For patients
Glucocorticoids
prednisone, prednisolone, steroids, corticosteroids
Are you a clinician? See the clinical version of this page.
The short versionSteroids like prednisone can be used in pregnancy at the lowest dose that controls your disease, and are useful for flares. Higher or longer courses carry more risk, so your team aims to keep the dose low. They are considered compatible with breastfeeding.
- The aim is the lowest dose that keeps you well.
Through your pregnancy journey
Use if needed
Before pregnancy
Used at the lowest helpful dose; your team may try to reduce it before pregnancy.
Use if needed
First trimester
Can be used for control or flares at the lowest helpful dose.
Use if needed
Second & third trimester
Can be used, with monitoring for blood pressure and blood sugar.
Continue
Breastfeeding
Considered compatible with breastfeeding. With high doses, some teams suggest a short wait before the next feed.
Continue
For fathers-to-be
Considered compatible for fathers-to-be.
iThis page helps you prepare a conversation with your care team. It does not replace individual medical advice. Always confirm your own plan with your rheumatology and pregnancy team.
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When to call your team
- Do not stop steroids suddenly on your own; they are tapered.
- Tell your team about swelling, severe headaches, or high blood sugar readings.