Question 1

my rheumatologist said 'if a patient has lupus then prednisone doesn't work." why is that?

Accepted Answer

Several options: Prednsione is not universally effective in lupus and the benefit may depend on the dose used. There are several other options including methotrexate, azathioprine, CellCept (mycophenolate mofetil) and a newer med, benlysta.

Question 2

why would a doctor prescribe prednisone when a patient has an infection?

Accepted Answer

Balancing act: It's a balancing act since many of the problems with infections is that an exuberant inflammatory response can occur, which can cause more damage than the infectious agent itself (for example, brain swelling that occurs with encephalitis). Prednisone dampens the immune response while the anti-infective agent can do its job by controlling the microbe causing infection.

Question 3

is prednisone a good medicine for 3 year old asthma patient?

Accepted Answer

Routinely used : Prednisone is a synthetic medication that mimics the natural stress response cortisol  that is produced by the adrenal glands.It helps stabilize inflamed tissues  & reduces the intensity of asthma symptoms.I use it as needed in infants, toddlers or older kids.

Question 4

when your sugar is higher then usually on prednisone as a diabetic 2 patient what can you pos eat to reduce 300 orate sugar beside increased metformi?

Accepted Answer

Steroid diabetes: If your glu is in the 300 mg% range, you are on Prednisone and have diabetes on metformin, you may need more meds; just an increase in metformin may not be enough. You can try to limit your carbs, but steroids have serious effects on diabetes. Some people need to be on Insulin temporarily. See your doctor. Much depends on how long you will need to be on prednisone.

Question 5

patient with mds. routine transfusions. recently started on prednisone. could the prednisone cause an increase in the h h?

Accepted Answer

? it cld: Mds is too many different things , if inflammation or immunity are involved, steroids may help.

Question 6

cll  patient, platelets dropped 20, 000 in 10 days. if prednisone doesn't work what else can they try? no chemo until counts go up. count today 62, 000.

Accepted Answer

Wait: Low platelet count can occurs in advanced cll. Chemo can also cause low platelet count. Based on your question, i assume you have been on chemotherapy, which is most likely the cause of the drop in your count. Wait for a week or two to see if the platelet count goes up by itself.

Question 7

should patients who are on prednisone, dmards, or other drugs for their rheumatic diseases stop taking them to prevent catching the coronavirus (covid-19)?

Accepted Answer

No: There is no reason for anyone to stop their regular medications. It does not help prevent catching Covid. What helps is social distancing, hand washing and following the guidelines.

Question 8

i am a lupus patient and have been having swelling and headaches for a week. what should i do? i'm already on plaquenil (hydroxychloroquine) and 10mg prednisone.

Accepted Answer

Rheumatologist: Go back and see the doctor who prescribed these medications and who should be following you for progress, side-effects and complications.  This is a very serious disease and you need to pay close attention to your doctor.  Hope you are better soon.

Question 9

ibd patient on prednisone for 4 mos mri now shows osteonecrosis is this reversible or how is it treated now off prednisone will it continue worsening?

Accepted Answer

Varies: It varies quite a bit,  avascular necrosis, like the name implies, involves a loss in blood flow to the bone leading to necrosis (death) of some of the bone cells,  this is usually followed by an attempt by the bone to repair itself.  The clinical outcomes in avn vary tremendously, with some people having minimal problems and others having complete collapse of the bone and needing hip replacement.

Question 10

i'm a sle patient  just want to ask reason why i had a protein in my urine test.i am taking prednisone 5mg/day last month i'm taking 10mg/day.

Accepted Answer

Need to check: SLE can affect the kidneys. You don't say how much protein, but ask your Rheumatologist if important because Lupus Nephritis usually needs more treatment than prednisone alone. You don't mention cells or casts but there may not be much in early nephrotic syndrome. If it's being followed by a Rheumatologist,there may not be concern, so check.

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Doctor answers about:

What are the dangers to a patient given prednisone who is allergic to it

A member asked:

My rheumatologist said 'if a patient has lupus then prednisone doesn't work." why is that?

A member asked:

Why would a doctor prescribe prednisone when a patient has an infection?

A member asked:

Is prednisone a good medicine for 3 year old asthma patient?

A member asked:

When your sugar is higher then usually on prednisone as a diabetic 2 patient what can you pos eat to reduce 300 orate sugar beside increased metformi?

A member asked:

Patient with mds. routine transfusions. recently started on prednisone. could the prednisone cause an increase in the h h?

A member asked:

Cll patient, platelets dropped 20, 000 in 10 days. if prednisone doesn't work what else can they try? no chemo until counts go up. count today 62, 000.

A member asked:

Should patients who are on prednisone, dmards, or other drugs for their rheumatic diseases stop taking them to prevent catching the coronavirus (covid-19)?

A member asked:

I am a lupus patient and have been having swelling and headaches for a week. what should i do? i'm already on plaquenil (hydroxychloroquine) and 10mg prednisone.

A member asked:

Ibd patient on prednisone for 4 mos mri now shows osteonecrosis is this reversible or how is it treated now off prednisone will it continue worsening?

A member asked:

I'm a sle patient just want to ask reason why i had a protein in my urine test.i am taking prednisone 5mg/day last month i'm taking 10mg/day.

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