Prednisone

Questions and answers on "Prednisone"

How long should one stay on Prednisone? My boyfriend has ulcerative colitis, and has been on Prednisone for years. When he's not having a flare up he's on 5mg daily. His doctor has him on 20mg day if his symptoms starts to worsen (bloody stool). I'm really concerned about the long term damage this will do to him, if it hasn't already. He's been on and off Prednisone for 17 years now.

doctor1 MD

Hi,

Although bothersome, ulcerative colitis is a long-lasting inflammatory bowel disease. So, you need to be patient.

With regards to prednisone use, please understand that such corticosteroids are necessary to reduce the inflammation and preventing the triggering of the symptoms (bloody...

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I am tapering down on prednisone after being on it all summer with crohns disease. My fluid retention has been horrible, and the doctors have changed my diuretics a few times due to low bp and low potassium. I am at 80/40 mg daily of torsemide now and 50 mg a day aldactone. Still at 5 mg prednisone and going down. I am sodium hypersensitive and it is so much worse now. I have gained fluid weight, lost it and gained a lot of it back again. They have stated diastolic failure due to leg swelling, however, ekg and echo, chest x ray all good. Can the water weight stop when I get completely off the prednisone? Thanks

doctor1 MD

Hello,

Thanks for posting on HCM,

If your fluid weight came after you started treatment with prednisone it possible that you might be suffering from cushing's syndrome induced by the corticosteroid. Ones tapering is complete, you will gradually be loosing the fluid retained or edema. The effects...

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I took 24 mg prednisone 1st day? Then 20 mgsecond day. ( order is till 6 days) im having palpitations.. Is it ok to stop it??

doctor1 MD

Brief Answer:
If reducing the dose for 6 days by 4 mg,can stop..

Detailed Answer:
Hi,

If you are using prednisone according to your doctor's prescription, then, follow it exactly as advised.

Please keep in mind that corticoids like prednisone are given at low dose at the beginning (not such 24 mg...

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I was diagnosed with bird shot 2 years ago and take prednisone after each attack. presently gradually reducing from 60 mlg prednisone 3 months ago to present 4 mg a day. Dropping 1 mg a month now so hoping not to become depressed when I finish this course. Any better solution than taking prednisone. also on anti inflamitarory diet as much as possible.

doctor1 MD

Hello
It seems from the history that you are diagnosed with bird shot choroidoretinopathy and he is on treatment with prednisolone.
Prednisolone is a steroid drug and is used to treat inflammatory conditions. Since you are having side effects of steroids like depression, you can go for steroid...

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Hallo doctor i have secondary XXXXXXX disease 3 months ago because i took dexamethasone not in the correct way. my cortisol level was so low with number 1.4 from the normal range start from 4 for 8am cortisol then my endo put me under prednisone with 5mg in the morning and 2.5 mg at night then 3 months later i test cortisol again at 8 in the morning while i take prednisone 5mg at 6 in the morning then the result was 4.8 above the minimum range of 4 . My question is:
1. my endo told me that cortisol blood level test not affected wether i take prednisone or not, is that true?
2. Do my disease is getting recover? My endo start to tapering my prednisone starting next month with only 5mg in the morning
3. Did my immune system was pressed under this prednisone medication although it just the replacement of low cortsisol level
Thanks doc

doctor1 MD

Addison's and adrenal insufficiency are conditions whose diagnosis is best made by a formally trained endocrinologist.

Prednisone is one way to treat it. However it suppresses the body's cortisol production (if any is being made by the adrenal glands). That is why most endocrinologists prefer to...

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I have Hashimoto Encephalopathy of the brain and I am on 120 mg of prednisone each Sunday (which is push therapy.) but the nuerologist is thinking of redusing the prednisone and adding azathriprone . I was just wondering with the AZA drug would you be able to tan. I love the sun and live in Arkansas and was just wondering. I also have a colostomy bag (4 years now) permanent and also MS and also take phenebarbitol for a seizure disorder but have not had one in over 20 years. The nuero I have had heard on HE but had never met anyone that had it until he met me so does not know a lot about it so we are doing trial and error and we have a facebook page and he has me print things off when I see him every three months. I know that the prednisone is not good for me so was just thinking of something else to tell him. It will be 2 years this Sept since I have been on prednisone every week.

doctor1 MD

Hello, i read carefully your question.
Hashimoto encephalopathy is an autoimmune disease which is associated with thyroiditis. Patients with this condition respond most of the times very well to the corthycosteroid therapy, and that's why the condition is also known as steroid responsive...

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I have sarcoidosis with quite a bit of scarring in my lungs. I had a flare up at the beginning of July and been on 40 mg of Prednisone and home oxygen since then. My breathing is better but not back to normal. Any exertion will bring my level below 90. My question is how long should I give the prednisone to work before adding an immunosuppressant?

doctor1 MD

Hi
thanks for your question.
I usually give prednisone period of 3 months to work if there no sign of improvement, then I start immune suppressant medications.
During this period I care fully monitor patients for other condition that may cause resistance to steroids.
Hope I answered your...

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QUESTION: Safest/easiest way to wean off 2.5 years prednisone therapy?
HPI: Mid-september, 2008, 68 y/o married medical doctor on a routine cardiac follow-up, was determined to have an elevated serum calcium. Follow up studies over 4-6 weeks revealed slowly rising CA levels. Despite lab & scan workup, no evidence of parathyroidism. By Dec 4, 2008, serum calcium was 15 and patient had lost 60 lbs due to loss of appetite & inactivity as well as having mental changes. Hospitalized & treated with intravenous fluids & diuretics. On Dec 6, patient under general anesthesia underwent an iliac crest bone marrow biopsy, left axillary biopsy, and since the presumed diagnosis at this point was non-hodgins lymphoma, had a port-a-cath inserted in the right chest wall. Post operatively patient was placed on prednisone and discharged on Dec 7, 2008. Within 2 weeks
the biopsy returned after having been reviewed by multiple pathologist at several institutions and showed Sarcoidosis of the Bone Marrow wilthout pulmonary complication. Subsequently on prednisone therapy, the serum calcium fell to normal but attempts made to wean off of prednisone have failed multiple times.
He developed signs of osteoporosis of the femoral necks and prednisone myopathy, particularly in the shoulders and hips so it was decided to try to stop the prednisone. He has been on 5 mg of prednisone every other day for the past 3 months and is severely symptomatic with arthralgias and myalgias, joint stiffness, headaches, neck pain,nausea, anorexia, and total body misery. These symptoms have not improved since the prednisone was reduced on 03/24/2011 to 5 mg alternate days. Prednisone withdrawal has also induced mild congestive heart failure, requiring the addition of O2 to nightime C-Pap. What do you recommend to jump-start the adrenal gland or adrenal/pituitary axis?

doctor1 MD

Hello and welcome to HCM,
The prednisolone therapy should be carefully titrated and weaned off keeping in view the clinical status of the patient.

Thanks
Dr Shailja P Wahal

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Recent questions on  Prednisone

doctor1 MD

My father, age 78, is in excellent health and only takes medication for hypercholesterolemia (low 200 s). He recently started Erythromycin for head and chest congestion and sore throat. After taking this for a few days he had blood blisters erupt in his scalp and ears. His head felt a lot of pressure and he was worried he might be having a stroke. His neck and head were stiff with some numbness in his right arm. He DC d the antibiotic and went to his doctor, who placed him on Prednisone. Now he is a little groggy and isn t feeling well so he stopped the Prednisone. He sounds weak and we aren t sure why he was put on the Prednisone. My question is - why take Prednisone if the blisters are drying up? What is the benefit versus the risks?

doctor1 MD

I have hypothyroid for 17 years, fibro myalgia for 7. This past Oct went to GP for regular blood text, was told my level was down and needed to up my dose of medicine. That was fine. Started taking 200 mg, in November before was at 150 mg. By the second week in December I started getting hives. Was put on prednisone pack. Nothing happened and continued with the hives. January had regular appointment with specialist for fibro myalgia and showed her the hives since it was six weeks since last blood work she did another thyroid reading was down lower. Also suggested for me to juice and Contacted my GP. she increased my meds. To 112 mg two a day.still hives and another prednisone pack. Still no results. Come back in April. Returned in April with hives. GO suggest allergy test to be done. Test come back and have allergies to cat and dog, milk, wheat, dairy foods, dust, dust mites, so I basically only eat chicken and turkey, fruits and vegetables. But still hives. Went back to GP in June for another blood text and thyroid is lower again. Now started on 300 mg a day. What in my body can be causing the hives and what can I do to get rid of them. Please help.

doctor1 MD

Hi my name is Doreen O Toole my son Ryan is in LIJ Hospital in New Hyde Park, N.Y. He has been sick for two and a half years and has been on Prednisone for his breathing problems which just came on suddenly after a bout with bronchitis an was prescribed a Z pak. He has gotten progressively worse and is now on many drugs, including antibiotic s for months at a time by his pulmonologist, and many inhalers and nebulizers. He has been taking between 40 to 80 mg od prednisone at various time and has been hospitalized with high does of steroids. This time the steroids are not helping, and his feeling is different this time. His oxygen is in the 90 s but if he moves in bed his breathing is very labored. He has had 8 fractured vertebras from the steroids and many broken ribs. He has the moon face and gained about 50 lbs. from the steroids. He has gastro reflux from being on these drugs and was prescribed dexelant. My concern is this time he has pressure on his chest and feels like his stomach is so pushed out and distended. I feel he should be tested for candida in his intestinal tract which could be making him feel this way. I know that the over abusive of the steroids and antibiotics can cause this, and he might have to be treated an antifungal drug and the foods he eat can cause the bloating. Every time I mention this to a Dr. they ignore. What I was wondering is if you know of a Dr. on LI affiliated with LIJ while he is in there, who is experienced in candida and the treatment. Just to rule it out. He is being injected every 6 hrs with the steroids 40mg. but he feels his airways are not opening up this time. He actually feels worse since he went to the ER two days ago. I had a severe case 14 years ago, in my blood stream. So I have research a lot about it. Please if you can, I would appreciate it, I know that infectious disease Drs. might help but they have to recommended by a Dr. to see one.

doctor1 MD

i been having a sore throat and ear aches and pain in sinus area corner of nose. last year at this time of the year i had a terrible time expecterating boxes of tissues of thick what mucose. i now have the same problem and have been on 3 atibiotics and nose spray and prednisone. went to nose and throat dr. did ct scans on sinus and throat and results i got today was that everything came out normal. went today to allergy testing and the only thing showed was mold and cocaroaches-- he put me on dexilant 60mg. also the ct scan showed nodules on the throid. the allery doctors said it could be coming from my stomach. i had reconstructing of the bile duct 10 year ago.hope you can give some answer to the above probelm..thank you

doctor1 MD

how often can you take Prednisone? I have reallybad inflamation in my hands and it took it away . The swelling has come back now and I dont know that much about it.

doctor1 MD

6 days ago my lips swelled up and my eyes swelled shut I had prednisone and it took 40mg to get it down. It came back in about 12 hours and took more prednisone and I had hives on my neck , under arms and in the groin. Went to a doctor and he...

doctor1 MD

Took Prednisone & Azithromycin in early November for acute bronchitis . X-ray to r/o pneumonia vs bronchitis. NP couldn't hear breath sounds in right lung base. Was difficult to take deep breaths at the time. Advised chest CT - area of diffusion...

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