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Prednisone and urinary urgency

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Posted 4/5/2022 5:04 PM (GMT 0)
Since my RA treatment my urinary tract has been great for several months. I recently had a sinus infection and was put on antibiotics and prednisone. That seemed to fix the infection, but then my breathing became tight. Called urgent care and was prescribed a 4 pill round of prednisone again. After the first pill several hours later, I almost didn’t make it to the toilet. Everyday it is coming on strong every hour and I have dripped before I get there on occasion. I have read here that urinary problems could happen down the road after RA. Just curious if this could be the RA or the prednisone. I didn’t have the problem on the first round of meds. Any help would be appreciated. My best to all,
Jack
Posted 4/5/2022 10:27 PM (GMT 0)
i have urinary urgency and it fluctuates for reasons that are beyond me. i can never walk in the front door or turn on the kitchen tap without needing to urinate. it's not like i will pee my pants but the urge is strong
Posted 4/5/2022 11:40 PM (GMT 0)
Ever since my radiation, I've had a greater sense of urgency when it's time to pee. But nothing like you're experiencing--it's just a stronger feeling.

As to prednisone, I was on it in conjunction with zytiga when I was on ADT. I never noticed any urinary issues when I was on it.
Posted 4/6/2022 4:12 AM (GMT 0)
I sometimes have to take prednisone because I'm allergic to the iodine dye often used in imaging. Like any other steroid, prednisone can allow blood sugar to elevate greatly. My blood sugar would go as high as 350, and the medical types would then bring it back down as quickly as possible. Otherwise, the elevated blood sugar would lead to a desperate need to urinate.
The first time I had to do the prednisone prep, I was taken by surprise by the irresistible need to pee. Now I know what needs to be done, and I know how to deal with the problem.
Especially, if you're a Type Two diabetic, prednisone can create the situation you describe. Maybe that's what happened. Just a possibility.
Posted 4/6/2022 12:02 PM (GMT 0)

Be aware, too, of excessive caffeine consumption ...

I brew my own iced tea, in a variety of flavors --- raspberry, lemon, mint, chai, and so forth ---- and caffeine can create urinary urgency.

With my best,
C-Y-C-L-O-N-E ---- # Iowa State University
Posted 4/6/2022 5:31 PM (GMT 0)
Thanks all, my last dose was yesterday and the urgency has stopped today. I called my Uro this morning and was told that high dose, short duration prednisone can cause extreme urgency. So I guess it was the prednisone. Good to know for any future treatment. I was a little worried that it was the starting of a SE from the RA. Thanks again all. You are the best.
Jack
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