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Doctor insights on: Liquid Pred Taper In Low Dose Treatment

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What is a low dose, moderate dose and high dose of methotrexate to start out on for jra ?

What is a low dose, moderate dose and high dose of methotrexate     to start out on for jra ?

Depends on the pt: It depends on the patient's labwork, weight, etc. You need to talk to your child's rheumatologist. ...Read more

Dr. Thomas Namey
2,567 doctors shared insights

Prednisone (Definition)

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


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Acthar q week and pred 25mg daily. Taper over 4 months. Severe prob return before acthar when decreased pred. Shouldn't acthar allow for faster taper?

Acthar q week and pred 25mg daily. Taper over 4 months. Severe prob return before acthar when decreased pred. Shouldn't acthar allow for faster taper?

See details: Other than being incredibly expensive, acthar gel has little benefit over prednisone. Currently you feel better because you are taking 2 separate forms of corticosteroids. You are simply in the process of trading one form for another. Why are you taking these meds in the first place? ...Read more

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Pt on 150mcg of synthroid (thyroxine) for hypothyroidism Palliative pt Can one taper to a lower dose if T4 has stabilized? and TSH is starting to decrease?

Pt on 150mcg of synthroid (thyroxine) for hypothyroidism Palliative pt Can one taper to a lower dose if T4 has stabilized? and TSH is starting to decrease?

Hypothyroid: The patient will be much more comfortable without the symptoms of hypothyroidism, namely the extra fatigue. Why taper the dose unless there are hyperthyroid symptoms. If the TSH is not stable there is no way the T4 is stable, anyway we treat to stabilize TSH. Let the treating Physician manage the medications. ...Read more

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TBI pt titrating down with prednisone. Steady increase in depression with decrease in prednisone dose. Now at 13mg. Suggestions? Adrenal Fatigue?

TBI pt titrating down with prednisone. Steady increase in depression with decrease in prednisone dose. Now at 13mg. Suggestions? Adrenal Fatigue?

Referrals: W/o prior adrenal disease, only lengthy, high dose prednisone could result in them underperforming and leading to depression. It's more likely reactive depression and a Psych Eval may help. So may followup by neurologist from TBI. A course of therapy w/ Health Psychologist may help adjust to injury/aftermath. ...Read more

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Dr. What is the lowest prescribed dose of Clonazepam? 0.25 mg? Is that also the dose to begin final taper generally?

Dr. What is the lowest prescribed dose of Clonazepam? 0.25 mg? Is that also the dose to begin final taper generally?

0.5mg is lowest: Nice thing about clonazepam is with its long 1/2 life, detox is pretty easy. In a community setting, I'd probably cut the dose by 1 mg each step targeting your comfort and desired end date more than anything else. Say you're on 2 mg three times daily, we could decrease 1 mg daily and have you off the med in 7-10 days. ...Read more

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Is Florinef (fludrocortisone) 0.05 mg daily bad to be on longterm for POTS syndrome? Is it better than low dose prednisone? Can't keep seem to control w/ just h20&salt

Is Florinef (fludrocortisone) 0.05 mg daily bad to be on longterm for POTS syndrome? Is it better than low dose prednisone? Can't keep seem to control w/ just  h20&salt

Better?: I don't understand just "salt and water" as a means of control. If you are only seeing a primary doctor you MUST get an appointment to see an Endocrinology specialist. If you are already seeing the Endocrinologist you must ask for a return visit as soon as possible. ...Read more

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My son was diagnosed with RSV and prescribed prednisolone 15mg/5ml 2x daily 2.5ml per dose. Is this dosage too much?

My son was diagnosed with RSV and prescribed prednisolone 15mg/5ml 2x daily 2.5ml per dose. Is this dosage too much?

Prednisolonr: Usual dose is 2 mg/ kg 1st dose then 1 mg/kg daily for 4 more days. It would depend on his weight? Steroids are useful for RAD or asthma but generally not helpful for RSV which requires auctioning frequently, a cool humid environment and sometimes O2 via high flow for low oxygen levels. If he is not getting. Ether have him reassessed. All the best;nasty virus! ...Read more

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The doctor prescribed melpalan, velcade (bortezomib) and dexamethasone for 78 yrs old male with multiple myeloma. He later increase the dose of melphalan from 10 mg to 14 mg despite the treatment progress. Is this warranted considering high AST and alt?

The doctor prescribed melpalan, velcade (bortezomib) and dexamethasone for 78 yrs old male with multiple myeloma. He later increase the dose of melphalan from 10 mg to 14 mg despite the treatment progress. Is this warranted considering high AST and alt?

Speak with physician: The best advice at this point is to speak with the treating physician and ask for an explanation regarding the increase in the medication given the progression of disease on the current treatment. If you are not satisfied with the explanation then by all means seek a second opinion consultation. At times, changes in regimens are easily explained; don't be afraid to ask. ...Read more

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Prescribed 16 days prednisolone for lower back pain/inflammation tapering (20 ml-5ml). On day 2 @10ml. OK to take Xanax (alprazolam) in day & valium to sleep?

Prescribed 16 days prednisolone for lower back pain/inflammation tapering (20 ml-5ml). On day 2 @10ml. OK to take Xanax (alprazolam) in day & valium to sleep?

Steroids: Would keep you awake, avoid taking them in late afternoon or evening unless prescribed to do so, as for the xanax (alprazolam) and Valium, use only one as prescribed, please don't combine, would lead to CNS depression and psychomotor impairment ...Read more

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Dear MDs/Pharmacists: What is 2.5 ML of FLUoxetine 20 MG/5 ML Solution equivalent. Is it 10 mg or less. Is this the lowest starting dose for kids?

Dear MDs/Pharmacists: What is 2.5 ML of FLUoxetine 20 MG/5 ML Solution  equivalent. Is it 10 mg or less. Is this the lowest starting dose for kids?

10 mg: If you have a solution form of fluoxetine at the stated concentration, then for every 5 mL there are 20 mg. Thus, if you use half the volume (2.5 mL), then that would represent half of 20 mg, which would be 10 mg. The recommended starting dose for fluoxetine in children is 10 mg daily. Consult with a psychiatrist for more information. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a689006.html ...Read more

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I am currently taking xanax, (alprazolam) 2 mgs daily, and want to start Suboxone (buprenorphine) treatment, at a low dose. Is this combination safe?

Yes.: It sounds like your question is the safety of the combination, not the wisdom of it. If you are currently addicted to opioids—the only reason to start Suboxone—Suboxone is a safe replacement for the opioid. Discuss Xanax (alprazolam) use with the doc treating your addiction. Good luck. ...Read more

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Started having interdose withdrawals with 2 mg of Ativan divided dose. --dr switched me to 1 mg of klonopin (clonazepam) divided dose ..does this make sense?

Started having interdose withdrawals with 2 mg of Ativan divided dose. --dr switched  me to 1 mg of klonopin (clonazepam) divided dose ..does this make sense?

Yes: Ativan 2mg is the maximum dose that can be safely given at any one time, so this places patients at greater risk of uncomfortable withdrawl symptoms until the next dose is administered. Furthermore, Klonopin (clonazepam) is easier to manage and tolerate than Ativan because it has a longer half life, or a longer time that its chemicals remain effective in the human body. ...Read more

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Dr. John Feola
997 doctors shared insights

Liquid Pred (Definition)

Liquid Pred is a corticosteroid which is a kind of ...Read more