سحب البريدنيزون: لماذا أحتاج إلى تقليل الجرعة ببطء؟

إجابة من أبريل شانغ ميلر، (دكتور في الطب)

إذا توقفت فجأة عن تناول البريدنيزون أو خفضت جرعته بسرعة كبيرة، فقد تشعر بأعراض انسحاب البريدنيزون:

  • الإرهاق الشديد
  • الضعف
  • آلام الجسم
  • ألم المفاصل
  • الغثيان
  • فقدان الشهية
  • الدوخة

إن بريدنيزون يشبه الكورتيزول، وهو هرمون يتم إنتاجه طبيعيًا من الغدد الكظرية. إذا تناولت البريدنيزون لأكثر من بضعة أسابيع، فإن الغدد الكظرية لديك تقوم بتقليل إنتاج الكورتيزول. ولكن التقليل التدريجي لجرعات البريدنيزون يمنح الوقت للغدد الكظرية كي تستكمل وظيفتها بشكل طبيعي.

يعتمد الوقت الذي يستغرقه تخفيف جرعات البريدنيزون على المرض الذي يتم علاجه، والجرعة، ومدة الاستخدام، واعتبارات طبية أخرى. على أي حال، قد يستغرق التعافي التام من أسبوع إلى عدة أشهر. اتصل بالطبيب إذا شعرت بأعراض انسحاب البريدنيزون أثناء تخفيف جرعة الدواء.

11/06/2019 See more Expert Answers

اطلع كذلك على

  1. A Pain-Free Thumbs Up!
  2. Acetyl-L-carnitine: Can it relieve MS fatigue?
  3. Acute sinusitis
  4. Acute sinusitis: Do over-the-counter treatments help?
  5. Addison's disease
  6. Adrenal fatigue: What causes it?
  7. Albuterol side effects
  8. Alcoholic hepatitis
  9. Allergies
  10. Allergies and asthma
  11. Allergy medications: Know your options
  12. Allergy-proof your home
  13. Aplastic anemia
  14. Arthritis
  15. Arthritis pain: Do's and don'ts
  16. Aspergillosis
  17. Aspirin allergy
  18. Asthma
  19. Asthma and acid reflux
  20. Asthma attack
  21. Asthma diet
  22. Adult asthma action plan
  23. Asthma inhalers: Which one's right for you?
  24. Asthma: Colds and flu
  25. Asthma medications
  26. Asthma: Testing and diagnosis
  27. Asthma treatment: 3 steps
  28. CAM asthma treatments
  29. Asthma and menstruation
  30. Asthma-friendly products
  31. Atopic dermatitis (eczema)
  32. Avoid rebound nasal congestion
  33. Baker's cyst
  34. Barrel chest: What causes it?
  35. Base tan? Bad idea
  36. Behcet's disease
  37. Botox injections: Can they relieve arthritis pain?
  38. Explaining multiple sclerosis
  39. Bullous pemphigoid
  40. Bursitis
  41. Can arthritis pain medications be harmful?
  42. Can baby eczema be prevented?
  43. Can you use honey for allergies?
  44. Cannabis for MS: Can it help treat symptoms?
  45. Infographic: Cardiac sarcoidosis: A heart under attack
  46. Carpal tunnel exercises: Can they relieve symptoms?
  47. Carpal tunnel syndrome
  48. Carpal Tunnel Tune-Up
  49. Chagas disease
  50. Chilblains
  51. Cholestasis of pregnancy
  52. COPD
  53. Churg-Strauss syndrome
  54. Cluster headache
  55. Croup
  56. Cryptogenic organizing pneumonia
  57. De Quervain's tenosynovitis
  58. Demyelinating disease: What can you do about it?
  59. Dermatomyositis
  60. Diffuse idiopathic skeletal hyperostosis (DISH)
  61. Drug allergy
  62. Dust mite allergy
  63. Eczema bleach bath: Can it improve my symptoms?
  64. Emerging treatments for multiple sclerosis
  65. Emphysema
  66. Estriol as a potential treatment option for multiple sclerosis (MS)
  67. Exercise and multiple sclerosis
  68. Exercising with arthritis
  69. Fingolimod during pregnancy: Is it safe?
  70. Giant cell arteritis
  71. Glomerulonephritis
  72. Hip labral tear
  73. How to treat baby eczema
  74. Hyperinflated lungs: What does it mean?
  75. Hypopituitarism
  76. Interstitial lung disease
  77. Is depression a factor in rheumatoid arthritis?
  78. Is there a multiple sclerosis diet?
  79. Juvenile idiopathic arthritis
  80. Knee bursitis
  81. Knee pain
  82. LABAs for asthma
  83. Long-term safety of natalizumab for treating multiple sclerosis
  84. Managing anxiety in MS: What works?
  85. Managing depression in MS
  86. Managing Headaches
  87. Mangosteen juice: Can it relieve arthritis pain?
  88. Mayo Clinic Minute: Prevent migraines with magnetic stimulation
  89. Mayo Clinic Minute Weathering migraines
  90. Mayo Clinic Minute: What parents need to know about pink eye
  91. Medication overuse headaches
  92. Migraine
  93. Migraine medications and antidepressants
  94. Migraine treatment: Can antidepressants help?
  95. Infographic: Migraine Treatments: Botox & Nerve Blocking
  96. Migraines and gastrointestinal problems: Is there a link?
  97. Migraines and Vertigo
  98. Migraines: Are they triggered by weather changes?
  99. Alleviating migraine pain
  100. Mindfulness practice: Can it reduce symptoms of MS?
  101. Mixed connective tissue disease
  102. Mononucleosis
  103. Mononucleosis: Can it recur?
  104. Mononucleosis and Epstein-Barr: What's the connection?
  105. MSM for arthritis pain: Is it safe?
  106. Multiple sclerosis
  107. Infographic: Multiple Sclerosis
  108. Multiple sclerosis: Can it cause seizures?
  109. Myasthenia gravis
  110. Nasal Cleaning
  111. Nasal spray addiction: Is it real?
  112. Neck pain
  113. Nephrotic syndrome
  114. New Test for Preeclampsia
  115. Occipital nerve stimulation: Effective migraine treatment?
  116. Ocular migraine: When to seek help
  117. Oil of oregano: Can it treat sinusitis?
  118. Oral lichen planus
  119. Osteoporosis and long-term prednisone: What is the risk?
  120. Ozone air purifiers
  121. Palindromic rheumatism: Precursor to rheumatoid arthritis?
  122. Paraneoplastic syndromes of the nervous system
  123. Personalized therapy for multiple sclerosis (MS)
  124. Pink eye (conjunctivitis)
  125. Pink eye: How long is it contagious?
  126. Pink eye treatment: What if I wear contact lenses?
  127. Plantar fasciitis
  128. Pneumonitis
  129. Polymyalgia rheumatica
  130. Polymyositis
  131. Polymyositis : Can it affect my lungs?
  132. Prednisone risks, benefits
  133. Preeclampsia
  134. Preterm labor
  135. Pseudoclaudication: Is it related to claudication?
  136. Ramsay Hunt syndrome
  137. Reactive airway disease: Is it asthma?
  138. Rethinking Rheumatoid Arthritis
  139. Rheumatoid arthritis
  140. Rheumatoid Arthritis
  141. Rheumatoid arthritis and exercise
  142. Rheumatoid arthritis: Vaccines
  143. Rheumatoid arthritis diet
  144. Rheumatoid arthritis: Can it affect the eyes?
  145. Rheumatoid arthritis: Can it affect the lungs?
  146. Rheumatoid arthritis: Does pregnancy affect symptoms?
  147. Rheumatoid arthritis medications: Dangerous during pregnancy?
  148. Rheumatoid arthritis pain: Tips for protecting your joints
  149. Sacroiliitis
  150. Salt craving: A symptom of Addison's disease?
  151. Sarcoidosis
  152. Sciatica
  153. Sepsis
  154. Sheehan's syndrome
  155. Sinus infection and toothache: Any connection?
  156. Hand exercises for people with arthritis
  157. Joint protection
  158. Spinal stenosis
  159. Stop your next migraine before it starts
  160. Stress management for MS
  161. Sulfa allergy
  162. Sunburn
  163. Sunburn treatment: Do I need medical attention?
  164. Swollen knee
  165. Takayasu's arteritis
  166. Tanning: Does a base tan prevent sunburn?
  167. Tendinitis
  168. Tendinitis pain: Should I apply ice or heat?
  169. Thrombocytopenia
  170. Thumb arthritis
  171. Thumb Reconstruction
  172. Tips for coping with rheumatoid arthritis
  173. Trichinosis
  174. Trouble breathing
  175. Asthma attack video
  176. Carpal tunnel symptoms: Role of nonsurgical treatment
  177. Carpal tunnel syndrome surgery: Immediate and long-term results
  178. Dry powder disk inhaler
  179. Dry powder tube inhaler
  180. Peak flow video
  181. Single-dose dry powder inhaler
  182. Using a metered dose asthma inhaler and spacer
  183. Vitamin D and MS: Any connection?
  184. Vitamins for MS: Do supplements make a difference?
  185. Vocal cord dysfunction
  186. Water exercise
  187. Whipple's disease
  188. Yucca: Can it relieve arthritis pain?