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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Prednisone Aggravate Osteopenia?

I have osteopenia and RA and for 6 mths. taken 2 rounds of step down prednisone starting w 30mg and then just stayed on low dose. I'm transitioning again from one RA med (Actemra to Xeljanz) without any prednisone and in pain big time. If I take low dose Prednisone say 5mg again, am I in any danger osteopenia getting worse?
Wed, 19 Jul 2017
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General & Family Physician,  's  Response
Hi,
Thanks for the query. I understand your concern.
Small dose steroids over a long period is likely to cause osteoporosis &osteopenia.
But regular exercises like walking helps osteogenesis . Periodic check up &investigations to assess bone health.. ( Bone mineral density test/vitsmin D ).&in time replacement of deficiencies....can avoid it....
Thanks.
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Does Prednisone Aggravate Osteopenia?

Hi, Thanks for the query. I understand your concern. Small dose steroids over a long period is likely to cause osteoporosis &osteopenia. But regular exercises like walking helps osteogenesis . Periodic check up &investigations to assess bone health.. ( Bone mineral density test/vitsmin D ).&in time replacement of deficiencies....can avoid it.... Thanks.