Prednisone and rosacea

Posted by mehow @mehow, 19 hours ago

I've been on prednisone for a year and a half. As high as 60mg and have now managed to taper to 3.5. I was diagnosed with rosacea a few months prior to PMR diagnosis with a few flares here and there until 4 months ago. Since then I have flared about every three weeks. MAJOR flares, I look like I put my face in a fire. I'm starting to wonder if long term steroid use is the culprit. Has anyone else experienced this! Thank you.

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Steroids can aggravate acne and rosacea. Blood pressure fluctuations
can cause flushes so check at intervals so keep an eye on that.
Hope you have access to a dermatologist if it needs treatment.

REPLY

@mehow, I know you’re not using a topical steroid but here is a steroid related article from the National Rosacea Society website on your question.

"The good news is that effective treatment of rosacea-like symptoms due to topical corticosteroids is usually very simple: stop using the medication. It is important to work with your doctor to determine the best approach for your individual case."
-- The Great Impostor: Steroid-Induced Rosacea - https://www.rosacea.org/blog/2013/june/the-great-impostor-steroid-induced-rosacea.

Have you discussed the Rosacea symptoms with your doctor?

REPLY

Many things can flare up after you reach the 5 mg threshold of Prednisone. It happens when the adrenal glands are slow to resume function again. As your prednisone dose drops below 5 mg, roughly the equivalent of the body's daily natural cortisol production, the body faces a shortage of steroids to control existing inflammation. It is sometimes called "rebound inflammation" or the "5 mg taper barrier."

The body faces a shortage of steroids to regulate existing inflammation which often leads to a flare of the original condition (PMR). You can also have flares of any preexisting inflammatory conditions which in your case is Rosacea.

Hopefully PMR won't flare up too!

REPLY
Profile picture for John, Volunteer Mentor @johnbishop

@mehow, I know you’re not using a topical steroid but here is a steroid related article from the National Rosacea Society website on your question.

"The good news is that effective treatment of rosacea-like symptoms due to topical corticosteroids is usually very simple: stop using the medication. It is important to work with your doctor to determine the best approach for your individual case."
-- The Great Impostor: Steroid-Induced Rosacea - https://www.rosacea.org/blog/2013/june/the-great-impostor-steroid-induced-rosacea.

Have you discussed the Rosacea symptoms with your doctor?

Jump to this post

@johnbishop I see a dermatologist and I do have a topical medication that is somewhat helpful. The amount of flares I'm having a prednisone just occurred to me. I'll discuss at the next visit. Thank you for your reply!

REPLY
Profile picture for Mike @dadcue

Many things can flare up after you reach the 5 mg threshold of Prednisone. It happens when the adrenal glands are slow to resume function again. As your prednisone dose drops below 5 mg, roughly the equivalent of the body's daily natural cortisol production, the body faces a shortage of steroids to control existing inflammation. It is sometimes called "rebound inflammation" or the "5 mg taper barrier."

The body faces a shortage of steroids to regulate existing inflammation which often leads to a flare of the original condition (PMR). You can also have flares of any preexisting inflammatory conditions which in your case is Rosacea.

Hopefully PMR won't flare up too!

Jump to this post

@dadcue I had no idea this was a thing! Thank you, hopefully as my body adjusts to the lower dose my rosacea "regulates". One more lovely PMR thing to deal with!

REPLY
Profile picture for seniormed @seniormed

Steroids can aggravate acne and rosacea. Blood pressure fluctuations
can cause flushes so check at intervals so keep an eye on that.
Hope you have access to a dermatologist if it needs treatment.

Jump to this post

@seniormed Thank you, so far no blood pressure issues.

REPLY
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