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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Safely Withdraw Prednisone?

Hi taking 10 mm of prednisone daily,what is safest way to cut down doseage...have been on prednisone for 9 years so this process is very hard,,,i have copd and worked myself & doctor (from 25mm for years) down to 10mm he wants me to be free of prednisone....help
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Thu, 15 Oct 2015
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Dentist 's  Response
Hi Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concern...
When you have been taking steroids for a longer time your adrenal glands no longer produce cortisol( the natural corticisteroid hormone) to fight illness and cope with stress. This explains the inability to respond to acute physical stress.
So corticosteriods like Prednisolone should be tapered slowly( Under guidance of your physician), so that adrenal glands start producing cortisol naturally.

Below 10mg daily prednisolone should be tapered very slowly, 0.5 -1 mg dose should be reduced every week. In this case 1mg tablets are useful.If you have symptoms like joint pain, low energy, sweating your dose of prednisolone may need to increased a little bit.
Refer to your physician for consultation.

Don't worry you would be fine
Hoping your query is solved

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How To Safely Withdraw Prednisone?

Hi Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concern... When you have been taking steroids for a longer time your adrenal glands no longer produce cortisol( the natural corticisteroid hormone) to fight illness and cope with stress. This explains the inability to respond to acute physical stress. So corticosteriods like Prednisolone should be tapered slowly( Under guidance of your physician), so that adrenal glands start producing cortisol naturally. Below 10mg daily prednisolone should be tapered very slowly, 0.5 -1 mg dose should be reduced every week. In this case 1mg tablets are useful.If you have symptoms like joint pain, low energy, sweating your dose of prednisolone may need to increased a little bit. Refer to your physician for consultation. Don t worry you would be fine Hoping your query is solved