Doctor insights on:
Is There An Effective Substitute For 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
No one way: The way your doctor tells you. Some suggest a single dose and some divided doses. ...Read more
Short term: It can be used effectively for short term relief. Other drugs used in the short term are colchicine and indomethacin. If there are frequent recurrent disabling attacks of gout, erosions of bone on X-Rays, chalky deposits of uric acid (gout crystals) under the skin, or uric acid kidney stones, a long term Rx such as allopurinol would be needed to lower the uric acid. ...Read more
It can help: We do not like to use it long term due to side effects. There are alternative medications we can try to use depending on what the manifestations of the sarcoid is. You can ask your physician to evaluate this. ...Read more
TMJ - Prednisone: Tmj disorders are about tooth grinding or alterations in bite, except in uncommon circumstances such as jaw trauma from boxing or a car wreck. Anything that relieves inflammation in the joint is helpful. Prednisone is helpful for tmj, but should not be used on a regular basis, as many side effects are common with long term use of steroids. Go see your dentist, if pain persists. ...Read more
Not a good choice.: Although it has never been formally studied as a treatment of chronic migraine, prednisone is not a good choice for treatment. Long-term use of prednisone can have many side effects. When used for a few days to treat a prolonged migraine attack, prednisone may be useful and safe. There are many effective preventive medications for migraine. ...Read more
Sciatica: Low back pain that radiates into the leg is called sciatica. A herniated disc in the lumbar area is one common cause. Simple exercises and stretching, over the counter pain medication, or prednisone or other steroid medications like Medrol (methylprednisolone) dosepak can reduce inflammation. Physical therapy can help. If it has been present for more than 3 weeks, see a Doctor. An MRI might be the next step. ...Read more
My fasting glucose is still 200+ 3weeks after stopping prednisone? I fear taking insulin will make me dependent on it, is there a more effective pill?
DM: Sounds like this may be a new problem. You may have been "pre-diabetic" & Prednisone accelerated your condition. Regardless of the cause, adequate exercise, weight loss & a diabetic diet should be instilled. If afraid of insulin, you may want to discuss once daily Insulin &/or oral medications with your doctor. Your body will not get used to insulin. ...Read more
What is the most effective long term treatment for a pinched nerve in right arm? Prednisone worked well for 3 months but getting recurring symptoms
What are the risks of low-dose oral prednisone taken over 1 or 2 decades? I am a vet with allergies to pets. Antihistamines not effective anymore.
It depends how low: If the dose is low it will replace what your adrenal makes. Even at that level it is tough sometimes to get off of it. With high doses bad problems can occur in all areas of your body. Talk to your doctor or get another opinion about what is best. Thank you for your service. ...Read more
I'm on Accutane and I think that my acne is starting to flare up. My dr. Prescribed me prednisone 10mg/ aday. Is this effective? And best time to take?
It does help: I would take the medication in the morning. Eventually it will stop doing this. ...Read more
PPIs always effective on my acid reflux - except, for 1st time ever, no help at all after course of prednisone for hives. Could this be thrush?
Could be,: Fungal esophagitis is possible, but uncommon in an immune -competent person, at any rate steroids in general have many effects on the stomach and esophagus, please visit your doctor, who might prescribe you a higher PPI dose, an anti-fungal if he/she suspects, or refers you to a gastroenterologist, you deserve evaluation anyways, good luck ...Read more
Hives urticaria x 3 weeks. Antihistamines and prednisone are moderately effective only with consistent use. Would a skin biopsy help determine cause?
No: A skin biopsy can help prove that these are hives, but usually cannot help to identify a trigger (unless you have underlying blood vessel disease called vasculitis). Prednisone should be avoided if possible because the hives can come back stronger when it is stopped. There are many potential triggers to discuss with a physician and many effective treatment options. Recommend Health Tap consult. ...Read more
My chronic bilateral episcleritis is treated with local nsaid daily, in long term use, should I prefer a more effective 1% prednisone eye drops?
Is plaquenil (hydroxychloroquine) with methotrexate without prednisone an effective treatment for moderate to severe rheumatoid arthritis?
Yes: The combination is often a very effective treatment. ...Read more
Depends: Ibuprofen and Prednisone are both anti-inflammatory medications, although Prednisone is significantly stronger. They each have other properties as well. The answer certainly depends on the reason you are taking the prednisone. While not preferred as a long time medication, your prescribing physician should be consulted. ...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
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