Blood pressure issues while on prednisone?

Posted by caroljeand @caroljeand, Dec 22, 2025

I have been on blood pressure meds prior to PMR. While on prednisone I have been having uncontrolled blood pressure numbers. Very frustrating….
Anyone else experiencing this?

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Having to take extra atenolol and enalapril while on pred dose pak and especially if taking cold/cough OTC med for a cold.

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Profile picture for kare1 @kare1

Your comment prompted me to take mine just now. I am on BP meds pre-PMR as well. I haven’t taken my pressure in a while because it seemed ok. I’ve reduced my prednisone from 3.5 to 3 about 1 &1/2 weeks ago. Awful sleep last night w/a headache in the middle of the night into today. I also have a neck ache so wondering if that’s what causing the headache. Anyway my BP numbers were horrible. I’d better monitor now and if it doesn’t go down I’ll have to contact Dr. not sure if I notify rheumatologist who is an hr away or my local family practitioner! So thanks for your post.

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@kare1 keep extra enelapril on hand and if rapid heart rate have atenolol too

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I’ve been on blood pressure meds for three years although my blood pressure wasn’t terrible, more of a precaution. Weirdly I’ve been taking Pred for three weeks now for PMR and my blood pressure is 120-80 or thereabouts every time I check. I’ve cut out alcohol, carbs , drinking beetroot juice and eating flax seeds and kefir so I don’t know if that’s helped. I hope it stays ok over the next few months because if not you really start to wonder if PMR is better than taking steroids !

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Profile picture for martyn @martyn

I’ve been on blood pressure meds for three years although my blood pressure wasn’t terrible, more of a precaution. Weirdly I’ve been taking Pred for three weeks now for PMR and my blood pressure is 120-80 or thereabouts every time I check. I’ve cut out alcohol, carbs , drinking beetroot juice and eating flax seeds and kefir so I don’t know if that’s helped. I hope it stays ok over the next few months because if not you really start to wonder if PMR is better than taking steroids !

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@martyn
I have recently been reading about flaxseed - whole vs ground in regard to lowering cholesterol. I'm looking for ground flaxseed to add to morning oatmeal. Helping to lower blood pressure will be a bonus.
I've had hypertension for many years.

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The good news is I’m not the only one with these symptoms. I thought I had the flu. A few days later my body was in such pain I couldn’t hardly function. After going on prednisone almost immediately I was better. But ran out of the prednisone and was in worse condition. Finally got a refill and immediately was better. But next thing my heart rate went high for several days like 175, 185, then 195 and I couldn’t get it to come down with breathing ended up in the emergency room and icu for a week. Now have a pacemaker after an ablation. The PMS is sort of under control but still cannot function normally. My legs feel like I’ve tied 100 pounds weights to them. And I walk like I’m 100 yrs old. Prior to this I sometimes would play golf twice a day. I just want my life back. Prior to all of this I was on no medication of any kind. So this has been quite an adjustment and the rheumatologist want to add more medication, but I worry about how each of these medications effect the others.

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Profile picture for jcgolf @jcgolf

The good news is I’m not the only one with these symptoms. I thought I had the flu. A few days later my body was in such pain I couldn’t hardly function. After going on prednisone almost immediately I was better. But ran out of the prednisone and was in worse condition. Finally got a refill and immediately was better. But next thing my heart rate went high for several days like 175, 185, then 195 and I couldn’t get it to come down with breathing ended up in the emergency room and icu for a week. Now have a pacemaker after an ablation. The PMS is sort of under control but still cannot function normally. My legs feel like I’ve tied 100 pounds weights to them. And I walk like I’m 100 yrs old. Prior to this I sometimes would play golf twice a day. I just want my life back. Prior to all of this I was on no medication of any kind. So this has been quite an adjustment and the rheumatologist want to add more medication, but I worry about how each of these medications effect the others.

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@jcgolf I am just wondering why you were given an ablation and pacemaker if the heart problems were caused by reaction to prednisone. I experienced my problems after going into withdrawal/secondary adrenal insufficiency while on an anti-hypertensive prescribed for white coat anxiety, and once I was able to titrate down and get off of it, the heart racing stopped. Thankfully I was able to avoid the ER . I am trying to get completely stabilized with the SAI before starting back again.

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