My GI doc wants me to start taking prednisone (20 mg for now) and after reading up on potential side effects I'm a bit concerned about the mental health aspect. I am currently taking Zoloft (75 mg) for depression and anxiety (though the anxiety is largely unaffected by the Zoloft). Given that prednisone can cause depression/anxiety in folks not otherwise afflicted, how concerned should I be about the impact of prednisone on my mental health? I know that 20 mg isn't a very high dose, but I figure it's good to ask since I don't know what dose I may take in the future. I'll be sure to mention the prednisone to the nurse who prescribes my depression meds, but is there anything else I should do?
Also, I have a problem with compulsive skin-picking (sometimes considered an OCD spectrum disorder) that is worse when my skin breaks out. If I didn't have much acne as a teenager, should I expect to get a lot of acne from prednisone? I've been doing a lot better lately and I don't want to backslide.
Diagnosed with left-sided UC June 2007
Asacol 400 mg 9/day
Zoloft 75 mg
Iron, Multivitamin, & Probiotic Yogurt (when I remember)