Do cortisone shots cause hot flashes? (3+ factors)

In this article, we will explore whether cortisone shots trigger hot flashes as a side effect or not. Furthermore, we’ll explore what research suggests on this, possible mechanisms and contributing factors behind cortisone shots causing hot flashes, other potential side effects of cortisone shots and magagement strategies to minimize or prevent these hot flashes. 

Do cortisone shots cause hot flashes?

Cortisone shots may or may not cause hot flashes. While hot flashes are not listed as a common side effect associated with cortisone shots, corticosteroids including cortisone can potentially affect body’s hormonal balance and these fluctuations in hormones may contribute to symptoms such as mood swings, changes in appetite and in some cases hot flashes due to altered body temperature. (1)

Cortisone shots may also be reffered to as corticosteroid injections. They are commonly used to relieve the symptoms of pain and inflammation from various parts of the body. They are widely prescribed in conditions like rhematoid arthritis, tendonitis and bursitis among others because of their anti inflammatory properties. (1)

It’s crucial to consult with your healthcare professional to determine if cortisone shots are appropriate for your specific condition and to discuss potential risks and benefits based on your medical history. (1)

What does research suggest? 

According to a research study, scientists conducted a clinical trial to determine the adverse reactions related to high doses of cortisone injections for short time period. They also compared the ADRs of steroids among in and out patients thoroughly. (2)

They observed the medical record of around 500 people taking methylprednisolone injections for 1-2 weeks at a dose of 48mg per day. They concluded that 33.0% of the patients among them experienced adverse effects of corticosteroid injections. 26.8% suffered from abdominal discomfort which was most common, 14.7% people got skin rashes, 13.4% experienced skin swelling and only 6.9% of them experienced hot flushes as a side effect. (2)

This study shows that the risk of adverse reactions, particularly with high doses of cortisone shots is significantly high and monitoring must be done thoroughly until 3-4 weeks of administering the shot. (2)

What factors may contribute to hot flashes after cortisone injection? 

While hot flashes are not a commonly reported side effect of cortisone shots, individuals responses to medications can vary. If you’re experiencing hot flashes after a cortisone injection, several factors may contribute to this phenomenon, these include: (4)

Hormonal changes: Corticosteroids, including cortisone shots can influence the endocrine system and may cause changes in hormone levels. While adrenal hormones are primarily affected by corticosteroids, they can indirectlty affect other hormonal systems in the body aswell, potentially leading to symptoms like hot flashes. 

Hypothalamic-Pituatry-Adrenal (HPA) axis disruption: Another possible explaination for hot flashes as a side effect of cortisone shots may be related to their impact on the hypothalamus which is a part of the brain involved in regulating body temperature. Cortisone is found the affect the HPA axis which is considered as the key component of body’s stress response system. Changes in HPA axis may influence the release of certain hormones that could contribute to temperature regulation and hot flashes ultimately. 

Individual sensitivity: Some people may be more sensitive to the hormonal affects of corticosteroids than others. Certain factors like genetic makeup, pre-existing hormonal imbalances or variations of individuals in drug metabolism can contribute to different responses including hot flashes. 

Underlying medical conditions: If a person has some pre-existing health condition and imbalances in hormonal levels, then cortisone shots may exacerbate the related side effects and may lead to hot flashes. 

Psychological factors: Stress and anxiety, which can be associated with recieving certain medical treatments or dealingb with a health condition, may contribute to symptoms like hot flashes.

What are the signs and symptoms of experiencing hot flashes?

The signs and symptoms associated with hot flashes may include: (4)

What are the other potential side effects of cortisone shots?

The severity and likelihood of experiencing side effects can vary depending bon factors such as the dose, frequency of injections and individual health conditions. Some potential side effects of cortisone shots may include: (1,3)

• Pain or discomfort at the injection site
• Thinning of the skin
• Changes in skin colour
• Infection at the injection site
• Tendon weakening or rupture
• Elevated blood sugar levels
• Flushes or facial redness
• Changes in mood or behaviour
• Sleep disturbances
• Elevated intraocular pressure
• Allergic reaction

What to do if you experience hot flashes after cortisone shot?

It’s important to manage the occurence of hot flashes after cortisone injection which may includes addressing the symptoms and making certain lifestyle adjustments to minimize the discomfort. While cortisone shots are not a typical cause of hot flashes, if you’re experiencing this symptom consider the following suggestions: (4)

Stay cool

• Wear light and breathable clothing.
• Use fans or air conditioning vto maintain a comfortable temperature.
• Keep a cool water bottle near by to sip on time to time. 

Practice relaxation techniques

• Engage in deep breathing exercises.
• Practice meditation or mindfulness to help manage your stress as stress can exacerbate hot flashes. 

Hydration

• Keep plenty of water to stay cool and hydrated throughout the day to reduce the exacerbation of side effects. 

Identify triggers

• Keep a diary and be vigilant in identifying the triggers of hot flashes which might include certain foods, caffeine or stressful situations. 

Cooling products

• Use cooling products to keep your skin cold and hydrated like cooling towels or gel packs which helps alleviate heat.

Consult with a healthcare provider

• If hot flashes persist and become severe even after implementing the above strategies, contact your healthcare provider. They can assess your specific situation, consider any potential underlying causes and provide further guidance on how to manage these symptoms. 

Summing up hot flashes associated with cortisone shots:

As a pharmacist, from my personal experience of dealing with patients, I have observed both, people who did not go through hot flashes after administration of cortisone shots and developed tolerance along with people who developed mild to severe hot flashes as an adverse reaction of corticosteroids.

It’s important to recognize any known steroid allergies and pre-existing health conditions before taking these shots to weigh the potential risks and side effects against therapeutic profile. 

References