Is hyperthermia a side effect of Prednisone (corticosteroid)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 14, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Feeling hot is a common side effect of prednisone, and it can be managed by staying in cooler environments, wearing lightweight clothing, and staying well-hydrated 1. This occurs because prednisone, a corticosteroid medication, can affect your body's temperature regulation mechanisms. The medication can increase your metabolic rate and alter blood vessel dilation, which may cause you to feel warmer than usual. To manage this sensation, you can try:

  • Staying in cooler environments
  • Wearing lightweight clothing
  • Using fans or air conditioning
  • Staying well-hydrated
  • Avoiding hot beverages, spicy foods, and alcohol If you're taking prednisone as prescribed and this side effect becomes bothersome, don't stop the medication abruptly, as this can be dangerous. Instead, consult your healthcare provider, who might adjust your dosage or recommend taking the medication at a different time of day. The hot sensation typically subsides once your body adjusts to the medication or after you complete your prescribed course of treatment. It's also important to note that long-term use of prednisone can lead to more severe side effects, such as osteoporosis, hypertension, and diabetes, which should be closely monitored by your healthcare provider 1. Regular monitoring for potential corticosteroid side effects, including hypertension, hyperglycemia, and osteoporosis, is crucial to minimize the risk of complications 1.

From the FDA Drug Label

Dermatologic acne, acneiform eruptions, allergic dermatitis, alopecia, angioedema, angioneurotic edema, atrophy and thinning of skin, dry scaly skin, ecchymoses and petechiae (bruising), erythema, facial edema, hirsutism, impaired wound healing, increased sweating, Karposi’s sarcoma (see PRECAUTIONS: General Precautions), lupus erythematosus-like lesions, perineal irritation, purpura, rash, striae, subcutaneous fat atrophy, suppression of reactions to skin tests, striae, telangiectasis, thin fragile skin, thinning scalp hair, urticaria

The side effect of feeling hot is not directly mentioned in the drug label, but increased sweating is listed as a possible adverse reaction. This could be related to feeling hot, but it is not a direct answer to the question. 2

From the Research

Side Effects of Prednisone

  • Feeling hot is not a commonly reported side effect of prednisone in the provided studies 3, 4, 5, 6, 7

Related Side Effects

  • Digestive disturbances, such as indigestion and heartburn, are common side effects of prednisone, but can be reduced with the use of antacids 5
  • Long-term use of prednisone can lead to osteoporosis, particularly in patients who do not receive preventive treatment 4, 6
  • Other side effects of prednisone may include weight gain, mood changes, and increased risk of fractures 3, 6, 7

Management of Side Effects

  • The use of antacids can help reduce the frequency and severity of digestive symptoms during prednisone administration 5
  • Preventive treatment for osteoporosis, such as calcium, vitamin D, and bisphosphonates, can help reduce the risk of bone loss in patients taking prednisone 3, 4, 6

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Are changes in bone mineral density different between groups of early rheumatoid arthritis patients treated according to a tight control strategy with or without prednisone if osteoporosis prophylaxis is applied?

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2013

Research

Prednisone-induced osteoporosis: an overlooked and undertreated adverse effect.

The Journal of the American Osteopathic Association, 2006

Research

The effects of medications on bone.

The Journal of the American Academy of Orthopaedic Surgeons, 2007

Research

Effects of paracetamol, non-steroidal anti-inflammatory drugs, acetylsalicylic acid, and opioids on bone mineral density and risk of fracture: results of the Danish Osteoporosis Prevention Study (DOPS).

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2012

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.