Posted 1/2/2014 12:03 AM (GMT 0)
Hi Stef,
When I was on pred and complained of the weight gain and the moon face, a fellow Crohnie told me that what is more important now is controlling your symptoms and not your appearance. I can relate to how you feel when you look at your face in the mirror. Still, those side effects won't last long. Budesonide is supposed to kick in quickly and the moon face would disappear shortly after. As for the weight gain which was 17 kgs in 1 year and a half those I lost very slowly. Actually, I didn't lose them all like 10 kilos but I still look slender. I tried hard to go on diet to lose them but the fat I couldn't lose; however, a lovely stomach flare up forced me to lose them. So, don't worry.
As for the mood change and insomnia, I used to take Xanax 0.25 when I was on pred. For budesonide, I learnt to take it before bedtime along w Imuran; hence, I don't suffer from either insomnia or nausea.
The side effects that really worried me were high blood pressure and eye dryness. After discontinuing pred, my BP fell down to 120/80 and sometimes 130/90 but my GI says he won't give me meds for this. The cause is the prolonged use of Entocort. This is my 2nd year on budesonide but I'm trying to taper it very very slowly.
Good luck :)