What to do if you forget your medication

Oops! It happens to the best of us. We all miss our medications sometimes. But missing a steroid dose doesn't mean disaster, so there is no need to panic. Here's a simple step-by-step plan to get back on track and stay healthy.

 

1.  Take the missed dose if you remember on the same day

If you realize you missed your steroid dose and it’s still the same day, take it as soon as you remember. Just be careful: if it's close to bedtime, a late steroid dose might disrupt your sleep. If possible, take it earlier in the day and always with food if that's your usual instruction.

2.  If it’s almost time for your next dose, skip it

If it’s almost time for your next dose, consider moving that next dose up (i.e., taking it now) and then getting back on your regular schedule the following day. If possible, please consult your doctor.

3.  Resume your usual schedule

After handling the missed dose, whether you took it late or skipped it, go back to your normal schedule. No complicated adjustments are needed.

4.  Special note for short courses and taper packs

If you’re on a short "burst" course (like 5 days) or using a tapering pack, follow the specific instructions your doctor gave you. Sometimes, timing matters more in these cases. If unsure, call your healthcare provider for guidance.

5.  What if you vomit after taking a dose?

If you vomit within about 30 minutes of taking your steroid, it's usually treated like a missed dose. Try to take the dose again once you feel better. If vomiting continues, call your doctor; you might need another plan.

 

Watch for a return of symptoms

After missing a steroid dose, pay attention to whether your original symptoms (like joint pain, breathing problems, or inflammation) return. A single missed dose usually won't cause major problems, but be cautious.

 

Watch for signs of adrenal insufficiency

If you've been on steroids for many weeks or months, missing doses can sometimes lead to symptoms of adrenal insufficiency. Watch for:

  • Severe tiredness
  • Dizziness or faintness
  • Nausea or vomiting
  • Loss of appetite
  • Muscle aches

These symptoms are rare after a single missed dose but should be taken seriously if they occur.

 

When to call your doctor

Reach out if:

  • You miss more than one dose
  • You feel very unwell (severe fatigue, fainting, vomiting)
  • Your original condition flares up badly
  • You’re unsure what to do, especially if using a taper pack
  • You’re on steroids for adrenal insufficiency (like Addison’s disease)

Key takeaways

  • Take the missed dose if you remember the same day
  • Skip it if it’s close to your next scheduled dose
  • Never double up doses
  • Monitor yourself for symptoms
  • Ask for help if unsure or unwell

Missing a steroid dose isn't usually an emergency, but knowing how to respond can keep you safe and well. Always check with your healthcare provider if you have any doubts.

For more information about steroids, check out our recent article 9 things every steroid patient should know.