Doctor insights on:
Is There A Safer Substitute For Prednisone For A Boop Patient
If needed yes: Often when a chid has an uncontrollable asthma flare, Prednisone is necessary to stop it. Regimens can differ but most include a short burst (several days) of a higher dose then slowly tapered. Prednisone hypes kids up so he may be more irritable. To avoid oral steroids, identify triggers and use controller medicine. Parent classes about asthma care help. Get a written asthma plan from his doctor. ...Read more
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
When your sugar is higher than usually on prednisone as a diabetic 2 patient what can you pos eat to reduce 300 orate sugar beside increased metformi?
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. ...Read more
Not usually used: Most infections are not treated with steroids since many times steroids can make infections worse. On rare occassions, steroid nose sprays are used in the treatment of sinus infections. In rare brain or CNS inections, steroids can be of benefit. I think most physicians would agree that steroids are not typically used for infection. ...Read more
How long a patient wuth SLE should take oral prednisone?? Is that life long or just furing the flares?
It depends: There is no one answer as it varies from case to case. As a rule, the doee should be as low as possible. If there is a continued need for higher doses then additional therapies should be considered which will hopefully prrmit the prednisone dose to be minimized or discontinued. ...Read more
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.
See below : We usually can monitor cll if only the white count is affected and is not increasing quickly. If your white count starts going up rapidly, if u start developing lymph nodes, or if ur red counts and platelets start going down, then u need treatment. Lots of options such as fludarabine, cyclophosphamide, rituximab, etc. Talk to you doc! Regards. ...Read more
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?
It is not reversible: Osteonecrosis actually denotes death of bone. It is not uncommon that with prolonged cortisone use osteonecrosis of bone may occur it is most often seen in the hip. Once it develops it is not reversible. It often leads to chronic pain and may ultimately cause painful arthritis. In its end stages joint replacement may be needed. ...Read more
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.
Related?: These new symptoms may or may not be related to sle and thus you should consult your rheumatologist. ...Read more
If prednisone can cause an elevation in wbc, is it concerning for a patient to have low lymphocytes, mpv, and mchc and or is this also common?
Ckd patient on prednisone; HBP goes up to 180 only at night after bystolic (nebivolol). Can't switch to coreg due to pulm. Concern and labetelol for sugar. Ideas?
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.
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. ...Read more
Does hashimoto's thyroiditis cause immunosuppression? Can prednisone cause latent TB to become active in a patient with chronic sinusitis?
Idiopathic thrombocytopenic purpura patients who do not respond to pretnizon (steriods); what do you do next?
Immunoglobulins: For patients with itp that has not responded to steroids such as Prednisone there are still effective therapies. Often an infusion of normal antibodies (immunoglobulins or ivig) is used. Other therapies can include an antibody against the patients immune system cells called rituximab. Removing the spleen can be used sometimes. There are specific platelet drugs for patients with chronic itp. ...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
Depends: Chronic use of any medications, inherently carries risk. Prednisone daily may be needed to treat certain conditions, and without it, would cause more harm than its continuous usage. We as doctors and patients must always weigh the risk vs. The benefit. With that being said, long tern Prednisone use may cause an increased risk of several issues. ...Read more
Yes!: But for appropriate sino-pulmonary reasons!Get a more detailed answer ›
Yes: These meds do not interact.Get a more detailed answer ›
Is taking 5mg of deltasone (prednisone) daily for allergies considered fairly safe for long term use?
No: Chronic Prednisone usage will create major risks for you even at a dose of 5 mg daily. They increase infection, poor wound healing, cataracts, osteoporosis and arteriosclerosis among other issues. I strongly urge you to consult an allergist and use more appropriate and safer therapies. ...Read more
I've just been prescribed prednisone, 20 mg twice/day 5 days, 20 mg for 3 days. Is it safe? Reading a lot of terrible things(side effects).
Side effect?: All med can have side effect, we take them when we need them. U physician thinks u do need it, comply with treatment. ...Read more
Tested positive for strep n Dr prescribed amoxocillin. I have prednisone from the last time I was sick. Would it be safe/helpful to take both?
Do not take any medication not prescribed by your doctor. Prednisone is a powerful medication and should not be taken unless prescribed for your illness.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more
My dr prescribed 10 prednisone pills in 20mg, and told me to take 2 per day for 5 days for bronchitis. Is it safe to take it for 5 days as prescribed?
Yes: Yes. The dosage and indication is safe and reasonable. ...Read more
Given script for prednisone 20mg for 5 days 10 mg for 5 days then stop does that sound safe? Should I have more of a taper at end even every other day
It's your doc's call: That said, if the pills are scored, breakable, or the pills are low dose — like 5 mg, you could make the taper a little gentler. Consult with your prescriber. There are a gazillion ways to prescribe prednisone, ranging from a 3-day 60-mg/d burst, to a 60, 50, 40, 30, 20, 10, 5mg mg taper, using multiple 5-10mg tabs. It's in part due to a style thing & to why you're getting it in the first place. ...Read more
I'm having p.rosea right now almost 10weeks. And my doctors prescribe me a prednisone and im taking it almost a month. Does prednisone safe in my case?
Maybe, maybe not: Almost all medicines have potential adverse effects. The art of medicine is balancing those against their potential benefit. Side-effects of Prednisone are related to its dose and duration of taking. They include: diabetes, stretch marks on skin, thinning of bones, hypertension, psychiatric changes. Discuss with your doctor whether the ratio of risk to benefit is favorable for you. ...Read more
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