How can I curb my appetite while on hig dose of Pred.

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Regular Member

Date Joined Dec 2007
Total Posts : 27
   Posted 8/24/2008 8:37 PM (GMT -6)   

I'm on about between 60mg and 40mg of prednisone, any dose above 15mg makes me have the "shakes" and turns me into a hungry hungry hippo. I usually eat/drink healthy(no red meats, many fruits& veg. organics, rarely drinks alcohol & sodas), tho I indulge in candy when stressed.
bdoes any one know of a suppliment or a non- medication I could take to kill my appetite for sure. I don't like the fact I eat more than 3-5 times a day.....although when at home I'll have a bowl of cereal ( either lucky charms or plain cheerios/ no sugar ) if I'm eating after 9pm I suppose thats better than stuffing that danish or donut down my pie hole??? confused

Diagnosis :Lupus (SLE)- Feb.2005.
Meds: (Since 7/2008)
 Prednisone - 40mg taper from 60mg
Tramadol 50mg
Furosemide 40 mg/Klor-con10(potassium?)
Benadryl 25mg(as needed)
Albuterol Inhaler (prescribed after Pnuemonia, might have Pluerisy)
*I've been prescribed other drugs, but I don't like how they make me feel..Sulfalalazine especially!!!
Vitamins: Calcium 500mgs, Vitamin C, E and "Hair, skin & nails" vitamins.

Outlook: keep everything in prespective, take the day as it comes. God won't give you more than you can handle



Veteran Member

Date Joined Jul 2007
Total Posts : 1048
   Posted 8/24/2008 8:51 PM (GMT -6)   
I feel your pain! I am a walking garbage disposal! Prednisone starves me to death. I don't know of any solution or appetitie suppressant. It sounds like you are doing a good job of choosing healthy foods. Wish I could say the same for myself. This is kind of the 'age ole' topic! Our love/hate relationship with the dreaded pred! Wish I had more wisdom to offer. Judy

Veteran Member

Date Joined Feb 2003
Total Posts : 5514
   Posted 8/24/2008 8:57 PM (GMT -6)   
That is the question of the century!!!  If anyone has an answer PLEASE tell us, LOL!
Judy, I like your description of being a walking garbage disposal.  Perfect. 
If I get the munchies, I go straight to the fruit bowl.  An apple will cure my cravings immediately. It's sweet, juicy, and filling. I'd try some fruit.  Nature's candy!!
I can do anything through Jesus Christ who strengthens me. I have learned in whatever state I am in,to be content. Phillipians 4:11-13

34 years old. Diagnosed with lupus in 2000. Fibromyalgia, anti-phospholipid syndrome(APS)(stroke),Sjogren's, Raynaud's, seizure disorder-(miraclulously disappeared!), Libman Sach's Endocarditis, vasculitis, sacroiliitis, arthritis (neck) . Prednisone, Imuran, Coumadin, Clobazam, Amitriptyline, didrocal, Cozaar, calcium, Cykolokapron, multi-vitamin, vitamin D, Magnesium, vitamin B6, Acidophilus

Veteran Member

Date Joined May 2005
Total Posts : 7720
   Posted 8/24/2008 9:21 PM (GMT -6)   
I think a big part of winning this battle is recognizing that it's the prednisone -- that you aren't really hungry!

If I remember that, especially when at the grocery store, and manage to only buy meat/fish/protein, vegetable, and fruit (and light on the fruit), I end up doing much better. I keep my snacks to either nuts, cheese, or vegetables usually.

I find a small protein snack (like 8-10 almonds, or two slices of cheese) helps curb the appetite better than anything!!!
Even more satisfying than that whole bag of donuts! My theory is, if it's not here I can't eat it! (And I don't usually have cravings bad enough to force me back out into the world to satisfy them -- just don't feel well enough to make that worthwhile!)

Lynnwood, Co-Moderator: Lupus Forum
SLE(’00), Sjogren's Syndrome, Raynaud's Syndrome, SAD, Depression, Herpes Simplex 1
Piroxicam, Plaquenil, Prednisone(was 15mg, now 8mg), Cellcept, Xanax, Trazodone, Boniva(3mth shot), Wellbrutrin SR, Valtrex
Links: DIAGNOSING LUPUS (4 of 11), LUPUS INFORMATION, LUPUS RESOURCES, Donate to HealingWell, Drug Interactions

Veteran Member

Date Joined Dec 2006
Total Posts : 2818
   Posted 8/25/2008 3:45 AM (GMT -6)   
I'd tell you my brilliant way of dealing with it but .............I don't have one. I'm usually an atkins person so when I want STEROID FOOD it's usally somthing loaded with carbs which completely wacks out my system. The only thing that I have found that works and others would disagree with of the splenda. is I drink a cup of decafe coffee with a little splenda in it and that seems to help curb the carb jones for awhile. I actually lost 40 lbs that way. Unfortunately I have gained back about 20 of it. What adds insult to injury is the puffiness that the steroids cause that makes you look even heavier. But hey all you can do is the best you can do. Until they can come up with a better drug with less side effects we have to take what is keeping us alive with some thing resembling a half way decent quality of life. The good news is you are tappering and when you get past this point you will be able to get a handle on it. Just try to give yourself a break. Do the best you can and don't beat yourself up for what you aren't able to do. You have enough to worry about right now.
Possible scleroderma.  stage 4 COPD,  Osteoporosis,osteoarthritis
Prednisone,plaquanil400mg,azythromyacin,vicodin 4x5mg,Evista60mg, Effexor 150mg,Xanax 1.0 x3,Singular,nitro spray, spirivia,aciphex,lasix,inderal,pot.chlor.,B12 
I will never leave you nor forsake you!

Regular Member

Date Joined Mar 2008
Total Posts : 110
   Posted 8/25/2008 7:09 AM (GMT -6)   

I have to go with everyone else here. There really is no solution so far. When I was on that high of a dose, I kept stuffing my face with pbj sandwiches and oatmeal cream pies. Those were the only things that curbed my hunger for more than an hour. I gained so much wieght, and my husband yelled at me every time I went into the kitchen and opened the cupboards, I was depresed. Thankfully, though, once the preds were reduced to around 20mg my uncontrollable hunger went down with them as well as my wieght. I actually had an easier time losing wieght then than when my thyroid went bonkers and made me gain 30 pounds.

The only advice I can offer is to be patient (very hard, I know), and try to eat healthy fibrous food. Maybe if you eat a half pbj sandwich to get that quick hunger relief along with some carrots, nuts, apple, or some other food with fiber to work on those hunger pains later. Also, try to find a project that will distract your mind during those hunger times that you actually don't want to eat.

Just remember that you're not alone, and that this will not last forever.

dix: lupus sle Jan. '99, hypo-thyroid Mar. '06
rx: pred. 5mg/day, plaquenil 200mg/day, levothyroxine .112mg/day, premarin .45mg/day, methotrexate 7.5mg/week, folic acid 1mg/day
Also a wife and mother of three.

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