Prednisone, while effective for inflammation, can sometimes cause low blood pressure (hypotension). This occurs because it affects your body’s fluid balance and mineralocorticoid levels. Mineralocorticoids, like aldosterone, help your kidneys retain sodium and water, increasing blood volume. Prednisone interferes with this process.
The risk is higher with higher doses and longer treatment durations. Individuals already prone to low blood pressure are at increased risk. Symptoms can range from dizziness and lightheadedness to fainting. Severe hypotension requires immediate medical attention.
Regular blood pressure monitoring is vital, especially during the initial stages of treatment and with dose adjustments. Your doctor should discuss this monitoring schedule with you. Staying hydrated is crucial; drink plenty of fluids. Your doctor might suggest dietary adjustments, focusing on sodium intake (although excess sodium isn’t recommended).
If you experience symptoms of low blood pressure while taking prednisone, contact your healthcare provider immediately. They can adjust your dosage, prescribe additional medication, or provide other management strategies. Open communication with your doctor is paramount for safe and effective prednisone use.
