Medicines

Prednisolone

Prednisolone is a steroid. It reduces inflammation and calms the immune system in many conditions, from asthma attacks to arthritis flares.

Type of medicine
Corticosteroid (steroid tablet)
Also known as
Deltacortril
Comes as
tablets, soluble tablets, liquid, eye drops, suppositories, enemas
How you get it
Prescription only

What it is used for

  • Asthma attacks and COPD flare-ups
  • Flares of Crohn's disease and ulcerative colitis
  • Rheumatoid arthritis, polymyalgia rheumatica and giant cell arteritis
  • Severe allergic reactions and skin conditions
  • Lupus, vasculitis and other autoimmune conditions
  • MS relapses
  • Some cancers and after organ transplants

Read our guides:

Off-label uses

Doctors sometimes prescribe a medicine for a condition it is not officially licensed for. This is called off-label use. It is legal and common when there is good evidence it helps, and your doctor should explain why they are suggesting it.

  • Bell's palsy

How it works

Prednisolone is a man-made version of cortisol, a hormone made by your adrenal glands. At higher doses, it strongly reduces inflammation and the activity of the immune system.

Side effects

Like all medicines, Prednisolone can cause side effects, although not everyone gets them. Many are mild and ease after the first few weeks.

Common side effects

  • increased appetite and weight gain
  • trouble sleeping
  • mood changes
  • indigestion
  • raised blood sugar
  • more infections

Tell your doctor or pharmacist if these bother you or do not go away.

Serious side effects

These are rare. Call 111 or contact your doctor straight away if you get:

  • feeling very low, very high or confused, or thoughts of harming yourself
  • signs of a serious infection
  • black or bloody poo, or vomiting blood
  • very high blood sugar, with thirst and needing to pee a lot

Call 999 if you have signs of a serious allergic reaction, such as swelling of your lips, mouth, throat or tongue, or trouble breathing.

You can report any side effect to the Yellow Card scheme, run by the medicines regulator.

Stopping and withdrawal

Important safety information

  • Carry a steroid emergency card if you take it for more than 3 weeks.
  • Long-term use can thin bones, raise blood pressure and blood sugar and cause cataracts.
  • Avoid contact with chickenpox and shingles if you have not had chickenpox.

Questions about your medicine?

A pharmacist can answer questions about your medicines for free, without an appointment. You can also ask your GP for a medication review. Check if you can get free prescriptions.

Official information

Last checked 5 October 2026. Tell us if something looks wrong.

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