Conclusion: The heterogeneity of glucocorticoid use is reflected in the available studies. Despite this heterogeneity, the proportion of neuropsychiatric adverse effects in glucocorticoid users is high. The most substantial associations with glucocorticoid use were found for depression and mania. Upon starting glucocorticoid treatment, awareness of possible psychiatric side effects is essential. More structured studies on incidence and potential pathways of neuropsychiatric side effects of prescribed glucocorticoids are clearly needed.
Prednisone side effects
Across 15 first-hand reports, people mentioned a side effect 9 times (about 60 per 100 reports). The most common: mania, side effects, agitation. User reports show what people notice — they can't tell you whether Prednisone is safe for you.
Reported side effects
mania2
side effects1
agitation1
insomnia1
weight gain1
muscle wasting1
muscle weakness1
suppression1
In their own words
“It was probably the best I have ever felt because I actually had energy for once.”
“When I was really sick I was on prednisone and opioids and my T levels got to 190ng/dL.”
“I have a prescription for prednisone, so I took 40 mg. I was beaming with energy all day”
Is Prednisone safe? What the research covers
AResearch: Strong608 meta-analyses · 3,012 randomized trials on PubMed
J Clin Endocrinol Metab · 2024
Neuropsychiatric Adverse Effects of Synthetic Glucocorticoids: A Systematic Review and Meta-AnalysisJ Allergy Clin Immunol Pract · 2024
Efficacy and Safety of Systemic Corticosteroids for Urticaria: A Systematic Review and Meta-Analysis of Randomized Clinical TrialsConclusion: Systemic corticosteroids for acute urticaria or chronic urticaria exacerbations likely improve urticaria, depending on antihistamine responsiveness, but also likely increase adverse effects in approximately 15% more.