I want to fast, should I continue prednisone.

Posted by pawprintpeg @pawprintpeg, Oct 21 7:44am

I am prescribed prednisone only for about two weeks so far, now I want to fast for three days to reset my nervous system, during fasting I don’t know if I should continue the medication? 💊. Can I stop prednisone for three days and start it again later? It states it may be hard on stomach. I think I will continue the medication but fast carefully. If I don’t feel well I guess I could always just eat something healthy. What are your thoughts or experiences please.

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Welcome @pawprintpeg, This is a question that you really need to discuss with your rheumatologist or doctor. I regularly do intermittent fasting but my PMR is in remission and I'm no longer on prednisone. Here's a reference that might provide a little information on the question topic.
-- Fasting with adrenal insufficiency: Practical guidance for healthcare professionals managing patients on steroids during Ramadan: https://pubmed.ncbi.nlm.nih.gov/32419166/

You mentioned that you have only been on prednisone for a couple of weeks. Have you been diagnosed with PMR? Is the prednisone helping with the PMR pain?

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What dose of prednisone are you on?

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Profile picture for John, Volunteer Mentor @johnbishop

Welcome @pawprintpeg, This is a question that you really need to discuss with your rheumatologist or doctor. I regularly do intermittent fasting but my PMR is in remission and I'm no longer on prednisone. Here's a reference that might provide a little information on the question topic.
-- Fasting with adrenal insufficiency: Practical guidance for healthcare professionals managing patients on steroids during Ramadan: https://pubmed.ncbi.nlm.nih.gov/32419166/

You mentioned that you have only been on prednisone for a couple of weeks. Have you been diagnosed with PMR? Is the prednisone helping with the PMR pain?

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@johnbishop
Thanks I will check link, yes new to PMR and
Pred is helping ALOT.
I have decided to NOT fast.

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Profile picture for laura1970 @laura1970

What dose of prednisone are you on?

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@laura1970
Dosed at 20mg for 7 days, then 15 mg for 7 days, then 12.5 mg for 7 days, then stabilize at 10 mg ongoing

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Fasting may slightly increase the chances if GI irritation of prednisone. You could discuss taking something like Pepcid twice a day with your doctor to prevent this.

I found a study of patients taking low dose prednisone 2,5-5 mg per day during Ramadan without significant symptoms or harm

I think it would be important to maintain hydration, so drink lots of water

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