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How and when to take steroid tablets. Take your medicine as instructed by your doctor. They'll explain how much to take and how often. It's normally best to take steroid tablets with or soon after a meal – usually breakfast – because this can stop them irritating your stomach.
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Oct 2, 2024 · Yes, steroid use can cause insomnia or other sleep problems. A doctor can help you find the best way to help you sleep better while on these medications.
- Traci Pedersen
- Overview
- Can prednisone cause insomnia?
- Why can steroids cause insomnia?
- What factors make insomnia more likely?
- What helps with prednisone-related insomnia?
- Can coming off prednisone cause insomnia?
- Summary
Prednisone is a steroid medication that can cause side effects, including insomnia. People taking this medication may have difficulty falling asleep or stay awake through the night.
The mechanisms by which prednisone disrupts sleep are not entirely clear. However, prednisone mimics cortisol, which is a hormone involved in the sleep-wake cycle. It also decreases melatonin levels, another hormone involved in sleep regulation.
Yes, prednisone can cause insomnia. Prednisone is a glucocorticoid that doctors may prescribe to reduce inflammation. It can help reduce the symptoms of autoimmune diseases and asthma.
When a person uses glucocorticoids for long periods, they can develop side effects, including:
•sleep disorders
•increased appetite
•swelling of the lower limbs
•decreased bone mineral density
Scientists are not completely clear on the mechanism by which prednisone disrupts sleep. However, there are some theories.
Prednisone mimics the natural hormone cortisol. The body produces cortisol in response to stress, which increases blood sugar and energy levels and regulates blood pressure. These effects help the body cope with stress.
Cortisol naturally has a diurnal rhythm, meaning that it is highest in the morning and lowest at night. This pattern helps to regulate the body’s natural sleep-wake cycle.
When a person takes prednisone for long periods, it may disrupt the usual rise and fall in cortisol, causing insomnia.
Adverse effects such as insomnia are more common in people who take glucocorticoids at high doses, for extended periods of time, or both. A high dose of prednisone is 40 milligrams (mg) daily or more.
The longer someone takes prednisone, the greater risk of side effects.
Doctors generally prescribe prednisone for short periods to reduce inflammation and bring a medical condition under control. If insomnia develops, doctors should reduce the dose or stop treatment.
People who take higher doses of prednisone for 5 days or more need to taper off it gradually.
If a person experiences insomnia while taking prednisone, taking the medication in the morning may help minimize the disruption to the sleep-wake cycle. Alternatively, a doctor may suggest splitting the dose between morning and night.
A doctor can also suggest lowering the dose so that a person is taking the minimum dose necessary to ease a person’s symptoms.
Yes, stopping prednisone may cause sleep difficulties. This can be part of a condition known as steroid withdrawal syndrome.
Steroid withdrawal syndrome is a group of symptoms that can occur when a person suddenly stops taking prednisone or other steroids. The symptoms can include:
•feeling tired
•dizziness
•weakness
•headaches
Prednisone is a steroid medication that doctors may prescribe to treat inflammatory conditions. Although it is effective, it can cause side effects such as insomnia.
People taking high doses of prednisone or who have taken it for long periods are most at risk for developing insomnia. To minimize the risks, doctors prescribe prednisone at the lowest possible dose for the shortest time possible.
- Compromised immune system. Turns out, prednisone’s greatest asset is also its greatest weakness. The very action that makes prednisone so effective — its ability to mute the immune system and relieve symptoms — can also lead to an increased risk of illness and infection, since your body’s defenses are low.
- Fluid retention. Fluid retention is one of prednisone’s most famous side effects. “‘Moon face’ is common, which is swelling in the face that can occur after you’ve been on steroids for a long time,” Dr. Ford notes.
- Hyperactivity. While prednisone is not a stimulant, it can make you feel more alert or jittery. “It doesn’t really interrupt sleep, but some patients find it keeps them awake when they don’t want to be,” Dr. Ford says.
- Stomach upset. Prednisone may cause gastrointestinal symptoms when you take it on an empty stomach. What you can do: This one is pretty simple: Take your dose with food.
Steroids do not tend to cause significant side effects if they're taken for a short time or at a low dose. But sometimes they can cause unpleasant side effects, such as an increased appetite, mood changes and difficulty sleeping (insomnia). This is most common with steroid tablets.
Sleepio is a digital CBTi-based treatment recommended by the National Institute for Health and Care Excellence (NICE). Consider the need for adjunctive treatment with a short-term hypnotic medication (a z-drug or prolonged released melatonin if over 55 years of age).
People also ask
Can steroids cause insomnia?
How do different types of steroids affect sleep?
Do Corticosteroids cause insomnia?
Do steroid tablets have side effects?
Can steroid pills cause sleep apnea?
Do Glucocorticoids cause insomnia?
The condition being treated — different oral corticosteroids have varying ratios of mineralocorticoid to glucocorticoid properties, and these ratios determine their potency, efficacy, and therapeutic use. The dose and duration of treatment — this influences the incidence and severity of adverse effects.
