The continued use of such serious drugs as Prednisone, containing hormones – glucocorticosteroids, inevitably affects the work of many systems and organs.
In addition to the expected therapeutic effect (anti-inflammatory, antiallergic, etc.), glucocorticosteroids often:
- increase the breakdown of proteins, reducing their synthesis (stimulate catabolism),
- increase appetite (therefore, patients often have a common body weight increase),
- cause excessive fluid retention, as well as sodium (up to the appearance of edema),
- contribute to the breakdown of fats followed by their uneven deposition in the patient’s body,
- increase the production of gastric juice,
- increase glucose, while at the same time lowering its natural utilization by the tissues of the body,
- contribute to the loss of calcium,
- raise the blood pressure,
- reduce immunity, leading to increased susceptibility to infections.
Moreover, all these changes in fat, water-salt, protein, and carbohydrate metabolism develop even with the appointment of low daily dosages of corticosteroid drugs. After the completion of pharmacotherapy with hormones, most of these effects disappear.
An experienced doctor, as a rule, informs his or her patients about all possible negative consequences of hormonal treatment and advises to modify dietary habits. Correction of nutrition helps to influence undesirable therapeutic actions of glucocorticosteroids.
Adequate dietary support for prolonged glucocorticosteroid therapy implies:
- increase in the quota of proteins (it is determined by the weight of each individual patient, the intake of 1.0-1.5 g of protein per kg of patient per day is considered optimal) due to the daily consumption of low-fat meat, poultry, non-fish seafood, cottage cheese, fish, egg protein, soy products,
- reduction of energy-intensive products with a high content of simple sugars (confectionery, sweets, chocolate, buns, bananas, semolina, etc.), as well as fats up to 1 g per kg (cooking fats, creams, pork, goose, lamb, duck, hard margarines, etc.),
- compliance with the restrictive diurnal liquid regimen (permissible use of only 1-1.5 liters),
- decrease in the intake of edible salt to 3 g per day or its replacement by sodium free salt (it is sold in special stores or pharmacies),
- reduction of food rich in sodium (pickles, smoked products, etc.),
- restriction of the source products of oxalic acid, reducing the absorption of calcium (parsley, sorrel, spinach, figs, etc.),
- increase in the number of products containing potassium (dried fruits, apples, apricots, potatoes, pumpkin, etc.),
- intake of food containing calcium salts (dairy products, broccoli, sesame, canned fish with soft or edible bones, etc.),
- exclusion or at least a substantial restriction of any food that increases the production of gastric juice (parsley, garlic, liver, green and onions, mushrooms, radish, rhubarb, turnip, radish, marinades, cocoa, citrus, cranberries, coffee, strong teas and etc.),
- exclusion of any fried foods,
- reduction of products-potential allergens (strawberries, chocolate, citrus fruits, whole milk, nuts, honey, etc.),
- enrichment with fortified foods (juices, vegetable oils, etc.),
- introduction to food nutrition with an indirect anti-inflammatory effect and tannins (quince, blueberry, persimmon, dogwood, bird cherry, etc.) to enhance the protection of the gastric mucosa.
In addition, when choosing a food for patients taking hormones, the pathology itself must be taken into account, for which such a serious treatment is carried out. Such a diet should be observed when taking any drug with Prednisone, which can be bought at a pharmacy.