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

I m a 51 year old male. At age 18 months I was Dx with Lipoid Nephrosis of which the diagnosis was changed to FSGN as the result of a biopsy when I was 28. The disease has been very manageable over the decades but a few years ago I started spilling protein which required a round of Prednisone. No problem with that, but when I start tapering and get down to 10mg every other day I start to spill protein again. I can t seem to get off the cycle and my doctor seems to be comfortable with me being on this low dosage indefinitely. Since I don t have any side effects from it, I don t mind it and my chemistry is entirely normal. My question is, is this a reasonable course of treatment or should something more advanced be tried, such as Cyclosporine?

doctor1 MD

For over two months I have been suffering from a body rash excluding hands, feet, neck, and face: and keeps reoccurring after two short and two long term prednisone therapies. Is there any other recourse for my doctor and me such as a long term low dose prednisone therapy?

doctor1 MD

i was diagnosed with still's disease 5 years ago. i was 17 back then. i got a year-long course of medication including prednisone and methotrexate. after the year had finished, the disease was totally gone! five months ago, i started to feel pain in my scalp whenever i touch it, and i started to note severe hair loss! i called the doctor and he said that we have to go through that course of medication again!! to be honest, i don't think i can bear taking methotrexate again!! if you can help me stop the hair loss without taking that medication, i would really appreciate it! plz help!

doctor1 MD

I have had a rash for almost 2 months now. It started with a small area on my back and moved to the right side of my chest. Now it is on both sides of my chest, scalp, hairline, sides of nose and temples. It is red, raised and did weep for a bit. Now it burns and itches. Treatments have included Neosporin, Cortaid, keflex, steroid cream, which made it spread, prednisone pack which it was clearing with that but when it was done it came back and an inconclusive skin biopsy. The only thing I have done that is different from normal was have a breast biopsy with an implanted clip. Please help me as I am miserable

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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