Side effect of prednisone?

Hi there. Quick question.
I know that insomnia is a side effect of prednisone, but I haven't really experienced that before (I don't think). But recently, I've been waking up randomly in the middle of the night. I'm exhausted at bedtime and fall asleep no problem, but then around 2 or 4 am I'm suddenly awake. Is that what insomnia is? I've also been having really weird dreams (almost like fever dreams). I'm wondering if this could be from the prednisone (though I just went down to 25 mg) or if its unlikely that its related.

Thanks!

Because it can have an energy effect like speed, it can prevent some people from falling asleep, or make other sleep lighter, or wake up during the night. When sleeping lighter being more aware of dreams is common. Dream content is often related to anxiety. Pred does increase anxiety for many, so it could explain "fever" dreams.

It is hard to speculate on what might be actual pred effects in your specific case. If sleep quality continues to be poor after you taper is done, then revisit the issue.

I have the same thing happen to me on pred. Exhausted and able fall asleep without issue, but would wake some time between 2-4 am and then couldn't get back to sleep. I found taking melatonin helped me stay asleep longer, but until I get below 10 mg, restful sleep is quite elusive!