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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have A Major R.A. Flareups. Was Taken Prdnisone Earlier For This Problem. Can It Be Taken Again Now?

I came off prdnisone 5 weeks ago. The dosage started at 4x5mg daily for 2 weeks then a half tablet reduction every week.The problem is I am back having major R.A.flareups which last for weeks on end. So I would like to know if its ok to start taking Prednisone again, like starting tomorrow.It will be almost 4 weeks before i get in to talk to my reumatologist , in the meantime i'm not able to function very well.
Sat, 11 May 2013
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Internal Medicine Specialist,  's  Response
Hi
You can restart prednisolone again as you are having flareup(Relapse) 0f RA. You can start with 40-60 mg daily until your symtomps resolve and gradually reduce doses like 10mg reduction every 5-7 days and need to continue it at a minimum dose of 5-7.5mg daily to avoid relapse or you can choose other Disease-modifying antirheumatic drugs (DMARD)- methotrexate, sulfasalazine, Leflunomide for maitenance.
Regards
Ranjit
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Have A Major R.A. Flareups. Was Taken Prdnisone Earlier For This Problem. Can It Be Taken Again Now?

Hi You can restart prednisolone again as you are having flareup(Relapse) 0f RA. You can start with 40-60 mg daily until your symtomps resolve and gradually reduce doses like 10mg reduction every 5-7 days and need to continue it at a minimum dose of 5-7.5mg daily to avoid relapse or you can choose other Disease-modifying antirheumatic drugs (DMARD)- methotrexate, sulfasalazine, Leflunomide for maitenance. Regards Ranjit