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Indocin vs. Prednisone

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Indocin (indomethacin) and prednisone are both prescription medications used to treat inflammation, but they belong to different drug classes and work in different ways. Indocin is a nonsteroidal anti-inflammatory drug (NSAID) that helps reduce inflammation and pain by blocking proteins called cyclooxygenase (COX). It's available as a tablet, liquid, and rectal suppository, which can be a good option if you have trouble swallowing pills. Prednisone, on the other hand, is a corticosteroid that mimics a natural hormone in your body to calm down your immune response. It's taken orally and is available in various forms, including tablets and liquid. While Indocin is typically used for arthritis and shoulder pain, prednisone treats a wider range of conditions, including allergies, skin conditions, and certain cancers. Both medications have serious side effects, but prednisone can also cause long-term issues like weakened bones and a higher risk of infections if used for a long time. Indocin is not recommended during pregnancy, especially after 20 weeks, while prednisone requires careful monitoring if you're pregnant or planning to become pregnant.

Indomethacin

(Indocin)

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Prednisone

 

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Summary for Indocin

Prescription only

Indomethacin (Indocin) is an NSAID that's used to treat different types of arthritis, including arthritis related to gout. It's also used to treat conditions that cause shoulder pain. This medication can be used in people 15 years of age and older; it hasn't been studied in younger children. The oral form of indomethacin (Indocin) is available as capsules (both immediate-release and extended-release) and a liquid. The dosage for immediate-release formulations is typically 2 to 4 times a day, and the dosage for extended-release capsules is once a day. Common side effects include headache, dizziness, and stomach upset.

Indications for Indocin

Pros and Cons for Indocin

Pros

  • Can relieve pain and swelling
  • Available in fast-acting formulations and a longer-acting, extended-release capsule
  • Dose can be adjusted by your provider if needed
  • Liquid version is a good option for people who have trouble swallowing pills

Cons

  • Might not be the best option for long-term use because of safety risks
  • Most forms are taken 2 to 4 times a day
  • Not a good choice if you have kidney or liver problems
  • Can raise your risk of blood clots, heart attack, or stroke (similar to other NSAIDs)

Common Side Effects for Indocin

Note: Side effects listed here are for immediate-release indomethacin. Side effects for extended-release capsules might differ.

  • Headache (12%)
  • Nausea (up to 9%)
  • Upset stomach (up to 9%)
  • Dizziness (up to 9%)

Warnings for Indocin

  • Stomach bleeding and ulcers
  • Heart attack and stroke
  • High blood pressure and heart failure
  • Liver problems
  • Kidney damage and high potassium levels
  • Severe allergic reactions
  • Severe asthma attack
  • Worsening of nervous system and mental health problems
  • Harm to unborn babies

Summary for Prednisone

Prescription only

Prednisone is an oral corticosteroid. It's taken by mouth by adults and children to treat health conditions related to an overactive immune system or inflammation, such as allergies and certain skin conditions. Your healthcare team will determine your dose based on what medical condition you have. Some of the common short-term side effects of prednisone include stomach irritation and mood changes. And if you take this medication for a month or longer, you're more likely to experience long-term side effects, like weight gain and weakened immune system.

Indications for Prednisone

This medication is used for many different conditions. Generally, it's used for autoimmune problems, conditions related to swelling, or cancer. Some examples include:

Pros and Cons for Prednisone

Pros

  • Works well to treat many different conditions involving the immune system
  • Available as a liquid, which is a good option for people who have difficulty swallowing pills
  • Available as a lower-cost generic
  • Dose can be adjusted based on your response to the medication

Cons

  • Can cause side effects like upset stomach, mood changes, and sleep problems
  • Need to taper your dose before stopping (if you took it for more than a couple of weeks)
  • Might raise your risk for infections, bone weakening, and skin problems if used long term
  • Can slow growth in children if they take it for a long period of time

Common Side Effects for Prednisone

  • Swelling (e.g., puffiness in the face, hands, or feet)
  • Stomach bloating
  • Muscle weakness
  • Headache
  • Insomnia (trouble sleeping)
  • Changes in your mood
  • Larger appetite (possibly leading to weight gain)
  • Higher blood sugar

Warnings for Prednisone

  • Greater risk of infections
  • Mood and behavior changes
  • Reduced adrenal gland function
  • Changes in heart and kidney function
  • Stomach problems
  • Bone problems with long-term use
  • Eye problems with long-term use

Prices with our coupons for Indocin vs. Prednisone

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Indomethacin1 vial / 1mg
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Prednisone10 tablets / 20mg
$8.95-
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