How steroids can affect your ability to think clearly
If you’ve been prescribed steroids such as prednisone or prednisolone, you may experience what many refer to as "brain fog."
As the name suggests, this side effect can make it difficult to concentrate or make your mind foggy or fuzzy. Many people report they feel jumbled or that they struggle to remember important details like dates and names. In more severe cases, confusion may extend to difficulty recognizing familiar people, recalling events or even the current date. Although it’s more common to experience mild confusion, these symptoms can vary widely in intensity.
“Confusion, sometimes called brain fog, is one of the most frequently reported steroid side effects.”
Why does this happen?
Steroids can impact brain function because of how they interact with your body's systems, particularly the systems that affect your mood and cognition (understanding). The exact mechanisms aren't yet fully understood, but it’s clear that higher doses or long-term use of steroids may worsen brain fog, confusion and forgetfulness.
The good news is that this side effect is usually temporary. In many cases, symptoms improve once the steroid dosage is reduced or after the treatment course is completed.
What should I do if I experience these symptoms?
If you find yourself struggling to think clearly while taking steroids, make a note of your experience and arrange to talk to your doctor to ask if your dose can be adjusted. Lowering the dose of steroids can help to reduce these side effects and help you feel more clear-headed again.
It’s important to keep a close eye on how your medication is affecting you. Your doctor needs and wants to hear your concerns, so it’s okay to speak up and advocate for yourself. Steroids are incredibly effective at treating many conditions, but understanding and managing their side effects is key to maintaining your quality of life while on these medications.
The bottom line
While confusion and brain fog may be unsettling, they are usually manageable. Keeping an open line of communication with your doctor can help them address these symptoms. And by taking steps to look after yourself and track your symptoms, you can make a positive investment in your mental health and treatment.
Remember, always consult your doctor before making any changes to your medication or lifestyle to ensure the best care for your specific health needs.