Hi, !
There are a lot of factors that should be figured in to a decision like yours. Like, your age, how advanced your RA is, how your body has responded to other RA medications, etc.
So, long term prednisone usage can cause weight gain, thinning skin, increased appetite, mood swings, and especially, bone loss. Bone loss is one of the main reasons doctors try not to encourage long term prednisone usage.
That said, some of our community members have been on prednisone for many years, with minimal side effects. I wanted to share this conversation from our forums on the topic of long term prednisone usage that you may find helpful -- https://rheumatoidarthritis.net/forums/long-term-low-dose-prednisone. I actually just wrote this to another community member tonight, but I always tell our community members that you get to make the decision about your healthcare. In the end, it is your choice. And, as long as you go in to those choices fully informed, you can decide what is best for you and your health. You and your doctor may decide that the benefits of prednisone outweigh the risks.
I hope this helps and I hope other community members chime in here and share their thoughts and experiences with prednisone.
Best, Erin, RheumatoidArthritis.net Team Member.