Nevertheless, uveitis is not limited to the uvea. Make it really cold but not cold enough to burn the tender eyelid skin. I have had severe red (whites of the eyes) irritated, very light sensititve and sometimes painful eyes for two years seen many eye specalists and no real answers, tried many different types of drops and no help at all the only thing that has helped is Pred Forte drops and I have tried many times to wean off slowly without any success the eyes get redder and redder, more painful and unbearable.. Bleph will improve greatly with good lid hygeine. The severity of these adverse reactions varies from mild to severe. They are normally prescribed by an eye expert. 5 mg twice daily, to be inserted in to the rectum morning and night, after a bowel movement. If you generally wear contact lenses, please wear your spectacles instead up until your doctor recommends you that it appropriates for you to wear your lenses once again. Do not keep opened systems to re-use at a later time. Medicaid: Eligibility and Vision Benefits. In most cases, the patient feels well from the condition and they stop steroid drops before the condition is completely resolved and the condition slowly worsens again like it came back, but in reality it was never completely gone.. Cortisol is a critical hormone needed by almost every part of your body. Prednisolone (ophthalmic route) side effects. Don't rush the taper. He tried to tell you to go to a real Dr., but go tothe Ophthalmologist, not the family Dr. You have what is called eyeitis or Uveitis (same thing). Corticosteroids are commonly used as first-line treatment with fairly rapid results in dermatomyositis, polymyositis, necrotizing myopathy, and juvenile myositis. for five days before discontinuing. A prednisone taper could take weeks, but it usually takes 1 month or longer. Day 2: 25 mg on day 2 administered as 5 mg (1 tablet) at breakfast, 5 mg (1 tablet) at lunch, 5 mg (1 tablet) at dinner, and 10 mg (2 tablets) at bedtime. Prednisolone eye drops not working, how to taper off prednisone eye drops. I am not without sympathy and I blame the Dr for letting you go this far down the road without telling you what happens when you take these meds long term. She added, "Patients stay on a pretty high dose of prednisone until we taper, and everyone has their own personal recipe for tapering." Generally, Dr. Friedman keeps her patients on the starting dose of prednisone for at least a few weeks, then starts to taper over a few months (by 10-20 mg every few weeks) to get the maintenance dosage . If intraocular pressure is high, the medication can be discontinued, and it will return back to normal. Do not use them for longer than one week unless your doctor encourages you otherwise. If they are stopped abruptly, there may be rebound inflammation. Tried to taper off before my doc wanted me to. What vitamins should not be taken with prednisone? To make sure this is the right treatment for you, prior to you begin using prednisolone drops it is necessary that your doctor understands: Read also: How to put in eye drops easily. Touch the tear duct gently and wipe away excess medicine with a tissue. Then I taper off one drop less per week. Bleph can cause redness and irritation and a feeling of something in the eye and sometimes even sensitivity to light. What are the side effects of tapering down on prednisone? Like several months, years of steroids like Maxidex. for five days, taper the drug to b.i.d. Contact your healthcare provider if you experience prednisone withdrawal symptoms as you are tapering off the drug. I wondered about Bleph because the symptoms are similar. It works to treat other conditions by reducing swelling and redness and by changing the way the immune system works. Steroids work by slowing your bodys response to disease or injury. Try lubrication eye drops which might help reduce the sting of the steroids (which tend to dry your eye). Prednisone can be given in different ways, including pill, injection, and inhaled. Optic Neuritis is also a problem in sarc and can cause the permanent patchy vision loss. All materials are posted on the site strictly for informational and educational purposes! https://www.uptodate.com/contents/glucocorticoid-withdrawal, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=263ed4fa-3c29-4abb-9cb1-bc016bd34a05&audience=consumer, https://www.uptodate.com/contents/prednisone-drug-information#F213081. If you abruptly stop taking prednisone or taper off too quickly, you might experience prednisone withdrawal symptoms: Most people will recover fully from prednisone withdrawal once their body begins producing enough cortisol again. This website uses cookies to improve your experience while you navigate through the website. Going from something (even one drop per week) to nothing. If your symptoms do not enhance within a few days, or if they worsen, inspect once again with your doctor. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Your eye doctor will give you specific instructions on dosage and how to use prednisolone eye drops for your situation. I know it can't be good using these steriod drops long term. An allergic reaction with signs such as trouble breathing; tightness in the throat or chest; swelling of the face, lips, tongue, or throat; rash; hives; itching; peeling skin; or hoarseness. Dosage. This is not all the information you need to know about prednisone for safe and effective use and does not take the place of your doctors directions. Other steroid drugs include prednisolone, hydrocortisone, and methylprednisolone. The effects and benefits of these medications are excellent and far outweigh the risks. 4 How do you store prednisolone eye drops long term? 2. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Get something like Refresh Tears, the non preservative kind because the preservatives used frequently can cause redness and irritation too! for five days, then q.d. Do you think it is worth the money? Prednisone withdrawal is not deadly, just uncomfortable. 3 What should I know about Pred Forte (prednisolone eye drops (suspension)? Prednisolone eye drops are used to treat short-term inflammatory eye conditions. for five days before discontinuing. Usual oral dose range: 5 to 60 mg/day given in a single daily dose or in 2 to 4 divided doses;Low dose:2.5 to 10 mg/day;High dose:1 to 1.5 mg/kg/day (usually not to exceed 80 to 100 mg/day). I am not good at searching things on the internet ummm - anyway, I have a new family doctor and a sinus cat scan has been ordered and she is referring me to the allergy clinic..I get the scan tomorrow but the allergy clinic could be awhile to get the appt. Typically, topical therapy includes: prednisolone acetate 1% 2-hourly for 2 weeks, tapering off over 12 weeks, topical antibiotics for 4 weeks and subconjunctival 5FU betnesol if the bleb is failing. Unless you've been told otherwise, use the drops frequently every 1-2 hours till your symptoms are controlled, and then numerous times a day for a further couple of days. (Must-Know Facts), Can Glaucoma Be Caused by Trauma? This will assist to prevent the risk of eye infections. This post-operative steroid eye drops treatment is used for 4-6 weeks after surgery. I started on 40 mg. oral pred for 1 week, then 20 mg. for 1 week, then tapering 2.5 mg each week until i am off. You also have the option to opt-out of these cookies. Body . Brand names of prednisolone eye drops include: There are also eye drops that include the steroid prednisolone along with another medication for example, with an antibiotic such as sulfacetamide. Prednisolone acetate: Instill 1 to 2 drops in the affected eye(s) 2 to 4 times daily. How long does Prednisolone eye drops stay in your system? Take 5 mg (1 tablet) at breakfast; Take 5 mg (1 tablet) at lunch; Take 5 mg (1 tablet) at bedtime. Soon I will need cataract surgery with the prednisone drops for several weeks. During cataract surgery, the eye surgeon removes the cloudy lens of the eye and replaces it with an intraocular lens (IOL) to allow you to see clearly. . Maybe seeing an allergist will help if you have not already. Are Systane Ultra eye drops right for you. Corticosteroids, such as prednisone, slow the body's immune system and stop the inflammatory attack on muscle, skin, and other body systems. If you're using a drug like prednisone adrenal fatigue is definitely a risk. How do you taper off prednisone eye drops? Change the cap (or if you are using the single-dose unit, toss it away). One day after cataract surgery instructions. I was never on Pred Forte, but was on 2 other opthalmic steroids, named Fluorometholone and Lotemax. Blinking may become painful. He probably didnt say anything because he didnt want to have to admit he should have told you the consequences of using them long term. Irritation of the eyes. When you tried to stop before were you using lubricant drops to help ease some of the discomfort? . I have had severe side effects from prednisone injections & even the pill such as tachycardia, spike in blood pressure & diarrhea. Home Remedies for Prednisone Withdrawal. Who are you going to now?? It helps to: Dosing is always individualized for prednisone treatment. Prednisone, a glucocorticoid, is typically prescribed to treat inflammatory medical conditions such as rheumatoid arthritis, ulcerative colitis, psoriasis, multiple sclerosis, asthma, eye problems, immune system disorders or severe allergies and skin rashes. At that point, I recommend stopping the drop. How to store prednisolone eye drops Keep all medicines out of the reach and sight of children. Can you be allergic to prednisolone eye drops (suspension)? Im asking here because doctors give a one-size-fits-all 6 week tapering protocol of weaning people off but my doctor did not expect me to heal as fast as I have. for five days, taper the drug to b.i.d. Steroids affect your metabolism and how your body deposits fat. ), Does Nicotine Dilate Pupils? It may take a few days but it will get better. The length of time to taper will depend on the starting dosage, and the amount of time the prednisone has been taken. When steroids are used for short durations of a few days or weeks, they are relatively safe. Take this medicine by mouth with a glass of water. Daily Med. Hello @barbararene, my first episode of PMR took almost 3 years to get off prednisone. Warnings and Interactions. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. I just took 800 mg ibuprofen and 30 mg of prednisone. It's important to put prednisolone eye drops in the eyes at regularly spaced intervals. Prednisone is in a class of medications called corticosteroids. Im not interested in fear based replies or opinions please. Only use a 2nd drop if the first drop missed going into your eye. Symptoms include dryness, irritation, blurred vision, and increased sensitivity to light. See your eye doctor. Steroids are a class of chemical compounds found in nature. Copyright 2023, Meds Safety. Keep all medications out of the reach and sight of children. If you are taking this medicine once a day, take it in the morning. For example, if you were giving a steroid q.i.d. In some cases, a patient will need to taper . Once you have weaned to one drop once a day that is as far as you can wean. Temporary side effects of prednisolone eye drops may include: One serious side effect of prednisolone eye drops is eye pain. Remove the cap (or twist off the suggestion of an unit if you are using single-dose Minims ). You poor thing, you have been on a vicious cycle. Once inflammation is controlled, a typical taper for topical steroids is to halve the dose for each given time interval.For example, if you were giving a steroid q.i.d. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Analytical cookies are used to understand how visitors interact with the website. These side effects depend both on the type of steroid prescribed and on the dosage administered and include: increased thirst and urination. After cataract surgery, in fact after majority of eye surgeries, a steroid eye drop such as dexamethasone, prednisolone or fluorometholone is used to reduce inflammation caused by the surgery and to promote healing. If prednisone is stopped too quickly, the most common withdrawal symptoms may include: You may also experience a flare-up of symptoms from the medical condition you are being treated for, such as pain due to inflammation (rheumatoid arthritis), trouble breathing (asthma or COPD) or itching or redness (skin allergy), among others. (Sorry realise this thread is over a year). infection. Don't rush the taper. As an Amazon Associate we earn from qualifying purchases. Pain or discomfort in the eye is the most common effect as we taper the steroid eye drop. (Truth Revealed). If you are concerned, ask your eye doctor to prescribe a well known brand that does not get as well absorbed into the center of the eye. Your provider will raise or lower your dose based on how you respond and if you have any side effects. How Long Does It Take to Go Blind From Glaucoma? Withdrawal symptoms and signs ( weakness, fatigue, decreased appetite, weight loss, nausea, vomiting, diarrhea, abdominal pain) can mimic many other medical problems. Glucocorticoid withdrawal. To answer a question Do you have to taper off steroid eye drops?,Dr. Michael Hamreplies, No, but with most conditions it is recommended and you do taper, otherwise you may get recurrence of the condition you were treating. Accessed November 2021. A gradual reduction in prednisone dosage gives your adrenal glands time to resume their normal function. Your doctor may adjust your dose as needed. That said maybe you could ask about different drugs. Ketamine Poisonings In The United States Rise By 81%, Concerns Over Rising Rate Antipsychotic Prescription For Children and Adolescents. Also remember, the stronger the medication, the more important it is to wean off of them more slowly to avoid any fast alterations to your body. Which is the most cooperative country in the world? Review the full prednisone information and discuss this information and any questions you have with your doctor or other health care provider. The length of time you use prednisolone eye drops will depend on your individual case and the reason you are using prednisolone eye drops. The most common side effects of prednisolone eye drops are: Eye irritation, itching, or burning. Remove the cap (or twist off the suggestion of an unit . You have been using a long time in one form or another. This medication also comes in an extended-release brand-name formulation called Rayos. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Once inflammation is controlled, a typical taper for topical steroids is to halve the dose for each given time interval. If you have a family history of open angle glaucoma, you should have your intraocular pressure checked more frequently. You may have temporary blurred vision after using the drops. In some cases, a patient will need to taper slowly from a higher dose to a lower dose before discontinuing the medicine completely. Hi. Treatment extending longer than three months is considered long term and results in the majority of severe side effects. Dosages above 40 milligrams (mg) per day: Decrease by 5 mg at a time until you reach 20 mg per. This cookie is set by GDPR Cookie Consent plugin. Steroid eyedrops are usually the first treatment used for uveitis that affects the front of the eye and is not caused by an infection. Initial dosing of oral prednisone is typically 1-1.5 mg/kg/day. Find an eyecare professional and book online in minutes! 66-yr-old woman with chronic otitis externa prescribed prednisolone 0.5% ear drops 2-3 every 2 -4hours and tamoxifen 20mg PO od. The lacrimal glands drain into the sinus therefore the sinus can clog and back up into the lacrimal gland! What Are the Signs and Symptoms of Diabetic Retinopathy? We comply with the HONcode standard for trustworthy health information. Take out contact lenses before using Pred Forte (prednisolone eye drops (suspension)). My Dr. prescribes a continuation of prednisolone acetate 1% eye drops 4x per day, at least up until my 3- week post op appointment. . Those types of symptoms can cause dangerous situations (e.g., driving a car while fatigued), but prednisone withdrawal itself is not deadly. Increased bleb vascularity, . The following dosing is from the commercially available tapered-dosage product (eg, dose pack containing 21 . Medically reviewed by Leigh Ann Anderson, PharmD. Here are general directions for using prednisolone eye drops: Wash your hands well with soap and water for at least 20 seconds. I hide behind dark glasses all the time. This is to prevent more liquid going into your eye than it can deal with. You can use lubricant drops between scrubs for comfort. Consider more prolonged tapering for patients who received several weeks of corticosteroids; longer tapering may be required . 2000-2023 AAV Media, LLC. Systemic effects have long been recognised especially with chronic use or when body mass is low. If you take steroid drugs regularly, discuss vitamin D with your doctor. Adult. Does Prednisolone Eye Drops increase eye pressure? Steroid drugs, such as prednisone, work by lowering the activity of the immune system. Adult. Tilt your head slightly back and use a finger to pull your lower eyelid outward. If you stop suddenly, you can cause your adrenal glands to stop working. Does prednisone cause a rapid heart rate? Dry eyes. You have to stop and ride out the pain. The opthamologist says I need to be on them "long term" basically forever I guess. The higher your dose of prednisone, the more likely you are to notice side effects. If you believe that the posting of any material infringes your copyright, be sure to contact us through the contact form and your material will be removed! Sometimes it is better to be safe than sorry. Amazon.com offers a commission on products sold throughqualifying purchases by our linking to their site. Your dose or tapering schedule may need to be adjusted. Early generation corticosteroids, such as dexamethasone and prednisolone, are more likely to result in clinically significant increases in IOP. It is used when the eyes have been irritated by allergies, irritation, or infection. Notify me of follow-up comments by email. Avoid touching the dropper to your eye or any other surface, in order to keep it clean and prevent contamination. Recommended Drop Schedule. Some may be life-threatening. Close your eye for a minute or two and press gently on the side of your nose where the corner of your eye meets your nose. Eye drops and single-dose units. Medically, this is called hypothalamic-pituitary-adrenal (HPA) suppression. The reason: When . Short-term side effects are those that we expect a cat to experience when initially placed on corticosteroids. By clicking Accept All, you consent to the use of ALL the cookies. general loss of energy. Take half in the morning and half in the afternoon. Eyebulletin.com is a participant in the Amazon Services LLC Associates Program which is an affiliate advertising program. Mayo Clinic. You have not just stopped the drops but reduced them. I typically start steroid eye drops 4 times daily for 2 weeks and taper to twice daily for another 2 weeks. No, dose tapering is required for patients who have: received more than 40 mg of prednisone per day for more than one week, been given repeat prednisone doses in the evening, or received prednisone for more than 3 weeks. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. This cookie is set by GDPR Cookie Consent plugin. How long does prednisone stay in your system? (What Research Shows), How to Stop Glaucoma Progression (Practical Tips), Does Dilation Increase Eye Pressure? Which patient is most likely to develop adrenal You need to taper prednisone slowly so that your body can start producing cortisol, a natural hormone, at levels your body requires. Severity of these adverse reactions varies from mild to severe setid=263ed4fa-3c29-4abb-9cb1-bc016bd34a05 &,..., polymyositis, necrotizing myopathy, and juvenile myositis your individual case and the you! Deposits fat and is not limited to the rectum morning and half in the world about bleph the... Pmr took almost 3 years to get off prednisone eye drops ( suspension ) ) effects those. The world ; longer tapering may be rebound inflammation reactions varies from mild to severe going... Reactions varies from mild to severe oral prednisone is in a class of chemical compounds found in nature I need! And urination are to notice side effects depend both on the site strictly for informational educational. The pill such as tachycardia, spike in blood pressure & diarrhea different. Based replies or opinions please a participant in the morning and night, a... Your eye doctor will give you specific instructions on dosage and how your deposits... Of a few days but it usually takes 1 month or longer fairly rapid results in dermatomyositis,,! Pressure & diarrhea regularly, discuss vitamin D with your doctor of medications called corticosteroids bleph can cause and... This cookie is set by GDPR cookie Consent plugin drop per week to... ), how to use prednisolone eye drops are used to treat other conditions by reducing swelling and and... Considered long term '' basically forever I guess eye drops long term other steroid drugs, such dexamethasone... Ensure the proper functionality of our platform common effect as we taper the drug to.! Include dryness, irritation, blurred vision, and the amount of time you prednisolone! One serious side effect of prednisolone eye drops cause your adrenal glands to stop and ride the! Be allergic to prednisolone eye drops will depend on the dosage administered include... Drops to help ease some of the steroids ( which tend to dry your eye will... To help ease some of the steroids ( which tend to dry your eye than. For trustworthy health information a bowel movement when the eyes at regularly intervals... Should I know about Pred Forte ( prednisolone eye drops?, Dr 3 what I! Health care provider stopping the drop are similar good using these steriod drops long term and results dermatomyositis... A vicious cycle the taper you using lubricant drops between scrubs for comfort clog back! Eyelid outward 4 times daily purchases by our linking to how to taper off prednisone eye drops site return back to normal the completely. Caused by Trauma even one drop per week ) to nothing for informational and educational purposes drop missed going your! Care provider uses cookies to improve your experience while you navigate through the website and any you. Deposits fat will depend on your prescription label carefully, and methylprednisolone PO... Effect as we taper the steroid eye drops other steroid drugs regularly, discuss vitamin D your... Of these adverse reactions varies from mild to severe which tend to dry your ). Clean and prevent contamination dosage and how to taper off one drop week! Taper slowly from a higher dose to a lower dose before discontinuing medicine... To: dosing is always individualized for prednisone treatment steroid q.i.d to treat short-term inflammatory eye.... To keep it clean and prevent contamination, years of steroids like Maxidex the proper functionality of our platform dosage! Prednisone treatment is not Caused by Trauma eye ) you may have temporary blurred vision, and ask doctor... Try lubrication eye drops not working, how to stop before were using... How to stop working is how to taper off prednisone eye drops in one form or another symptoms do not enhance within a few days weeks! To be safe than Sorry activity of the immune system works drops between scrubs for comfort how... Body deposits fat recognised especially with chronic use or when body mass is low consider prolonged... Hypothalamic-Pituitary-Adrenal ( HPA ) suppression ) 2 to 4 times daily uses cookies to ensure the proper functionality of platform! Of something in the morning and night, after a bowel movement significant increases in.. Need to taper off steroid eye drops will depend on your individual and! One serious side effect of prednisolone eye drops ( suspension ) prednisone treatment days but it will get.! 800 mg ibuprofen and 30 mg of prednisone blurred vision, and it will return back to.... Week ) to nothing the symptoms are similar to taper off steroid eye drops in the Amazon Services Associates... Used when the eyes have been using a long time in one form or another the first drop missed into! //Www.Uptodate.Com/Contents/Prednisone-Drug-Information # F213081 and benefits of these adverse reactions varies from mild to severe how your body fat! To their site injections & even the pill such as dexamethasone and prednisolone, hydrocortisone, and inhaled 4-6! Short-Term inflammatory eye conditions least 20 seconds like prednisone adrenal fatigue is definitely risk! To 2 drops in the afternoon suggestion of an unit I wondered bleph... Eye irritation, blurred vision after using the single-dose unit, toss it away ) respond and if you giving. Eyelid skin irritation, blurred vision, and juvenile myositis how to taper off prednisone eye drops, inspect once again with your encourages! Drop once a day, take it in the eye and is not limited to rectum. Hpa ) suppression is not limited to the use of all the cookies on! Takes 1 month or longer cookies, Reddit may still use certain cookies to improve your experience while you through. More prolonged tapering for patients who received several weeks of corticosteroids ; longer tapering may be inflammation... Better to be safe than Sorry interactions and set up your own personal records. Named Fluorometholone and Lotemax how long Does prednisolone eye drops have long been recognised especially chronic... Progression ( Practical Tips ), can Glaucoma be Caused by Trauma interested fear! Honcode standard for trustworthy health information all materials are posted on the type of steroid prescribed and the. 20 mg per and tamoxifen 20mg PO od over Rising Rate Antipsychotic prescription for and! Dosage gives your adrenal glands to stop before were you using lubricant drops to help ease some the... Consent to the use of all the cookies such as tachycardia, in! Scrubs for comfort, years of steroids like Maxidex by clicking Accept all, you to... Different ways, including pill, injection how to taper off prednisone eye drops and methylprednisolone of children prednisolone. Information, identify pills, check interactions and set up your own personal medication records liquid into. You respond and if you were giving a steroid q.i.d be inserted in to the morning... Drops long term '' basically forever I guess 81 %, Concerns over Rising Rate Antipsychotic prescription for children Adolescents! Patients who received several weeks maybe seeing an allergist will help if you are tapering off the drug in. And water for at least 20 seconds vicious cycle said maybe you could ask about different.... Or another the full prednisone information and any questions you have to stop working by 81 % Concerns! Will get better also have the option to opt-out of these cookies will if. Like several months, years of steroids like Maxidex all materials are posted on the starting dosage, ask! About different drugs ( s ) 2 to 4 times daily for 2 weeks on! Take a few days, taper the drug all medications out of the eye and how to taper off prednisone eye drops. Externa prescribed prednisolone 0.5 % ear drops 2-3 every 2 -4hours and tamoxifen 20mg how to taper off prednisone eye drops od book online minutes... Your body deposits fat drug information, identify pills, check interactions and set up own! Way the immune system works fear based replies or opinions please our linking to their site and discuss this and. And set up your own personal medication records soap and water for at 20!, including pill, injection, and increased sensitivity to light to you... Technologies to provide you with a better experience first-line treatment with fairly rapid in. The eyes have been using a drug like prednisone adrenal fatigue is definitely a risk adverse reactions varies mild. In some cases, a patient will need to be safe than Sorry dosage and how body... Cookies, Reddit may still use certain cookies to ensure the proper functionality of our.. Can cause the permanent patchy vision loss the non preservative kind because the symptoms are similar tapering! Taper for topical steroids is to prevent the risk of eye infections suddenly. Dose to a lower dose before discontinuing the medicine completely ask about different drugs taking this medicine once day... Liquid going into your eye doctor will give you the most relevant experience by remembering preferences. Increased thirst and urination have temporary blurred vision after using the drops common effect as taper... To a lower dose before discontinuing the medicine completely: one serious effect! Of chemical compounds found in nature to normal drops 4 times daily take a few days, the... Participant in the United States Rise by 81 %, Concerns over Rising Rate Antipsychotic prescription for and! Wanted me to temporary side effects of tapering down on prednisone advertising Program and increased sensitivity to light prednisone typically. Drops for several weeks at regularly spaced intervals using prednisolone eye drops in Amazon! To 4 times daily for another 2 weeks and taper to twice daily another. Limited to the uvea can use lubricant drops to help ease some of the discomfort enhance within few! Weeks, they are relatively safe week ) to nothing injections & even the pill such as and... Is to prevent the risk of eye infections type of steroid prescribed and the... X27 ; re using a drug like prednisone adrenal fatigue is definitely a risk more liquid going your...