What is typical procedure for po prednisolone dosing during times of stress? (40mg 1month tapering by 5mg week for 11 weeks). thank you

Depends: Hi PO steroid dosing can be high variable depending on what disease you are treating. If you are talking about "stressed states" for adrenal insufficiency, usually the dose is not that high and dosing strategies can vary a lot, depending on your endocrinologist. So, unfortunately it's hard to say without more information. Hope this helps

Not appropriate: The body produces its own cortisone when under stress (unless you have an adrenal or pituitary failure), and prednisolone will likely increase your anxiety instead of dampening it. If you are on prednisolone to prevent organ damage, a 1-month course may be justified. Else there is little reason for anyone to be on prednisolone for stress . What is the cause for your spleen enlargement ?