A member asked:

For a year now my doctor has been trying to lower prednisone but every time i get lower than 10 mg i get a lupus flare, what do you recommend ?

A doctor has provided 1 answer
Dr. Thomas Namey answered

Specializes in Rheumatology

Aternate day dosing!: Tapering steroids used for awhile always causes symptoms the may make you believe you are flaring> the first order to taper is to go to 12.5/7/7 every other day. Then 12.5/5.0 god. This way your suppressed adrenal gland kicks in better. I keep people on each other day reduction 2 wks. Even if you do not come off, i believe you can achieve a lower cumulative dose!

Answered 5/5/2018

5.2k views

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