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Prednisone pour l'arthrite

Clinical author's note Michael Stewart 19/07/2019: Lodotra® tablets were discontinued in the UK in December 2018. At the time of review there are no branded or generic medicines containing prednisone marketed in the UK. Prednisone may still be available in other countries. This Medicine Leaflet is based on medical information available in the UK at the time of writing. Please also refer to the manufacturer's information supplied with your medicine.

Prednisone belongs to a class of medicines known as corticosteroids (more commonly called steroids).

Votre pharmacien vous remettra une 'Carte de traitement aux stéroïdes' bleue. Gardez-la toujours avec vous.

If you need any medical treatment, make sure the person treating you knows you are taking prednisone. This is because your dose may need to be increased for a short while.

En un coup d'œil

  • Prednisone is a corticosteroid medicine used to reduce inflammation in rheumatoid arthritis.

  • It helps to reduce joint swelling, stiffness, and pain caused by rheumatoid arthritis.

  • You must tell your doctor all your medical conditions and other medicines you take before starting prednisone.

  • Always carry your 'Steroid Treatment Card' with you.

  • Do not stop taking prednisone suddenly; your dose may need to be reduced gradually.

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About prednisone

Type de médicament

Corticostéroïde

Utilisé pour

Polyarthrite rhumatoïde

Aussi appelé

Lodotra® (discontinued); Decortin® (Germany)

Disponible sous forme de

Comprimés

Prednisone belongs to a group of medicines called corticosteroids. It is sometimes referred to simply as an stéroïde oral.

Polyarthrite rhumatoïde (PR) causes inflammation, pain, and swelling of joints. Corticosteroids like prednisone are good at reducing inflammation. By doing this, prednisone reduces the swelling and stiffness in the joints affected by RA. This also helps to ease the pain.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking prednisone it is important that your doctor or pharmacist knows:

  • Si vous êtes enceinte ou si vous allaitez.

  • Si vous avez de l'hypertension.

  • If you have had a heart attack or have any other heart problems.

  • Si vous avez des problèmes de foie ou de reins.

  • If you or anyone in your family has diabetes (diabetes mellitus) or increased eye pressure (glaucoma).

  • If you have weakened bones (osteoporosis).

  • If you have an underactive thyroid.

  • If you have ever had a mental health problem - for example, depression.

  • Si vous avez de l'épilepsie.

  • If you have had a stomach ulcer or an inflammatory bowel disorder.

  • If you have any kind of infection, or if you have ever had tuberculosis (TB).

  • If you (or anyone you are in close contact with) have recently had chickenpox, measles or shingles.

  • If you have ever had a blood clot in an artery or vein.

  • Si vous avez une affection provoquant une faiblesse musculaire, appelée myasthénie grave.

  • If you are taking other medicines, including those available to buy without a prescription, as well as herbal and complementary medicines.

  • Si vous avez déjà eu une réaction allergique à un médicament, ou si vous avez déjà ressenti des douleurs musculaires après avoir pris un médicament stéroïdien.

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  • Before starting this treatment, read the manufacturer's printed information leaflet from inside the pack and be careful to follow any printed instructions you have also been given. The leaflet will give you more information about prednisone and a full list of side-effects which you may experience from taking it.

  • Your doctor or pharmacist will tell you how many tablets to take, as your dose will be adjusted to suit you. You may be asked to take more than one strength of tablet. It is important that you take prednisone exactly as your doctor tells you to.

  • Si vous oubliez de prendre une dose, prenez-la dès que vous vous en souvenez. Si vous ne vous en souvenez que le lendemain, sautez la dose oubliée. Ne prenez pas deux doses ensemble pour compenser une dose oubliée.

  • Continue to take prednisone tablets regularly until your doctor tells you otherwise. You may need to take them for several months, or even longer. Stopping suddenly can cause problems and your doctor may want you to reduce your dose gradually if this is necessary.

  • You will be given a 'Steroid Treatment Card' which says that you are on steroids and contains some important advice for you. It is important that you read this card and carry it with you at all times. It also contains details about your dose, how long you have been taking prednisone for, and who prescribed it for you. Please make sure that this information is kept up-to-date. If you are having an operation or dental treatment or any treatment for an injury, tell the person carrying out the treatment that you are taking prednisone and show them your treatment card.

  • Essayez de respecter vos rendez-vous réguliers avec votre médecin. Cela permet à votre médecin de suivre vos progrès. Votre médecin souhaitera que vous passiez des tests de temps en temps pour s'assurer que vous restez à l'abri de certains effets secondaires indésirables du traitement.

  • Prednisone may suppress your immune system, so it is important if you become ill that you make an appointment to see your doctor immédiatement. Also, if you come into contact with anyone who has measles, shingles or chickenpox (or anyone who suspects they might have them), you should see your doctor as soon as possible.

  • Some vaccines may not be suitable for you while you are being treated with prednisone. If you need any immunisations, make sure you mention that you are taking a steroid.

  • If you need to buy any medicines, check with a pharmacist that they are suitable for you to take with your other medicines.

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Along with its useful effects, prednisone can cause unwanted side-effects which your doctor will discuss with you. The benefits of taking prednisone usually outweigh the side-effects; however, they can sometimes be troublesome. Although not everyone experiences side-effects, and some will improve as your body adjusts to the new medicine, speak with your doctor or pharmacist if you become concerned about any of the following:

Common prednisone side-effects

Que puis-je faire si je ressens cela ?

Fluid retention causing swollen feet and ankles

Whenever possible, sit with your feet up

Maux de tête

Buvez beaucoup d'eau et demandez à un pharmacien de vous recommander un antidouleur approprié. Si les maux de tête persistent, informez votre médecin

Se sentir fatigué

If this happens, do not drive and do not use tools or machines until you feel more awake

Faiblesse musculaire

If this continues or gets worse, speak with your doctor

Difficulties sleeping, increased weight

Si cela devient gênant, consultez votre médecin

Long-term treatment with prednisone may cause other unwanted effects

If you have any symptoms which cause you concern, you should arrange to see your doctor for advice

For more information about side-effects which are possible when prednisone is taken long-term, see the separate condition leaflet called Oral Steroids.

  • Gardez tous les médicaments hors de la portée et de la vue des enfants.

  • Conserver dans un endroit frais et sec, à l'abri de la chaleur et de la lumière directes.

Informations importantes sur tous les médicaments

Ne prenez jamais plus que la dose prescrite. Si vous soupçonnez que vous ou quelqu'un d'autre avez pris une surdose de ce médicament, rendez-vous au service des urgences de votre hôpital local. Emportez le contenant avec vous, même s'il est vide.

Ce médicament est pour vous. Ne le donnez jamais à d'autres personnes, même si leur état semble être le même que le vôtre.

Ne gardez pas de médicaments périmés ou indésirables. Apportez-les à votre pharmacie locale qui s'en débarrassera pour vous.

Si vous avez des questions concernant ce médicament, demandez à votre pharmacien.

Signaler les effets secondaires d'un médicament ou d'un vaccin

Si vous ressentez des effets secondaires, vous pouvez les signaler en ligne via le Site web de Yellow Card.

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Vérifiez les interactions possibles entre les médicaments, les compléments et les aliments avant de les prendre ensemble.

Questions fréquemment posées

What is prednisone used for in rheumatoid arthritis?

Prednisone is a corticosteroid medicine used to treat rheumatoid arthritis (RA). It helps to reduce the inflammation, swelling, and stiffness in the joints and can also ease the associated pain.

Are there any specific medical conditions that might prevent me from taking prednisone?

Yes, there are several conditions where prednisone might not be suitable or would require extra care. These include high blood pressure, heart problems, liver or kidney issues, diabetes, glaucoma, weakened bones (osteoporosis), an underactive thyroid, mental health problems like depression, epilepsy, stomach ulcers, inflammatory bowel disorders, certain infections (including current ones like chickenpox, measles, shingles, or a history of tuberculosis), blood clots, and myasthenia gravis, or if you are pregnant or breastfeeding.

What should I do if I forget to take a dose of prednisone?

If you miss a dose, take it as soon as you remember. However, if you don't remember until the next day, you should skip the missed dose entirely. Do not take a double dose to compensate for the one you missed.

Why is it important to carry a 'Steroid Treatment Card'?

The 'Steroid Treatment Card' informs healthcare professionals that you are taking steroids and provides important advice. It includes details about your dose, how long you've been taking prednisone, and who prescribed it. You should show this card to anyone carrying out treatment for an operation, dental work, or an injury.

Can prednisone affect my immune system?

Yes, prednisone can suppress your immune system. This means it's important to see your doctor straight away if you become ill, or if you come into contact with anyone who has measles, shingles, or chickenpox.

What should I do if I experience side-effects like swollen feet or headaches?

For fluid retention causing swollen feet and ankles, try to sit with your feet up whenever possible. For headaches, drink plenty of water and ask a pharmacist to recommend a suitable painkiller. If headaches continue, you should let your doctor know.

How should I store prednisone tablets?

You should store prednisone tablets in a cool, dry place, away from direct heat and light. Always keep all medicines out of the reach and sight of children.

Lectures complémentaires et références

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À propos de l'auteurVoir la biographie complète

Image de l'auteur

Michael Stewart, MRPharmS

Responsable de l'examen des notices de médicaments – Contractuel, Pharmacien

BPharm (Hons), MRPharmS

Michael est un pharmacien communautaire exerçant dans les Midlands et le South Yorkshire avec plus de 20 ans d'expérience dans le conseil sur les médicaments et les conditions médicales. Il possède une solide expérience en formation dans le domaine de la santé, ayant produit et dispensé des cours de formation pour les équipes de pharmacie et le personnel des établissements de soins résidentiels, y compris les infirmières. Il a également contribué aux comités consultatifs de pharmacie pour la gestion des affections de faible gravité dans la communauté.

À propos du critique

Image de l'auteur

Sid Dajani

Sultan Dajani a obtenu son diplôme à la London School of Pharmacy en 1994 et est devenu le plus jeune membre élu du conseil de la Royal Pharmaceutical Society depuis sa fondation en 1842.

Historique de l'article

Les informations sur cette page sont rédigées et examinées par des cliniciens qualifiés.

  • Prochaine révision prévue : 24 janv. 2027
  • 27 Jul 2022 | Dernière version

    Dernière mise à jour par

    Michael Stewart, MRPharmS

    Revu par

    Sid Dajani
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