Eu sei que o Prednisona pode causar ganho de peso, mas o quão incomum é para uma pessoa não ganhar peso enquanto o toma? Tenho tomado 60 mg há cerca de cinco semanas agora. Nas duas primeiras semanas, meus tornozelos estavam inchados, mas isso passou e agora, continuo a manter meu peso habitual sem inchaço ou inchação incomuns. O ganho de peso vem com o uso prolongado do Pred. ou algumas pessoas simplesmente não ganham peso?
Outra coisa: Meu cabelo não está caindo, mas parece que não está crescendo em certos lugares. No entanto, está muito seco e sem vida. Isso é um efeito colateral do Prednisona e como vocês lidaram com isso, especialmente com a falta de vida? Algum suplemento que ajudaria nisso?
obrigado
I didn't gain weight, in fact I've lost a bit more probably because I was afraid of the diabetes side effect when my blood sugar went high and I virtually gave up carbs, and also exercise more because of the bone thinning scare. With regard to hair, I'm sure my hair got thinner and changed its texture. This is an effect which took a while to appear. It took just as long after my dose was lower, below 5 mg, for me to notice my hair returning to its wonted thickness and curliness, and the transition was interesting because even as my hair was getting so thick I had trouble getting the hairbrush through it I seemed to be losing it in great quantities. Finally decided what was falling out was limp pred-influenced hair which had grown in the year before. Things seem back to normal now.
Não ganhei peso, mas sempre tive dificuldade em mantê-lo. Meu cabelo antes espesso ficou fino devido a uma doença na tireoide, não acho que o pred tenha afetado.
I lost weight with PMR/Pred (10kilos) Now, 5 years later I have only put 2 kilos back on. There are a number of us that lost weight, we are the lucky ones.
My hair got very thin at first (on high doses of pred), over the years it has gone back to 'almost' normal. Strange now though, I went silver during the last three years (age)! but it is getting darker and darker. Odd! I want my silver/white back!
I bet if you could figure out why your hair is getting its colour back you'd make a fortune!
Como você, Anniecurd, tenho dificuldade em manter o peso no corpo. Talvez seja por isso que não ganho peso enquanto estou no Pred.
Obrigado a todos que responderam sobre o cabelo. Isso me dá alguma esperança quando eu começar a reduzir.
A small proportion of patients taking pred do not gain weight - but it is only when you discover you aren't that you know you don't!
After only 5 weeks I think it is very unlikely to be the pred causing your hair effect - it usually takes a few months for your health to be visible in your hair. If you have GCA it may be due to poor blood flow to the scalp - perhaps not enough to cause the typical tingling or uncomfortable scalp but enough to affect hair growth. That would certainly fit better with it being a patchy effect as you describe.
My hair did fall out with PMR. It wasn't any worse while I was on prednisolone. After being on Medrol for a few months it looked like a brillo pad but when i switched to prednisone it started to grow in again and is now back to its normal thickness and shine.
Eileen,
o que é Medrol? É interessante que seu cabelo tenha melhorado depois que você tomou Prednisona.
I just got a slightly less gaunt face which, infuriatingly, meant I kept being told how well I looked. I stayed at my usual eight and a half stone, give or take two or three pounds. Don't remember any change in hair.I was only on 30mgs. max.
The one sure thing is we are all different.
Methylprednisolone - just a slightly different structure of corticosteroid.
I also have only lost weight (not something I am usually prone to) - initially due to restricting my diet to lower carbs - but even when eating a more 'normal' amount it has not altered. Also my hair after about 8 months on Pred (from high to now moderate doses) has started to become thinner and a lot drier - so it seems your version of side effects are shared by quite a lot of us - and are fortunately not too unpleasant compared with some others.
Best wishes
Sou nova neste site, pois fui diagnosticada apenas em 15 de agosto de 2017.
Fui orientada por meu praticante de Ayurveda que o ganho de peso associado ao prednisona é água em vez de gordura corporal, pois o prednisona tem uma real afinidade pelo sal.
Evito sal extra a todo custo, pois não posso me dar ao luxo de ganhar peso, seja água ou gordura!
Até agora, meu peso permaneceu o mesmo antes do prednisona, mas é muito cedo no tratamento!
Meu cabelo ficou bastante sem vida e o cacho natural relaxou muito!
Well your ayurvedic practitioner is wrong - eating a low salt diet will help the water retention but it won't affect the fat deposition in the midriff, around the face causing the moonface and on the back of the neck causing the buffalo hump which is very real and caused by the effect of pred on glucose metabolism and it leading to random release of glucose spikes from the liver. The excess blood glucose causes a release of insulin - which is what leads to the deposition of fat. No ifs or buts I'm afraid.
Oi! Você é um dos sortudos! Nenhum ganho de peso ou inchaço para mim nem mesmo no prednisona. Meu médico recomendou o suplemento Biotene para o afinamento dos cabelos.
Bethune,
você quer dizer Biotina, a vitamina B?
Oi Pam,
Fico feliz em saber que você não está ganhando peso. Não tive a mesma sorte. Ganhei peso e ainda não consegui perder tudo. A queda de cabelo e o cabelo sem vida começaram depois que comecei a tomar Pred, e levou um tempo para se recuperar. Agora, já faz cerca de 2 anos que parei com o Pred, e venho usando dois produtos da Aveda chamados Invati (shampoo e condicionador). Não pensei em experimentar até cerca de 6 meses atrás, mas realmente ajudou. Não sei se seria eficaz enquanto ainda estiver tomando Pred, e é um pouco caro, mas você pode querer experimentar. Leva algumas semanas para ver o efeito.
Iv been on 50mg for 4 weeks and was bloated for about the first week especially around the face but I’m really watching my sodium intake and so far my weight is about the same. I’m tapering over the course of 3-4 months. Also worried if the side effects will kick in later
Hi Eileen,
Just in regard to “the effect of pred on glucose metabolism and it leading to random release of glucose spikes from the liver etc...”. I’m interested to know more about the liver/glucose spikes etc you mention. I have both PMR and GCA. I have only put the weight on in the areas you mention, and this only started once I began to reduce the pred. Good old chipmunk cheeks, buffalo hump and midriff muffin. The rest of me looks like a skeleton on legs. Attractive...said no one ever. However, a few times now I have had days where my face is more swollen than normal and my eyes feel like water will start over flowing out of my eyeballs. All the aches and pains start knocking on the door and I feel like I’ve been hit by a front row forward. To the bed I go and I’ll sleep for hours. Then usually all good, or at least not as bad. If this happens and I can get into my massage therapist he does very gentle lymphatic drainage massage and that usually does the trick. Is this caused by these glucose spikes you mention, and if so is there something I can do to avoid it happening? I have cut out added salt ( which I threw over everything I could previously due to low blood pressure), reduced my carbs, have no added sugar, and do yoga/moderate excercise when possible, so normally I am quite “normal”. I lost 9kls pre diagnosis in May this year and have only regained 4 but it’s all in those lumpy bumpy areas you speak of. Is this fluid, fat, or something towards the glucose spikes?
Honestly don't know. The glucose spikes are likely to trigger insulin spikes to combat them - and it is surplus insulin that causes the fat deposition in the usual places. But why it should have happened for you as you REDUCED pred I have no idea. There is a lady on another forum who reported a couple of days ago that having switched to low carb, her Hba1c level had fallen from 6.5 to 6.0 and her doctor was over the moon! I would have said the lumps are fat deposits but that may not be the case.
You don't say how low a dose you have got to - because adrenal gland function (or non-function) will become an issue at some point.
Yes, I don’t seem to conform to the “norm” with this disease. Rheumy says my bloods are all good, he’s really happy with my inflammation rate (down from 43 initially to now 4) but I have a copy of my results and the pathologist mentions Thrombocytosis and Neutrophelia. He mustn’t be concerned about these though as he said “all good”, and he’s exctatic at how fast I’m improving the inflammation levels. I’m down from 50mg Panfracorte (Prednisone) started 31.5.17 to 13 mg now, with the last reductions 1mg every two weeks.(I extended one of the drops to 3 weeks). I wondered myself though whether my sometimes extra watery face and extra fluid was more GCA related than PMR, but your mention of the spikes interest me. Thank you for your valuable comments though as always. You certainly are a true blessing on these forums, , where would we all be without you help and knowledge. X