 4 to 12 movements per second. The tremor may be: Episodic occurring in bursts, sometimes about an hour after taking the medicine Intermittent comes and goes with activity, but not always Sporadic happens on occasion The tremor can: Occur either with movement or at rest Disappear during sleep Get worse with voluntary movement and emotional stress Other symptoms may include: Head nodding Shaking or quivering sound to the voice.
Exams and Tests. Other causes of tremors may include: Alcohol withdrawal Cigarette smoking Overactive thyroid hyperthyroidism Parkinson disease Adrenal gland tumor pheochromocytoma Too much caffeine Disorder in which there is too much copper in the body Wilson disease Blood tests and imaging studies such as a CT scan of the head, brain MRIand x-rays are usually normal.
Do not stop taking any medicine without first talking to your provider. Possible Complications. When to Contact a Medical Professional.
Alternative Names. Central nervous system and peripheral nervous system. Learn how to cite this page. Drug Reactions Read more. Health Topics A-Z Read more.
Steroids often produce insomnia, ravenous appetite, and tremor (see Chapter 18), any of which constitutes the first sign of steroid treatment. The influence of. It can be a side effect of long term use and higher doses. However, we all respond differently. It is temporary if not at high dose or long term. It can be a side effect of long term use and higher doses. However, we all respond differently. It is temporary if not at high dose or long term. Prednisone is a drug that contains synthetic cortisol. Anyone experiencing any symptoms of prednisone withdrawal after reducing the dose or stopping the. The dizziness, shakiness and weakness can all be due to pred - but also to some extent to the illness. The pred is only managing the. Drugs that can cause tremor include the following: Cancer medicines such as thalidomide and cytarabine Seizure medicines such as valproic acid Depakote and sodium valproate Depakene Asthma medicines such as theophylline and albuterol Immune suppressing medicines such as cyclosporine and tacrolimus Mood stabilizers such as lithium carbonate Stimulants such as caffeine and amphetamines Antidepressant drugs such as selective serotonin reuptake inhibitors SSRIs and tricyclics Heart medicines such as amiodarone, procainamide, and others Certain antibiotics Certain antivirals, such as acyclovir and vidarabine Alcohol Nicotine Certain high blood pressure drugs Epinephrine and norepinephrine Weight loss medicine tiratricol Too much thyroid medicine levothyroxine Tetrabenazine, a medicine to treat excessive movement disorder. Essential tremor is often inherited in an autosomal dominant fashion, meaning that if you have it, there's a good chance at least one of your parents did too. In confusing cases, a test called a DaTscan can be done to look at the substantia nigra, which are parts of the brain that are worn down in PD.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 swelling , severe 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 vaccine , poliovirus oral form , rotavirus, 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. Call your doctor for medical advice about side effects.
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