Yes, prednisone can cause insomnia in some people. This side effect is more likely to occur at higher doses or with prolonged use.
Understanding the Link
Prednisone, a corticosteroid, affects many bodily functions. One such effect is the disruption of your sleep-wake cycle. It can increase alertness and energy, making it harder to fall asleep or stay asleep. This is often noticed most strongly in the early stages of treatment or after a dose increase. However, individual responses vary greatly.
What to Do if Prednisone Causes Insomnia
If you experience insomnia while taking prednisone, discuss it with your doctor. They may adjust your dosage, switch you to a different medication, or prescribe a sleep aid to manage the side effect. Meanwhile, consider implementing good sleep hygiene practices: maintain a regular sleep schedule, create a relaxing bedtime routine, ensure your bedroom is dark, quiet, and cool, and avoid caffeine and alcohol before bed. Regular exercise can also be beneficial, but avoid strenuous workouts close to bedtime. These strategies often help mitigate sleep difficulties even if a medication is causing problems.
When to Seek Immediate Medical Attention
While insomnia is a common side effect, severe sleep disruption warranting immediate medical attention can accompany other symptoms. If you experience significant distress, persistent insomnia despite implementing these strategies, or any other concerning side effects along with insomnia, contact your doctor promptly. This is crucial for managing your health effectively while taking prednisone.


