Doctor insights on:
Herbal Alternatives To Prednisone
Where does prednisone come from? Is it naturally occuring so that some some herbal medicines could contain prednisone?
Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more
Many.: If in the small intestine, sulfasalazine. Colon: pentasa, proctofoam. Azothioprine, cyclosporine, the antibiotics ciprofloxine with or without metronidazole. Any finally most of the tnf-alpha inhibitors. Remicade, humira, cimzia, (certolizumab pegol) etc. I did not mention prednisone, or a poorly absorbed GI oral steroid. ...Read more
See: Http://www. Mayoclinic. Org/diseases-conditions/crohns-disease/basics/definition/con-20032061Get a more detailed answer ›
Tnf inhibitors: Tnf inhibitors such as Humira and remicade (infliximab). ...Read more
RA: If you have confirmed diagnosis of RA, then you should be on disease modifying drugs as deemed necessary by your rheumatologist. These prevent flares and disabling changes in the joints. ...Read more
What do you think about the use of methotrexate to treat sarcoidosis and what are the alternatives besides prednisone?
Can be effective: Methotrexate can be effective for long term control of sarcoidosis symptoms. Complicated though, requires baseline labs and chest x-ray then regular monitoring of cbc, liver and kidney function. The care should be overseen by rheumatologist and pcm familiar with potential side effects and drug interactions. Much less $$ than other immunomodulating meds. Prednisone still required sometimes. ...Read more
I stopped being able to smell at 13. Now I cannot smell anything unless I'm on prednisone for my asthma. Are there any alternatives?
I have been diagnosed with bronchial asthma. It seems as though once the prednisone is gone. My problems return. Is there a legal alternative?
Legal alternative?: Not sure what you mean by legal alternative... If you have asthma and require Prednisone courses, then you probably need to be on inhaled maintenance and eliminate potential trigger. A lot more info is needed about your condition to give a proper opinion and advice. But given that your symptoms persist after completing a Prednisone course, I would recommend you seeing a pulmonologist. ...Read more
I was prescribed prednisone 20mg for acute right maxillary sinusitis for 3 days. Is this safe to take or is there another alternative? I've heard terr
Maybe: You have 2 good choices: follow his/her advice OR get some other advice. Either way, you need a trained/competent provider personally you; if you don't like what you're hearing, get a 2nd opinion. You may find the providers agree outright OR you may find a preferred alternative. Try an ENT or OMFS. ...Read more
Is there an alternative medication to open up the lungs and assist with breathing besides puffers and prednisone?
Oral prednisone as part of HRT gives me acid reflux. What are alternatives to *oral* prednisone that might not cause this?
My wife has been diagnosed with wegeners GPA. She is on prednisone and has been prescribed methotrexate. Are there any less toxic alternatives?
GPA: First of all I wish your wife all the best with full remission of the disease and uneventful maintenance of the remission. The drugs she is on are just fine so long she is followed up regularly by her rheumatologist / primary doctor for adjustment and fine tuning. There are rather more toxic drugs than what she is currently on, good that she is responding to the current drug regimen, best wishes ...Read more
I AM HYPOPITUITARY, I DO NOT PRODUCE CORTISONE. I HAVE TAKEN DELTASONE (prednisone) AND PREDNISONE FOR 21 YEARS. ARE THERE ANY ALTERNATIVE THERAPIES..
Endocrinologist: For adrenal or pituitary gland insufficiency replacement therapy with cortisone and at times, thyroid and other medications are needed. These deficiencies all affect the way your body responds to stress and proper treatment is very important. An endocrinologist is best qualified to evaluate and treat you. ...Read more
I started taking 40mg of prednisone today for a rash....i do not like the side effects...rash is getting worse....what is an alternative treatment?
Rash: Please see your doctor again or a dermatologist. ...Read more
Watch out for TB: Nodular vasculitis can be difficult to treat, and there are alternatives to prednisone, like nsaids and cellcept (mycophenolate mofetil). One of the important things to realize is that this condition is sometimes associated with tuberculosis. If you are using Prednisone (an immunosupressant) you want to make sure you don't have an infection causing your problem. See your dermatologist for a thorough evaluation. ...Read more
I was prescribed vistaril prednisone and Zantac (ranitidine) for a possible allergic reaction or do to hives from aspirin. Vistaril makes me ill. Alternatives?
Had allergic reaction to brand name plaquenil (hydroxychloroquine). Is there a good alternative? Also on prednisone but I think its giving me thrush. Advice for sle?
Ask your doctor: Lupus is an incredibly complicated disease. Given the medicines you are on you obviously have a rheumatologist. These really are questions for your doctor. Given the complexity of the disease, if you don't feel like you are getting good answers to your questions from your doctor you should find a rheumatologist in your area the specializes in lupus and get another opinion. ...Read more
An Allergist is the one giving me the Xolair shots and is watching my prednisone intake. A dermatologist did a biopsy that was inconclusive, and sent me to the allergist. I am just looking for alternative treatments?
For?: I am guessing you have chronic hives, but it sounds like a virtual consult would be most appropriate. A physician practiced in treating refractory hives would need to know more about the duration, frequency/severity, co-existing symptoms, triggers, work-up to date and medications tried before offering an opinion on potential alternatives. Good luck to you, this is a frustrating scenario. ...Read more
Stress hormone: Your body makes a stress hormone very similar to Prednisone every day. A short course (5-7days) is often used to assist your hormone response as an anti-inflammatory to avoid prolonged symptoms. Prolonged use can suppress the immune system & should be avoided. Antihistamines can be beneficial if the issue is histamine based but will replicate all the benefits of the steroid. ...Read more
Yes and no: There are always side effects that need to be monitored. It is a valuable medication and has saved and kept alive many people. A lot of its toxicity is due to long term use. Your physician will guide you as to the side effects and how you should approach them and how to prevent the side effects. ...Read more
Expired meds: It depends a lot on how long ago it expired. The expiry dates of medications are generally conservative figures chosen in order to work in worst-case scenarios. As long as the meds are not too terribly long out of date, were stored under recommended conditions and are not being used to treat critical or time-sensitive conditions, it is not unreasonable to try them. ...Read more
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